A Medical Council inquiry has heard that the Health Service Executive has completed an external review into the care by Cavan consultant obstetrician Dr Salah Aziz of one of three women at the centre of the inquiry.

Dr Aziz is facing allegations of professional misconduct and poor professional performance relating to events between November 2012 and April 2014 at Cavan General Hospital.

Two of the three patients are not being named and are being referred to as Patient 1 and Patient 3.

The final report in the care by Dr Aziz of Patient 1 was submitted to him and relevant parties last week.

In the case of Patient 1, it is alleged that on 22 November 2012, Dr Aziz engaged in prolonged attempts at an operative vaginal delivery in inappropriate circumstances and that he failed to proceed to C-section with speed.

On day six of the inquiry, the Fitness to Practise Committee asked if it would be receiving the HSE report.

Eileen Barrington, senior counsel for Dr Aziz, said it would be inappropriate for it to be submitted to the inquiry.

She said the committee makes its decisions based on evidence at this inquiry and that the HSE report may be prejudicial to its deliberations.

The inquiry heard that it would technically be hearsay.

The inquiry has heard that the first HSE review was quashed for lack of fair procedures, after Dr Aziz successfully applied to the High Court.

The review circulated last week is a second review.

The council has withdrawn an allegation that Dr Aziz decided to perform an instrument delivery, in circumstances where two-fifths of the baby's head was palpable.

It also clarified that another allegation - that Dr Aziz failed to proceed to a Caesarean section with adequate expedition - now solely relates to the period of time where it is contended he should have abandoned the instrument delivery, after the first attempt at a forceps delivery.

Dr Aziz told the inquiry it was a very stressful situation dealing with Patient 1 in November 2012 but not a "panic situation".

He said there were two lives at stake and panic is not going to get a doctor anywhere. The doctor has to be in control, he said.

The inquiry heard that Dr Aziz first saw Patient 1 at 10am and the next time was 10.45pm that evening.

Dr Aziz said that at 10am she was deemed Category 2, a risk to mother and baby but not an immediate risk of death.

The next time he saw her was 10.45pm, after which she was deemed to be Category 1, at immediate risk.

The inquiry has now adjourned until Monday for final submissions and a verdict.

It will then move to deal with the case of Patient 2.