The clinical risk advisor for the State Claims Agency has commented that a consistent set of national guidelines is needed to reduce the number of claims for birth injuries due to Syntocinon.
In Ireland, Syntocinon is the brand name of oxytocin – a synthetic drug that is often used during childbirth to induce labour or accelerate contractions. Oxytocin has the effect of reducing the amount of time that mothers are in labour and helps the womb to contract after a birth by Caesarean Section.
However, there are risks associated with the birth-inducing drug and – when Syntocinon is administered – both mother and baby need careful monitoring to prevent any complications such as an adverse reaction or foetal distress. There are many circumstances in which it is dangerous to both mother and baby to administer Syntocinon.
Syntocinon is one of the top ten “high-alert medications” in maternity units, and the death of four babies at the Portlaoise Hospital has been attributed to the lack of adequate monitoring. All four babies died from foetal distress after their mothers were administered Syntocinon and, when children have survived after suffering foetal distress, they have frequently suffered brain damage.
Settlements of claims for birth injuries due to Syntocinon can be considerable. Among a recent series of claims for birth injuries due to Syntocinon, Jamie Patterson was awarded an interim settlement of €1.58 million in May last year, while Skye Worthington´s €2.32 million interim settlement was approved just last February.
The State Claims Agency – the authority that pays settlements of claims for birth injuries due to Syntocinon – recently conducted a study into the use of oxytocin in Irish hospitals. The study revealed a lack of consistency in how Syntocinon is administered – a problem described by the Master of the Rotunda Hospital, Dr Sam Coulter-Smith, as putting unborn children at “unnecessary risk”.
The study found that staff at one maternity unit had no guidance on the use of Syntocinon and that staff at another hospital had to refer to a checklist. Two of the maternity units observed in the study provided no guidelines at all on the monitoring of mothers and babies, and one hospital failed to inform medical staff on the dosage of Syntocinon that should be administered to mothers.
Mary Godfrey – the State Claims Agency´s clinical risk advisor – said that the results of the study showed that a consistent set of guidelines was needed to improve outcomes for mothers and babies, and to prevent more claims for birth injuries due to Syntocinon being made against the HSE.
Her comments were supported by Dr Coulter-Smith who, speaking on Newstalk´s Lunchtime Show, commented “The issue with each of the maternity units having their own rules on its use means doctors moving from one to another don’t have common set of guidelines to follow.”
However both medical experts failed to comment on one alarming fact uncovered by the study – that none of the maternity units attempts to obtain consent from the mothers before administering the drug. If the State Claims Agency is genuine about reducing the number of claims for birth injuries due to Syntocinon, they will also have to address the issue of “informed consent”.