A newborn twin died from a massive brain injury just 24 hours after a doctor pulled him around ‘like a ragdoll’ during a bungled delivery, a medical tribunal heard.
Harry Page, who was upside down in his mother’s womb in a breech position, was pulled by his feet with such force by Dr Anupama Ram Mohan his father feared his neck would snap, it was claimed at a medical tribunal in Manchester.
Harry was eventually delivered by Mohan – who was said to be ‘gritting her teeth – but the infant had already suffered injuries to the base of his skull causing traumatic hemorrhaging, and he died the following day.
Harry Page, who was upside down in his mother Vicki’s womb in a breech position, was pulled by his feet with such force by Dr Anupama Ram Mohan his father Owen (pictured with Mrs Page) feared his neck would snap
Dr Mohan, pictured, is accused of inappropriately delivering Harry, who died less than one day later
Dr Mohan, who trained in India before working in Oman, had only been at the John Radcliffe for four months and was working as a specialist trainee registrar in obstetrics and gynaecology. She was later accused of lying at an inquest into the tragedy.
The Medical Practitioners Tribunal Service was told the incident occurred in 2012 after Harry’s mother Vicki was taken to the Oxford hospital to have Harry and twin brother Ollie induced.
Ollie was born safely at 1am on December 15, with Harry following shortly afterwards. His legs and body were delivered easily but Mohan encountered difficulties when trying to release his head.
Harry’s father Owen, 51, a warehouse manager, told the tribunal he became concerned when midwife Jane Bruce asked Dr Mohan, ‘why are you rushing this?’.
Mr Page, of Aylesbury, Buckinghamshire, said: ‘Harry was being pulled round like a ragdoll. It appeared she was pulling him side-to-side and up and down.
‘His legs were almost touching my wife’s stomach…. It appeared to me at the time that Dr Mohan was gritting her teeth to do this procedure, she had a really tight face.
‘Watching the movement and the force and the look on her face worried me. I thought it was an uncontrolled procedure. She then let him hang there with no support for a period of time before she did the same procedure again.. She was standing there with her hands down by her waist. On the second manoeuvre he literally popped out.
‘Initially I thought Harry’s neck was going to stretch, break or give in. I was horrified by it. It looked like it was so stretched it was going to snap.’
HR director Mrs Page, 35, added: ‘I felt it was aggressive when I was there and I was looking at others for reassurance and didn’t get that when I looked at people’s faces so I was concerned.’
At 4am Harry was rushed to the resuscitation unit when his condition quickly deteriorated. By 2am on December 16 he was dead, with later examinations revealing he had suffered a massive brain injury while being born.
Mrs Page said: ‘I believe the manoeuvre she carried out caused his death and it was irreversible as the consultant told us on the day we turned his life support machine off.’
The hearing was told Mohan had tried two different procedures to deliver Harry – the Burns Marshall and the Mauriceau Smellie Veit. She initially tried the Burns Marshall method then the MSV before returning to the original procedure.
General Medical Council lawyer Paul Raudnitz said: ‘Dr Mohan performed the Burns Marshall but did so in such a way she brought the legs of Harry greater than the vertical and near to Mrs Page’s abdomen.
‘She has accepted she attempted a Burns Marshall, but denied it was with any force and, in particular, she has consistently denied that she brought the legs greater than the vertical. She has said she went on to perform MSV and maintained that that was successful in delivery.
‘She has denied there was any attempted, successful or otherwise, second Burns Marshall. Whether she brought the legs greater than the vertical in one or more of the Burns Marshall manoeuvres the GMC say the way she performed is part of the issue.
‘Should it be found she brought the legs greater than the vertical then we would say that the standard of care was seriously below that expected of a reasonably competent registrar in obstetrics.’
Mr Raudnitz added that Dr Mohan, 51, of Milton Keynes, then gave ‘false evidence’ to the coroner in 2013 to ‘minimise her culpability for what happened’.
Mohan denies misconduct and denies causing Harry’s death. She is also accused of failing to record issues she encountered during Harry’s birth but admits failing to record using one or more Burns-Marshall manoeuvre. She denies advising for inappropriate medication to be administered during the delivery, making false records and giving false evidence to the inquest.