"We don't want anyone else to have to experience what we have done”"
"Despite the fact that the heavily pregnant Sara Wikström was bleeding heavily from the vaginal area didn't the nursing staff."
"One of her twin girls died shortly after giving birth – now says Ivo that care has been lacking on several points."
"– With so simple things they had been able to make it undone. We will never get back our child, but we don't want anyone else to have to go through what we experienced, "says the girls' father Micael Carlberg. "
"Sara Wikström and Micael Carlberg usually say they have three children. Filip five years, Ellen a year and a half and Signe, that is no longer available. "
"Tvillingflickorna was estimated to be born in July 2017. Everything had looked normal during pregnancy, the children developed as they would, and at home in the house in just outside Västerås was preparing the family to receive two new family members. They bought tvillingvagn and fixed in the order of the children's room. "
"Already at 26 weeks, started the contractions come. Sara was admitted to the hospital, got värkstillande drip and was ordained to be in stillness. "
"– It is a riskgraviditet in to wait for the twins. I'm over 40 years and had done a caesarean section in the past. The idea was that I would give birth to twins vaginally, " says Sara Wikström. "
"the Twins remained in the stomach to week 34. On the morning of Saturday, June 3 went water. They went to the Västmanland's hospital in Västerås ten minutes away, and Sara were placed on a title when the contractions have not started. Micael went home to take care of the dogs and the horse. "
"At one in the night woke up Sara. Then was the whole diaper full of blood. "
"– I still had no pain but said to the nurse that it was very much blood in the diaper. "
"half An hour later, it had been as much blood again and lumps as big as golf balls came out of Sarah's lower abdomen. She called the nurse again and CTG (kardiotokografi) : to measure children's heart rate. All were judged to be normal, and Sara fell asleep again. "
"– To trust in those who work there. I had not given birth vaginally previously and did not know how much was normal to bleed. But it felt not normal, that there was so much. "
"At half past seven in the morning, Sara."
"– It was a disaster. When I took my diaper said it just a splash and everything went down on the floor. The toilet bowl was filled with blood and it plopped so that I almost thought it was the babies that came out. I was shocked. "
"She was driven post haste to the maternity ward where it was taken CTG again. Heart rhythm of one of the children had gone down. Later it turned out that the one girl, Signe, has received a score on the umbilical cord – it was her blood that Sara lost during the night. Micael rushed to the hospital and Sara was anesthetized in order to cut acute. "
"Ellen was judged to be in the worst condition of the twins, and was placed on the barnbord who had ECG device and the device that measures the syrgasmättnaden in the blood, a pediatrician and an anesthesiologist. Signe was taken care of by a midwife at his table. In the Inspection of the care and services of care, Ivos, investigation shows that those who cared for Signe tried to signal to the other table that she needed emergency medical attention, without results. They began to give the girl hjärtkompressioner."
"– You just assumed that She was feeling better than Ellen, then, no doctor examined the Signe initially. She was a midwife and a nurse. There was only one ECG device and it had Ellen. Signe would have had the same care that Ellen was, now was neither the apparatus or doctor available, " says Sara. "
"She was still under general anesthesia, while Micael was sitting in the hallway and looked into the kid's room where the nursing staff tried to save his two girls. It is pouring in more and more people."
"– I find it hard to comprehend that if you are a family member, father or patient – that you get to see it here. The vision I'll carry with me all my life, I would not wish my worst enemy there, " says Micael."
"the Information came that it looked good. When Sara woke up from the anaesthetic and taken to the department, she saw only a girl in the room. "
"– I understood that something was wrong but I dared not ask where the other child was – I didn't want to hear the answer. I was hoping still. "
"Signe died in their arms"
"Signe had not survived. Intubationen was disconnected and she took her last breath surrounded by his parents and his sister. "
"– She was already dead when we got her. I held both of the babies with me. She was with us for two days, day and night, so we could take a proper farewell of her, " says Sara. "
"ellen's bebistid has been rapid, there has been so much else to think about. During the summer low Sara inside in the hospital, they would arrange about the funeral, choosing the stone to what will become their family and take care of big brother Philip at home. "
"– You had a picture of how it would be to get the identical twins, how to cope with it? When you take in it, you think – so awesome. I had the image of how they run on the lawn together, then switched the image in total in the pieces, " says Micael."
"Outside ellen's room hangs a picture of Signe, an angel and a candle. It is often burned. After that She buried was Sara at the cemetery every day. Now is the family, where about once a week and when it is birthday or any other occasion for presents, they usually buy something also to Signe's tomb. "
"– It is Philip who tend to remind us if we forget to mention the Signe when we say goodnight. She is with us all the time, we have three children even if She is someone else, " says Sara."
"Last week, the decision came from Ivo who criticise the maternity ward at the hospital. And so, there was no discussion of it would be a so-called vasa-praevia test, to determine if there was fetal blood as Sara lost, despite the fact that the pregnancy was judged to be risky."
"Ivo is also critical of the fact that there was a lack of a ECG device that Signe had had to and that communication between the attendants and narkospersonal not been optimal. "
"After the incident, the hospital has established an action plan to reduce the risk of something similar happening again. Further, an ECG device have been obtained and the procedures relating to the on-call doctor has improved."
"When Sara and Micael thinking on the June morning when they lost their daughter, they are not angry. It does not help. They want to tell you about what happened to them so no one else should have to go through what they endured."
"– It is not on the individuals, it is about bad routines. With so simple things they had been able to make it undone. We will never get back our child, but we don't want anyone else to have to go through what we experienced, " says Micael."