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19 January 2011
Last updated at 10:05 ET
The Ulster Hospital in Dundonald has been severely criticised after a young mother and her unborn baby died.
Carla McAdam, 28, from Bangor, died on 25 September 2008 after suffering an ectopic pregnancy which went undetected.
Her medical team at the Ulster Hospital failed to detect that the pregnancy was not developing normally.
The inquest heard there was an absence of dialogue between consultants and nurses at the hospital.
The inquest in Belfast on Wednesday heard that the mother and her unborn baby had been seen by a variety of consultants and midwives who failed to pass on critical notes about Ms McAdam to each other.
Chief coroner John Leckey said no-one seemed willing to take ownership of Ms McAdam's case.
He questioned whether it was good medical practice to treat mother and child separately.
Ms McAdam suffered massive internal bleeding due to the ruptured ectopic pregnancy.
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Carla McAdam, 28, from Bangor, died on 25 September 2008 after suffering an ectopic pregnancy which went undetected.
Her medical team at the Ulster Hospital failed to detect that the pregnancy was not developing normally.
The inquest heard there was an absence of dialogue between consultants and nurses at the hospital.
The inquest in Belfast on Wednesday heard that the mother and her unborn baby had been seen by a variety of consultants and midwives who failed to pass on critical notes about Ms McAdam to each other.
Chief coroner John Leckey said no-one seemed willing to take ownership of Ms McAdam's case.
He questioned whether it was good medical practice to treat mother and child separately.
Ms McAdam suffered massive internal bleeding due to the ruptured ectopic pregnancy.
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