Overview
- Lindsay Richardson delivered her stillborn son, Charlie, at just under 21 weeks at Princess Royal Maternity Hospital on December 6, 2019.
- While Richardson was in surgery, a midwife brought another infant to the father, who questioned whether it was Charlie before staff later confirmed it was not.
- The NHS Significant Clinical Incident review found no identification checks were carried out and concluded the mix-up was an avoidable event.
- Investigators said the other infant was awaiting transfer to the mortuary and had been placed in the same secure room as Charlie, where the error occurred.
- NHS Greater Glasgow and Clyde apologised to the family and says it has implemented strengthened procedures and new staff guidance across its maternity sites.