A Health and Disability Commissioner has found that a midwife failed to properly monitor a baby during a postnatal procedure, leading to the baby's death from accidental asphyxiation, despite existing guidelines requiring active and ongoing assessment of both mother and baby in a
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baby died from accidental asphyxiation during skin-to-skin contact
Baby who died on mother's chest not regularly checked by midwifebaby left unobserved during medical procedure
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