N Hospital NHS recognized the disadvantages after the death of a young mother suffering from sepsis, 48 hours after the birth of twins.
Sophie Burgess gave birth to her children Evie and Oliver, but she never saw them after they were forced to wait five hours to transfer to intensive care after the diagnosis was made.
The Royal Wolverhampton NHS Hospital Trust acknowledged the weaknesses in the care and treatment of a young woman who died in March 2015, and said that lessons had been learned "to identify and manage sepsis as early as possible."
Despite the fact that Miss Burgess was diagnosed with sepsis at 2150 hours, she was transferred to intensive care only at 2:30.
Although the children were eight weeks ahead of time, the delivery went smoothly.
Kay Kelly, a clinical negligence attorney at Lanyon Bowdler, said that the young woman desperately wanted to see the twins in neonatal care, but she had a fever.
She was given antibiotics, and midwives repeatedly tried to call on senior doctors to visit Miss Burgess, but “no one took important decisions and did not recognize how sick she was,” the lawyer said.