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Coroner Warns of Unregulated Doula Impact in Home Births
22 Jan
Summary
- A baby died from brain injury after a prolonged labor at home.
- The coroner cited doula presence negatively impacting midwifery care.
- Concerns over doula regulation and training are now being reviewed.

A coroner's report has highlighted concerns about unregulated doula involvement during home births, following the death of a 15-day-old baby. Matilda Pomfret-Thomas died on November 13, 2023, from a brain injury due to a lack of oxygen during labor. Assistant Coroner Henry Charles stated that the doula's presence "negatively impacted" the midwives' ability to provide advice and care to the mother.
The coroner noted warning signs, including meconium and decelerations in the baby's heart rate, but the mother was not transferred to hospital until hours later. Mr. Charles indicated that the doula's involvement hindered effective communication and care. This incident has led to a review of concerns regarding doula registration, regulation, and training by relevant bodies, including Doula UK.




