Lincoln County Hospital failings a factor in baby death
A newborn baby died after doctors and midwives failed to spot his mother had developed diabetes during her pregnancy.
Robert Goddard died at Lincoln County Hospital when he was two days old.
An inquest at Lincoln Cathedral centre into his death heard how he was born six days late and in a "very poorly condition", last April.
A series of failings meant his mother Catherine Byrnes, from Waddington, was not identified as being at "high risk".
The inquest heard it was likely she had developed the condition gestational diabetes, which can increase the risk of birth complications.
However, Miss Byrnes did not receive consultant-led care during her pregnancy.
Other mistakes included a failure by staff to calculate Miss Byrnes' raised body mass index and not acting on an increase in glucose levels in Miss Byrnes' urine.
The inquest also heard there was a delay in delivering her son.
Recording a narrative verdict, the coroner for Central Lincolnshire, Stuart Fisher, said: "Robert's death was contributed to by failings in midwifery and obstetrics care."
Mr Fisher accepted the trust had taken the failings seriously and come up with an action plan.
However, he added: "Without that I fear it is only a matter of time before we end up in this building again."
Giving evidence to the inquest, Frances Gregory, matron for the maternity unit at Lincoln County Hospital, admitted Robert's case had sent "shock waves" through the department.
The hospital has since carried out its own internal investigation and initiated an action plan to avoid similar errors but no disciplinary action has been taken.
United Lincolnshire Hospitals Trust, which runs Lincoln County Hospital, was placed in special measures after being identified as one of 14 hospital trusts with high death rates following the Keogh Review.