Offering her sympathy and condolences to SophieвЂ™s parents, Dr Cullinane noted they had good news with the birth of a daughter in 2019 but acknowledged they would still never come to terms with the loss of their firstborn through such a tragic death.Stroke is the second most common cause of mortality and third most common cause of disability worldwide. The consultant said she believed Sophie suffered a significant brain injury before her mother went into labour but admitted she had never encountered such a case in over 27 years as a doctor. Mr Murray said the вЂњconundrumвЂќ for SophieвЂ™s parents was how all the CTG readings which monitored the babyвЂ™s heart rate were reassuring during labour and showed no signs of the brain damage she had actually suffered.Дr Twomey admitted she would have expected to see something on the tracing which would have pointed at something being wrong. She said other medical staff were not waiting for her but were following a protocol by placing the initial focus on establishing airwaves for the baby.

She admitted the poor condition in which doctors found Sophie after her birth was вЂњvery unexpectedвЂќ.Дr Magandran said she would never forget the birth as SophieвЂ™s hair was вЂњhanging outвЂќ of her motherвЂ™s body she was that close to being delivered naturally.Д¬onsultant neonatologist, Anne Twomey, described how it had taken around 20 minutes to resuscitate Sophie after she was born with no detectable heartbeat.Дr Twomey said a failure to intubate the baby girl on the first attempt was not unusual and she did not believe it had any impact on the outcome.Д«ased on the post-mortem findings, the consultant said she believed what happened to Sophie was unrelated to any event in the two hours prior to her birth.Дr Twomey rejected the suggestion by solicitor for the Kennedy family, Roger Murray, that active interventions to resuscitate Sophie only happened after Dr TwomeyВ arrived in the hospital. вЂњIt is not an easy case to unravel,вЂќ he added.ДЄ consultant obstetrician and gynaecologist, Jennani Magandran, who helped deliver Sophie, said she had no concern about the babyвЂ™s well-being, although she acknowledged there had been poor quality recordings of the babyвЂ™s heartbeat in the hour before her delivery.Дr Magandran said her only concern was the lack of progress in delivery as the babyвЂ™s heartbeat was audible. The coroner, Dr Myra Cullinane, returned a narrative verdict outlining the circumstances of how baby Sophie was born and died 19 hours later in her motherвЂ™s arms on Maafter medical care was withdrawn.Дr Cullinane said the cause of death was acute brain damage superimposed on chronic brain damage whose origins could not be determined.ДЄ neuropathologist, Jane Cryan, said she had found abnormalities in SophieвЂ™s brain on multiple sites resulting from gliosis, calcification of the brain and a lack of blood and oxygen during an autopsy but it had not been possible to determine their cause.Дr Cryan said gliosis вЂ“ a condition causing scar tissue on the brain вЂ“ would have occurred at least five days before SophieвЂ™s birth.ДЄnother pathologist, Eoghan Mooney, said he had not seen such profound and chronic brain damage in over 20 years in a case he described as вЂњvery unusualвЂќ.Дr Mooney said he had been able to exclude a virus, congenital diseases or a disease of the placenta from what happened. The two-day inquest heard that SophieвЂ™s mother, Karen Kennedy, had enjoyed an uneventful pregnancy with her first child but needed an instrumental delivery following an episiotomy after there was no progress after one and three quarters hours of active labour. Several medical experts gave evidence at Dublin District CoronerвЂ™s Court that it was the most unusual case of an infantвЂ™s death they had ever come across in their long careers. The inquiry into the death of Sophie Kennedy, who was born following a вЂњtextbookвЂќ pregnancy at the National Maternity Hospital in Holles Street, Dublin on Maheard the cause of the brain damage suffered by the baby could not be determined. Tennis-Carreno Busta gives Spain winning start to ATP CupДЄn inquest has been unable to establish the exact cause of how a baby girl, who showed no warning signs of any life-threatening condition, acquired severe brain damage which resulted in her death within 19 hours of her birth.

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