Jessica Bond

PFD Report Historic (No Identified Response) Ref: 2014-0297
Date of Report 30 June 2014
Coroner Caroline Beasley-Murray
Coroner Area Essex
Response Deadline ✓ from report 25 August 2014
Coroner's Concerns (AI summary)
Propess was inappropriately administered to a patient with a prior caesarean section, despite the known risk of uterine rupture and associated complications.
View full coroner's concerns
[BRIEF SUMMARY OF MATTERS OF CONCERN] (1) Independent expert opinion has drawn attention to the fact that Propess should not be administered to patients with a history of previous caesarean section or uterine surgery given the potential risk for uterine rupture and associated obstetrical complications. Uterine rupture has been reported in association with the use of Propess
Sent To
  • Southend University Hospital
Response Status
Linked responses 0 of 1
56-Day Deadline 25 Aug 2014
About PFD responses

Organisations named in PFD reports must respond within 56 days explaining what actions they are taking.

Source: Courts and Tribunals Judiciary

Report Sections
Investigation and Inquest
On 12 April 2014 I commenced an investigation into the death of Jessica Hope Bond. The investigation has not yet concluded and the inquest has not yet been heard.
Circumstances of the Death
Jessica Hope Bond was born on 21 May 2013 and she died on 10 December 2013. Jessica’s mother had previously given birth by caesarean section and, during the course of her labour with Jessica, she suffered a uterine rupture which necessitated an emergency caesarean section delivery. Jessica’s mother had been administered Propess in the course of an induction of labour. Jessica suffered significant brain injury and she died seven months later.
Related Inquiry Recommendations

Public inquiry recommendations addressing similar themes

Drug Prescription Documentation
Hyponatraemia Inquiry
Medication Contamination/Misadministration Pharmacist missed drug contraindications

Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.