A SPECIALIST obstetrician who worked in Rockingham General Hospital (RGH) was found guilty of professional misconduct after the stillbirth of a child in 2014.
Andre Paul Hugo faced the State Administrative Tribunal (SAT) in June.
His patient was first-time mother Mickalia Joy Young (then 23) whose baby Chloe was due on November 2, 2014.
The tribunal heard Dr Hugo was on call when he received a call about 7pm that day to attend RGH.
She went into hospital earlier that day, at 40 weeks and three days gestation, following a cardiotocography (CTG) to monitor foetal health.
She had two previous CTGs.
The tribunal heard that following a handover from the hospital’s GP obstetrician, Dr Hugo reviewed the three CTGs, which highlighted abnormalities including no foetal movement in the last two CTGs.
Dr Hugo performed an unnecessary ultrasound on Ms Young, which led to a delay in delivery, and failed to maintain adequate clinical notes.
After Dr Hugo sought further advice, the baby was delivered stillborn by caesarean section after 10pm.
Dr Hugo admitted to behaving in a way that constitutes professional misconduct by failing to identify the need to arrange urgent delivery by caesarean after reviewing the three CTGs, in circumstances that included longstanding abnormality.
He agreed the ultrasound was not clinically required, leading to a delay in the caesarean section.
Dr Hugo also admitted to failing to maintain adequate clinical notes in relation to his care of the patient, including adequate documentation of his findings, level of concerns regarding the patient’s condition, and rationale for decision-making.
The tribunal ordered a finding of professional misconduct and unsatisfactory professional performance, a reprimand, a fine of $5000 and payment of full Board costs of $3500.
The decision of the tribunal follows the Medical Board of Australia’s referral of Dr Hugo in November 2015.
Dr Hugo surrendered his registration shortly after his suspension on December 8, 2015.
As he is not currently registered, the tribunal was not in a position to impose conditions on his registration.
Dr Hugo no longer resides in Australia.
Ross Douglas Jose faced the tribunal in 2015 in relation to Chloe’s death.
The tribunal found Dr Jose was guilty of unsatisfactory professional performance.
He was fined $2000 and ordered to pay $17,000 for the trial proceedings and application.
He is also working under strict practice guidelines until 2017.
Dr Jose is required to report to a supervisor and undergo a number of training programs.