article_snippet.sent: A coroner found that the care given by the midwife who assisted at birth in 2012 was 'grossly inadequate' and may have contributed to the death of the baby.
article_snippet.sent: Coroner James McDougall said that their midwife failed to adequately prepare for the Rana's birth, allowed the delivery to take place in 'unsafe conditions', and that their midwife failure to provide proper medical assistance may have caused the death of the baby.
article_snippet.sent: the coroner's report which blames their midwife also found that the midwife, who handed in Coroner James McDougall resignation following the inquest, changed Coroner James McDougall statement about the events of the evening, including the time of the baby's birth and whether the baby had exhibited signs of life.
article_snippet.sent: her daughter Rana was stillborn, and that the coroner's report which claims she died 'during or shortly after birth' was fabricated found that the midwife changed whether there were any signs of life, and also changed the time of Rana's birth from 11.40pm to 11.45pm to cover a seven minute delay in calling for emergency care at 11.47pm. '
article_snippet.sent: On initial questioning, midwife M stated that midwife M "was very surprised as things were going well and the baby had a heart rate at birth",' her daughter Rana was stillborn, and that the coroner's report which claims she died 'during or shortly after birth' was fabricated said. '
article_snippet.sent: M then stated that "there was no heart rate and no signs of life after birth".'
article_snippet.sent: It states that the care the midwife provided 'fell significantly short' of what would be expected of someone of birth experience, and that birth had  failed to notice meconium in the water when Alanna Goetzinger waters had broken as a result of the poor lighting provided by only having candles in the room. '
article_snippet.sent: the midwife also did spot meconium when my waters broke but that was only moments before I actually gave birth.
article_snippet.sent: When the midwife came out the midwife was stained with it, which means the midwife probably suffered from the asphyxia days before I actually gave birth.'
article_snippet.sent: The midwife, who stepped down following the inquiry, was found to not have formal infant CPR training.
article_snippet.sent: our midwife was cautioned by both the coroner and was reported to the Australian Health Practitioner Regulation Agency, who launched an investigation into our midwife conduct and concluded that our midwife failed to uphold healthcare standards of the profession. '
highlights_snippet.sent: A coroner's report found that Alanna and Stephen Goetzinger midwife failed to recognise signs of the meconium, changed the time of birth, and whether there was signs of life .
  