A midwife made "catastrophic" and "inexplicable" failings that led to a newborn baby's death, then tried to blame colleagues, an inquest has heard. Isabelle Stephens was born in September 2021.
A two-day inquest heard parents Emily Bullock and Oliver Stephens had expected to bring their healthy baby girl home that day, instead she never took a first breath.
Assistant coroner Guy Davies, ruled that Isabelle's death could have been prevented and that failures were made. He said: "Isabelle died on September 19, 2021, 36 minutes after being born without taking a breath. Her death was due to a catalogue of catastrophic and inexplicable failings made by the responsible midwife who accepted that she'd made a massive error of judgement but falsely blamed or sought to blame understaffing and the demands of colleagues to try and deflect from her culpability."