Overview

• At Rochdale Coroner's Court, community midwife Caroline Nixon acknowledged she should have made an out of guidance referral to a senior midwife when Jennifer Cahill pursued a home birth against advice.
• Manchester University NHS Foundation Trust told the hearing the home birth was outside clinical guidelines and accepted that escalation to senior staff should have taken place.
• Rob Cahill testified that baby Agnes was born unresponsive around 6:45am, he called 999 and took her to hospital, and that his wife died the following day with their daughter dying days later.
• Medical records presented to the inquest detailed prior risks including a postpartum haemorrhage requiring transfusion, group B strep carriage and a first baby who developed sepsis, for which a consultant planned a hospital delivery with active management.
• Mr Cahill also described home labour problems, including pain relief running out and a gas-and-air equipment failure that prompted a midwife to leave to obtain replacements.