A hospital's guidelines for referring mums-to-be for specialist maternity help have been changed after the death of a baby at a midwife-run NHS centre.
Margot Frances Bowtell was born 14 May 2020 at a unit in Cheltenham but died of a brain injury at three days old.
A report by the Healthcare Safety Investigation Branch (HSIB) found there was a failure to update mother Laura Harvey's risk assessment after a bleed.
Solicitor Sarah Stocker of Tees Law said: "The midwives failed to follow national, and the hospital's own, guidelines on multiple occasions during Laura's labour."
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