Failure to perform an episiotomy during childbirth

The client suffered a fourth-degree tear during the birth of her first baby.

The doctor delivering the baby should have performed an episiotomy (surgical cut) given that he was using forceps and it was likely to be a difficult delivery because the baby was coming down the birth canal facing up rather than down. There was also a failure to control the baby’s head, which came out suddenly. It was argued the fourth-degree tear could have been avoided had an episiotomy been performed and the head been properly controlled.

The baby was fine but the client suffered unpleasant and embarrassing symptoms as a result of the tear, which are likely to be permanent. Her case was settled as a result of mediation.

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