Georgina Nolan represented the partner of the deceased in an inquest which concluded on February 17th 2021. The Senior Coroner for Teesside, Clare Bailey, found Bethany’s death, on August 29th 2018, was a result of recent complications following childbirth and agreed with the medical cause of death outlined in the post-mortem examination; pulmonary embolism and pulmonary infarction. She also found that her death was contributed to by missed opportunities to prevent, identify and treat said pulmonary embolism.
A junior doctor had prescribed Bethany with an “inadequate” dose of tinzaparin, a blood thinner used to reduce the risk of developing a blood clot. A doctor then prescribed a correct dose but due to a mix-up, Bethany was discharged home from the University Hospital of North Tees with the incorrect dose.
Ms Bailey added that she was satisfied that the NHS Foundation Trust had taken the case seriously and introduced measures to prevent the same mistake occurring again.