Both criticized the team for not diagnosing the sepsis soon enough and for not using already-standard screening tools for detecting and managing maternal sepsis, and for poor keeping of medical records, poor communication at shift changes, and failure to notify staff with needed expertise, and criticized the administration of the hospital for the poor system in which the team failed. The Health Service Executive (HSE) and Health Information and Quality Authority (HIQA) conducted an investigation. : 53 : 44–46 Aftermath Īfter her death, a coroner's inquest was held, finding that she died of medical misadventure. : 33 Afterwards, Halappanavar developed sepsis and, despite doctors' efforts to treat her, had a cardiac arrest at 1:09 AM on 28 October, at the age of 31, and died. : 22–26 : 29 The following day, on 23 October, Halappanavar discussed abortion with her consulting physician but her request was promptly refused, as Irish law at that time forbade abortion if a fetal heartbeat was still present. She was admitted to hospital, as it was determined that miscarriage was unavoidable, and several hours later, just after midnight on 22 October, her water broke but did not expel the fetus. She returned to the hospital later that day, this time complaining of lower pressure, a sensation she described as feeling "something coming down", and a subsequent examination found that the gestational sac was protruding from her body. On 21 October 2012, Halappanavar, then 17 weeks pregnant, was examined at University Hospital Galway after complaining of back pain, but was soon discharged without a diagnosis.
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