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Baby Died After Hospital Missed Key Birth Risk
2 Jul
Summary
- A baby died due to a brain injury after being sent home from the hospital.
- The coroner found the baby would not have been injured if admitted.
- Lack of guidance on fetal position contributed to the fatal error.

A baby boy named Ted Stewart died of Hypoxic Ischemic Encephalopathy (HIE) following a home birth, days after his mother, Stacey, was discharged from Sheffield's Royal Hallamshire Hospital. An inquest concluded that Ted would likely not have sustained the fatal brain injury had his mother been admitted to the hospital. Stacey had attended the hospital on December 11, 2024, with bleeding and pain at 38 weeks pregnant.
A junior doctor, still in training, reportedly failed to recognize the significance of Ted's oblique lie (diagonal position). This oversight, compounded by poor communication with a senior colleague, led to Stacey being discharged home with instructions to return for a planned C-section six days later. However, labor began at home, and Ted was delivered feet-first in an ambulance, requiring resuscitation.
Assistant coroner Hannah Berry stated that admission to the hospital would have allowed for a potential emergency C-section or a hospital-assisted vaginal delivery, preventing Ted's injury. The coroner expressed concern over the lack of national and local guidance for handling babies in oblique positions, noting it poses a risk of future infant deaths. She announced plans to report this to the Royal College of Obstetricians and Gynaecologists and NICE.
Sheffield Teaching Hospitals NHS Foundation Trust apologized for the incident and confirmed that changes, including enhanced staff training, have been made. The family expressed deep anger and a sense of being let down, stating that a "lack of guidance" and "basic errors and oversights" cost Ted his life. They highlighted that they would have insisted on further investigations if informed of Ted's position.