A mother died during her second pregnancy after a Caesarean was delayed because her notes were not updated properly, a coroner ruled. Rachael Chloe Walker, who was known as Chloe by her friends and family, died from severe bleeding during the 37th week of her pregnancy - which was conceived through IVF.
The 36-year-old was high risk for problems with her placenta, but her delivery plan that stated she should have a Caesarean section booked in was not recorded on her medical records. National guidance stated that a patient with Chloe's condition should have a Caesarean between week 36 and 37 and she was due to have a C-section at the 38th week.
Ms Walker was rushed to Royal Derby Hospital's maternity unit in an ambulance after suffering an antepartum haemorrhage at home in the early hours of June 19, 2021. At hospital she suffered a further haemorrhage and was taken for an emergency Caesarean.