In Tuen Mun Hospital, the baby died after 25 weeks. The family agreed to an autopsy, but the hospital sent the body directly to the Food and Environmental Hygiene Department for disposal.
A director of the obstetrics and gynecology department of a public hospital said that omission of anatomy in the hospital is rare. The purpose of the anatomy is to understand the cause of death and to know the structural changes of the body. The hospital will also take the body and the mother's blood, placenta and other tests. "If the dissection finds clues It can be cited as a genetic problem...Anatomy can confirm each other and complement each other." However, he said: "There is no problem with the appearance of itself, and there is no problem with ultrasound. It is very rare to find the (cause of death) through anatomy." The patient organization criticized that the hospital handled the baby's corpse recklessly and did not respect the body and family members.
Tuen Mun Hospital has interviewed the mother and her family to explain the incident and apologize. The medical team will continue to closely follow up the mother's situation and provide appropriate treatment and assistance.
It is rare for the doctor to discover the loss without an autopsy report
The baby died at 25 weeks. Tuen Mun Hospital induced labor for the pregnant woman earlier this month. The doctor took blood, X-rays, placenta and chromosome examinations for the mother and the baby's corpse to understand the cause of death. The family also agreed to perform an autopsy for the baby.
However, during the postpartum checkup in the middle of this month, the doctor failed to find the baby's autopsy report in the clinical medical management system, and the investigation found that the baby's autopsy had not been sent for autopsy after the induction of labor on the same day.
It is understood that the body was sent directly to the FEHD for disposal.
The head of the Department of Obstetrics and Gynecology of Guanghua Hospital, Liu Weilin, said that omission of autopsy in the hospital is rare. The autopsy can help understand the structural changes of the corpse and provide more evidence of the cause of death. The test can be used to find out the baby’s bone problems, and the placenta test can find out whether there is any abnormality in the chromosomes. "If anatomy finds clues, it can cite genetic problems...Anatomy can confirm each other and complement each other."
Regarding the baby’s corpse that had not been dissected, and whether there was any problem with the couple’s preparation for the next birth, Liu Weilin said that although the hospital did not have an autopsy, it also collected data on the placenta and blood. Prenatal ultrasound has found abnormalities in the fetus, so anatomy is more important. However, "there is no problem with the appearance of the fetus, and the ultrasound is no problem. It is very rare to find (the cause of death) by anatomy." If there is a congenital recessive genetic disease, both parents For hidden persons, the rate of stillbirths in second births is only one quarter, and early diagnosis can be done by fetal fluid when they are pregnant again. If necessary, it is necessary to consider terminating the pregnancy.
Patient organization criticizes hospital for rash handling of infants and corpses
For every 1,000 pregnant women in Hong Kong, there are two to three stillbirth cases. Liu Weilin pointed out that more than 90% of the deaths are unknown, and some of the deaths are clear, including placental spalling, thalassemia major or Edward’s syndrome, etc. , "Unless you find a special genetic disease, or find a special cause...Clinically found that the second child will have a misfortune, the chance of an accident is so low, and the chances are pretty good."
Liu Weilin explained that when the family members agreed to perform the autopsy, the doctor would contact the pathology department and mortuary of the hospital. He did not comment on the case, and said that the relevant mechanism should be reviewed by the hospital.
Peng Hongchang, director of the Association of Community Organizations, which is concerned about the rights of patients, said that the hospital handled infants and corpses recklessly and did not respect the wishes of the remains and family members. It might also affect the judgment of the cause of death, questioned the communication problems in the hospital, and urged the hospital to conduct serious investigations and strengthen training.
Medical malpractice | Tuen Mun Hospital loses baby corpse after induced labor for a month and a half