Moylan’s condition worsened and she died there at 2 p.m.
A post-mortem examination determined the cause of her death to be intrapartum sepsis, secondary to group A streptococcal infection.
On Wednesday, Codd told the coroner she was working as the midwife in charge on Aug. 14, 2017, when she received a call from Nott that Moylan was going to the hospital by ambulance.
Codd said she chose room eight, away from the main ward, to give Moylan and her family some privacy, as they were told she might miscarry her baby.
Moylan arrived around 12:15 a.m. with a high temperature of 39 degrees and appeared very ill, Codd said.
The inquest was told that one of the paramedics who arrived with Moylan then asked the midwife “what is normal blood loss?” and said he noticed about 400 milliliters when loading the patient for transfer.
The paramedic told Codd that when he asked the Holmesglen staff, he was told everything was fine.
Codd said she called Moylan’s obstetrician – who was on her way to the hospital – shortly afterwards to update him on the patient’s condition.
Over the next few hours, according to the inquest, Moylan continued to lose blood and his temperature remained elevated.
Hospital records showed Moylan’s obstetrician arrived around 1:30 a.m. and at 2:10 a.m. requested that the antibiotics Ceftriaxone and Flagyl be administered.
But when Moylan delivered her stillborn baby at 2.12am, Codd said another midwife left those antibiotics on top of the patient’s locker while other medications took priority to treat the miscarriage .
The inquest heard at 3 a.m. Moylan had lost around 830 milliliters of blood and while changing his dress, Codd said he noticed the color of his chest changing.
Another member of staff then said that “her body was shutting down” before Moylan was taken to an operating room.
Codd said around 4:10 a.m. she learned that the unused Flagyl antibiotic had been found in room eight above a wardrobe after staff failed to administer it. At that time, Moylan was already in the theater.
She died at 2 p.m.
“Antoinette has never left my thoughts since I met her that evening. My thoughts and heartfelt condolences go out to all of her family. I believe the entire team have done their utmost and best that she could, given the circumstances,” Codd said.
The investigation is continuing.
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