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Row over maternal death inquiry at Holles Street

Malak Kuzbary Thawley was seven weeks pregnant when she died during emergency surgery at Holles Street
Malak Kuzbary Thawley was seven weeks pregnant when she died during emergency surgery at Holles Street

A row has broken out over an investigation into the death of a pregnant woman at the National Maternity Hospital in Holles Street last month.

Malak Kuzbary Thawley, 34, was seven weeks pregnant when she died on 8 May while undergoing emergency surgery.

The National Maternity Hospital has set up an internal investigation but lawyers for the family say they are unhappy with the composition of the review team.

In correspondence with the hospital, they say that every single member other than one is employed by Holles Street.

They also say that the team does not include a specialist clinician with an interest in vascular surgery.

While making no criticism of the ability or integrity of the members of the internal investigation, lawyers for the family say it must be seen to be independent and impartial.

As a result, they have asked that the internal investigation process be halted immediately and that the hospital agree to appoint extra specialists, who have no-known connection with Holles Street.

Caoimhe Haughey, solicitor for the family, said it was "incomprehensible" that the investigation has already "progressed substantially" without any input or participation from Ms Thawley's husband, Alan.

In response, Holles Street has expressed complete confidence in the composition of the investigation team and its report is expected to be ready for circulation by 12 July.

It says that a copy of the report will also be provided to the Health Service Executive, the Health Information and Quality Authority and the Ireland East Hospital Group.

Holles Street says it is the existing, long-standing policy of the hospital, in accordance with HSE guidelines, that all safety incidents are identified, reported and investigated.

It says that all serious incidents are investigated in the first instance by an internal investigation team.

The hospital says that such an internal investigation is in addition to any external investigations that may be required, such as an inquest.

It does not intend to change the composition of the team.

The hospital has also said it is anxious that Mr Thawley participates in the investigation process.

The hospital says that the investigation team will have the assistance of the vascular team from St Vincent's University Hospital, which was called to assist with the surgery.

Ms Thawley was from Syria and it was her first pregnancy.

She and her husband, who is American, had been living and working in Ireland for three years.

The hospital reported the death to the Coroner.

Mr Thawley is seeking answers as to what happened to his wife and why it occurred.

He also wants to know why using Methotrexate, a drug to speed up the miscarriage process, was ruled out in favour of emergency surgery.

The Dublin District Coroner's Court has confirmed that there will be an inquest into Ms Thawley's death.