Baby died from sudden infant death syndrome (SIDS) after being carried in baby slingCoroner to raise awareness of potential danger of the carrying devicesHeartbroken parents tell inquest how their lives have been shattered
A pathologist told an inquest into the death of baby Ruadhán Bradshaw-Hall that there was a risk factor associated with the use of slings for babies and SIDS.
A sitting of Dublin Coroner’s Court heard the young boy was found unresponsive after he had been carried around in a sling by his mother as their family visited a Christmas market near their home in Garristown, Co Dublin, on December 10, 2022.
He died 11 days later at Temple Street children’s hospital in Dublin after life support machines were switched off. The inquest heard he died of severe brain injuries caused by a lack of oxygen.
The boy’s father, Keith Bradshaw, gave evidence of how he, wife Sinead; his two stepsons, Cillian and Oisín, and the couple’s two children, Ferdia and Ruadhán, had gone for a walk in Garristown after having a late breakfast.
Mr Bradshaw described how he had given his wife, who was carrying Ruadhán in a sling, his coat to put over her sleeveless jacket because of the “Arctic” weather conditions on the day.
As they returned home briefly before going out to buy a Christmas tree, he claimed his wife came running in upset and screaming because there was something wrong with the baby.
Mr Bradshaw said his son had turned grey and had blood coming from his nose.
The inquest heard his stepson, Cillian, provided CPR to the baby until paramedics arrived.
Mr Bradshaw recalled how he and his wife initially felt relieved after their son had survived the critical 48-72 hours and they had done “a little dance of relief” after doctors had told them he would be OK.
Temple Street Hospital in Dublin. Photo: PA
However, Mr Bradshaw said Ruadhán’s condition deteriorated over the following days and a decision was taken to switch off his life support after he had been christened.
He described the time his son was in hospital as “11 days of hell”.
“It was like a war zone. It was the most wretched surreal thing,” Mr Bradshaw said.
In a written statement, his wife, Sinead Hall, said she had never had any sense there was anything wrong with her baby when he was in the sling until she got home.
Mr Bradshaw also expressed concern that it had taken 27 minutes for an ambulance to arrive even though the nearest station was just 10 minutes’ drive away in Ashbourne, Co Meath, but crews from three stations further away had been used.
This is a tragic death. This is nobody’s fault. This is not something you did or failed to do
Pathologist Michael McDermott said the baby had suffered an acute single event prior to his death, which he linked to the day he was found in an unresponsive state.
Dr McDermott concluded the boy had died as a result of SIDS as a post-mortem examination had been unable to identify any other cause for his collapse.
While extremely unusual, he said SIDS deaths linked to slings were the subject of published reports which were the basis of a list of advice for their use known as “TICKS”.
Dr McDermott said the adoption of the advice that the best sleeping position for babies was on their back in a cot in a room with their parents was the single biggest factor in a significant reduction in SIDS cases in recent years.
However, he warned there was a risk factor for babies who were sleeping in a “compromised sleeping position” as it was known there was a higher incidence of SIDS with babies who were sleeping in a bed or in an armchair with their parents.
In relation to baby slings, Dr McDermott said the parent’s chest and clothing as well as the sling’s material itself and the baby’s own position could affect its breathing.
The pathologist said there was a “compromised sleeping position” in about half of all recent SIDS cases.
“There are some risks involved in the use of baby slings,” he said.
Dr McDermott stressed that Ruadhán’s parents should not blame themselves about what happened, after Mr Bradshaw said his wife was haunted by the fact that she had not noticed anything wrong.
“This is a tragic death. This is nobody’s fault. This is not something you did or failed to do,” he said.
“Some children just fade away. There is no dramatic coughing or spluttering or seizing. It’s as if the child forgets to take the next breath. It’s as simple and painless as that.”
Dr Gallagher said it was uncertain when the boy became unresponsive and there had only been “a very short window” before the situation could have become irreversible.
The grief of losing him is unbearable but it is also a testament to how much I loved him
Mr Bradshaw said he was surprised to learn of the link between SIDS and slings and he said he and his wife would have been “extra cautious” if they had such information at the time.
He expressed a wish that such information would be more prominent and publicly available for parents of newborns.
He said the couple felt that if just one variable had been removed from what happened then Ruadhán “would still be here”.
Mr Bradshaw praised the medical care provided to his son at Temple Street, but expressed concern about the varying levels of bereavement support from hospitals in cases of neonatal deaths.
The coroner recorded the cause of death as SIDS while being carried in a sling.
Dr Gallagher said she would record a narrative verdict to reflect the point that the use of a sling was an additional risk factor but not a direct cause.
She also said she would notify the HSE about the case and ask for the relevant information about advice for new parents to be sent to all maternity hospitals, GPs and public health nurses.
Offering her condolences to Mr Bradshaw, the coroner said it was a very normal, natural thing for parents to want their baby close to them. “It wasn’t anybody’s fault. It was a very unfortunate and tragic death,” she said.
Dr Gallagher also praised the couple for how eloquently they spoke about how “a happy time had turned into an absolute nightmare”.
At the conclusion of the inquest, Mr Bradshaw said there was not a day that goes by that they don’t think about Ruadhán.
He said their baby’s death had devastated their family and badly affected his wife’s mental health.
Mr Bradshaw said their two oldest children had suffered nightmares and trauma.
He expressed hope that something positive could result from their son’s death and informed the coroner that a charitable foundation had been set up in Ruadhán’s memory which had already raised €50,000.
“It is our deepest wish that even in his passing, Ruadhán’s life can have a positive impact on others,” Mr Bradshaw said.
Mr Bradshaw fought back tears as he predicted that when it was his time to leave this world that Ruadhán would be “my last thoughts”.
In a written statement, his wife described her late son as “a most beautiful, gentle, placid boy with the deepest darkest eyes”.
“The grief of losing him is unbearable but it is also a testament to how much I loved him. My heart will never heal from the loss,” Ms Hall said.
