Coroner hears midwife's call to 111

04:13, Feb 19 2014

Transcripts of 111 recordings from the day a young Huntly mother died referred to an officer's concerns about the midwife's lack of knowledge and delays in getting an ambulance to the scene.

Meanwhile, the lead maternity carer - who has interim name suppression - also took to the stand as day three of the inquest into the deaths of Casey Missy Turama Nathan, 20, and her son Kymani were heard in Hamilton.

Before the midwife took the stand via audio visual link, the court was played the audio of the midwife's 111 call for an ambulance in which she stated that she had pregnant patient who fainted in labour.

In the background, a person could clearly be heard saying "breathe, breathe".

Meanwhile, the 111 call script that was entered into evidence by the midwife's lawyer recorded a 111 operator stating how coverage of the job "needs a big debrief and a learning curve".

According to the transcript, St John Ambulance officer Nigel Dawson replies, "Yes", before the operator states "a lot of it is the midwife at (Huntly Birth Centre)", with Mr Dawson replying "yeah, she had no idea what was going on".

The pair also spoke of issues around getting an ambulance to the job after the 111 operator learnt one of its ambulances had stayed longer at a job.

In her statement to the inquest, the midwife said Miss Nathan attended eight out of 13 ante natal appointments and had "unreliable contact details".


The midwife also stated that Miss Nathan told her she was smoking eight to 10 cigarettes per day and the pair discussed the risks of smoking while pregnant.

She said that Miss Nathan attended her first three appointments, the first of which was on November 3, 2011,

The midwife stated that, at her March appointment, Miss Nathan told her she was down to eight cigarettes a day.

The Court heard that the first time Miss Nathan's gestation registered in the 90th percentile was on March 20, 2012 and measured 34cm at 32 weeks and five days.

The midwife stated as this was the first measurement in the 90th percentile she was "not suspicious" of polyhydramnios as the baby was easily palpalated.

The midwife said she had just got back from holiday but wanted to be there when Miss Nathan gave birth so attended with a fellow midwife at Huntly Birth Care.

The midwife told how at 10.39am, "without prior indication or warning Casey suddenly fainted in the pool".

"Hayden [Tukiri- Miss Nathan;s partner] jumped into the pool to support Casey in an upright position."

Assistance was called from the two other midwives at the scene and after 30 seconds, Miss Nathan regained consciousness, the midwife said.

Miss Nathan was given oxygen via a face mask, she said.

The midwife said Kymani was born at 11.02am, "pale and limp", however his tone started to improve by 11.12am, as he flexed his arms and legs.

By 12.06pm, the midwife said Miss Nathan told her "it feels like I'm leaking down there".

The midwife said she looked and noticed "a gush of around 150ml of blood" come out, before a further 50ml of blood came.

At 12.34pm, the midwife noticed 300ml of blood stained urine, which she said was abnormal, so she made a phone call  to contact the obstetric registrar at Waikato hospital.