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Seanad
‹ Order of Business

Maternity services review

Summary

Senator MacSharry seeks a debate with the Health Minister on maternity services following the death of Dhara Kivlehan and an inquest finding of systemic and clinical failure.

I ask the Leader to arrange for the Minister for Health, Deputy Leo Varadkar, to come to the House to debate the future of maternity services. Members will be aware of the sad case of Ms Dhara Kivlehan who, after giving birth at Sligo Regional Hospital, died in a Belfast hospital. At the inquest last evening an independent expert obstetrician and former master of the Rotunda stated it had effectively been a systemic and clinical failure that had led, in a complex case, to her death.

This is a case that requires a serious review by the State in how it approaches maternity services in the future. It is worth reminding Members of the report we exposed on this side of the House which planned to downgrade maternity services in the north west to the extent that an obstetrician would not be available but that it would be a midwife-led service. What happened last night underpinned the need for expert obstetrician services to be available to all the women of Ireland, regardless of where they live.

At this point, the Minister must make clear his intentions. Clearly, significant investment and additional resources are required to be put into maternity services as Ireland has the lowest number of obstetricians per patient in the OECD. With commitments under the working time directive and the temptation of higher remuneration abroad, it seems fewer obstetrician hours will be made available in Ireland. We are facing a crisis in ensuring further cases such as that of Dhara Kivlehan can be averted. I hope this debate will be held soon as it is merely a matter of time, sadly, that this will happen again. Unless the appropriate resources and strategic plan are put in place, we cannot ensure this will not happen again.

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