Overview
- Coroner Fiona Gingell delivered a narrative conclusion on November 12, finding George Dosanjh died from a rare but recognised complication of birth.
- Placental abruption was ruled the primary cause, with an impacted fetal head delaying delivery and prematurity identified as a secondary factor.
- Care at Royal Stoke was judged consistent with training and guidance, and classifying the caesarean as category two was deemed reasonable.
- The coroner found no evidence that clinicians caused the placenta to separate, and experts said additional sampling might have clarified timing without altering the outcome.
- The emergency caesarean required an extra incision and a reverse breech extraction with a 42‑minute decision‑to‑delivery interval, and post‑mortem fractures were noted but not considered fatal.