Amelia Amber Sweetpea Clyde-Smith died in September 2018.
Her death led to an investigation by the Royal College of Obstetricians and Gynaecologists, who found that there were “missed opportunities with management of maternal observations” after complications with the birth were recognised and that there was “an absence of a proper escalation policy” once things started to go wrong.
The then-Chief Nurse and Medical Director wrote to Amelia’s parents in 2019 to offer an apology in the wake of the review.
They said that they could not say whether her death was “inevitable”, but added that, “we probably could have avoided it, and for that we are deeply sorry”.
The inquest, which opened this morning at International House, will aim to establish exactly how Amelia came by her death.
It is expected to run until Friday.
Pictured top: The inquest opened this morning at International House.