Inadequate fitting of Mirena Coil leading to perforation of the uterus – £30,000

Four weeks after Ms Green gave birth to her third child, her GP fitted a Mirena coil for contraceptive purposes. For the first day after fitting, she was able to locate the strings, but then developed an electric shock type pain in her lower abdomen. After her post natal check, the nurse referred her for an ultrasound scan for the lost IUD and it was subsequently removed.  A second Mirena coil was fitted under local anaesthetic and ultrasound guidance but the pain did not subside and, shortly after fitting, the IUD was removed by her GP. She was referred again for gynaecological assessment because of continuing complaints of pain. and underwent a diagnostic laparoscopy where threads from the IUD were found to be adherent to the bowel.

To find out more about this case please see below –

 

The Claim: Fran Pollard, specialist medical negligence solicitor, pursued a claim for Ms Green on the basis that, because her coil was fitted at four weeks post partum instead of at six weeks as recommended by the manufacturer, this had substantially increased the risk of perforation of the uterus.

Result: Proceedings were issued. Initially the Defendants denied both breach of duty and causation but eventually the claim was settled. June 2013.

Compensation awarded: £30,000 (General Damages £10,000 + Special Damages £20,000)

 

Case Summary: Ms Green gave birth to her third child on 2nd January at Hospital J. Four weeks later, on 2nd February, her GP fitted a Mirena coil for contraceptive purposes. For the first day after fitting, she was able to locate the strings, but then developed an electric shock type pain in her lower abdomen.

 

At the post natal check on 19th March the nurse referred her for an ultrasound scan for the lost IUD. The abdominal scan report of 27th March 2009 reveals the IUD in situ projected over the sacrum. There was no evidence of obstruction or perforation. She was assessed by a gynaecologist on 6th April and following a further scan on 7th April, arrangements were made to remove the IUD. The procedure was carried out 2 days later.

 

On 16th June 2009 a second Mirena coil was fitted under local anaesthetic and ultrasound guidance. Ms Green’s pain did not subside and, shortly after fitting, the IUD was removed by her GP. She was referred again for gynaecological assessment because of continuing complaints of pain and underwent a diagnostic laparoscopy on 30th June 2010.Threads from the IUD were found to be adherent to the bowel. These were cut and removed via supra pubic port.

 

Posted in Gynaecological surgery