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Compensation for Badly Repaired 4th Degree Tear

Compensation for Badly Repaired 4th Degree Tear

After a poorly managed labour, Branwen was told she had sustained a 4th degree tear. The injury was sutured, but she remained incontinent of faeces. Tests later revealed that the repair was of a poor standard, leaving her with permanent dysfunction.

When Branwen delivered her first child, the birth was badly managed, as she was left to labour for a long time. An instrumental delivery was eventually performed in the delivery suite, although it should have been conducted in theatre.

Thankfully a healthy baby boy was born. However, she was immediately told she had sustained a 4th degree tear and was taken to theatre for a repair.

Back on the maternity ward, Branwen noticed she was bleeding profusely. When she stood up blood would pour over the floor, leaving her largely bed-bound. Despite this, the midwives did not help her during the night when her baby needed changing or feeding.

Due to the lack of care, Branwen took the decision to discharge herself the following day. She had imagined bringing her baby home would be a joyful occasion, but instead she was just traumatised by her experience in hospital.

Over the next few weeks, Branwen found that she was also incontinent. She kept telling the Community Midwife and her GP about her symptoms, but each time was reassured. It was not until her six week check-up that an examination revealed weak anal sphincter muscles.

She was referred on to a specialist, but this appointment did not happen until five months after the birth. A scan performed later that year revealed a gap in the internal anal sphincter. Both her internal and external anal sphincter had not been fully repaired, leaving her with no control over her bowel movements.

Branwen was treated conservatively with medication. She may need surgery in the future, although there is only a 60% success rate for secondary repairs of the anal sphincter, and an operation could in fact make her symptoms worse.

Branwen must now ensure that she is close to a toilet at all times. She avoids social situations where she might have an accident or uncontrollable bout of wind. This made it impossible for her to return to work. This loss of income has been very difficult for her and her husband.

Understandably all this has affect Branwen psychologically. She is constantly anxious and suffers from panic attacks. She thought the birth of her first child would be a happy occasion, but it has been overshadowed by the substandard medical care she received in hospital.

We helped Branwen pursue a claim. She was awarded over £250,000 compensation.

(Details which might identify our client have been changed.)

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