With a review to start into Nottingham's maternity services, the BBC looks back at what led to it.
Assistant coroner Laurinda Bower saidIn the case of Kouper Needham, who died of respiratory complications in July 2019 after being discharged, Miss Bower ruled his discharge had been appropriate.
Mr and Mrs Hawkins - who had themselves worked for the trust in the past - said that in the days leading up to the stillbirth, they were repeatedly told by NUH that Mrs Hawkins was not in labour. "Two senior midwives came and they couldn't. Then the doctor came and said he couldn't find it because my bladder was full," she said."I just went numb from head to toe. It felt like an out-of-body experience.
"I was never believed in labour; I was never believed after labour. It was absolutely horrific for that to happen and we don't believe that's ever been acknowledged," Mrs Hawkins said. Ms Brydon, who has now retired, said her concerns focused on low staffing levels alongside increased demands on the labour suite, with the number of complex, high-risk births increasing.
"In Nottingham we always had a good number of people who wanted to train as a midwife and if you train midwives you can fill your posts.
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