British Maternal And Fetal Medicine SocietyIncludes reports addressed to a minister or senior office-holder acting for this organisation.

Private and voluntary organisations · Registered charity

Pin Request correction

First report 1 Sep 2016•Latest report 1 Sep 2016

Reports, concerns and published responses

Reports over time

Reports naming this recipient by issue year.

* 2026 is projected from reports observed to 7 Sep 2026.

Reports
1

Naming this recipient

Published responses
100%

Found for named reports

Concerns addressed
1

Across all linked responses

Stated actions
0

Described in responses

Concerns and recipient responses

Statements from British Maternal And Fetal Medicine Society linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Addressed to: ████████ President British Maternal and Fetal Medicine Society.

    Inner North London

    AI-generated summary

    Ana Geanina SIRGHI-MARIN · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Ana Geanina Sirghi-Marin died on 29 July 2016 from Escherichia coli sepsis associated with a naturally occurring uterine infection while sixteen weeks pregnant, after undergoing amniocentesis. The principal concern was that unusually dark yellow, non-blood-stained amniotic fluid was not sent for immediate microbiological analysis and promptly followed up, despite the absence of fever or another infection indicator at the time.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to British Maternal And Fetal Medicine Society; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to promptly follow up microbiological results from unusually discoloured amniotic fluid

    Wider context from the report

    “The amniotic fluid drawn off at amniocentesis two days before death was neither purulent nor blood stained, but was discoloured dark yellow. Given the rarity of such non blood stained discolouration, I heard evidence that it would be a wise precaution in this situation always to send a sample for immediate microbiological analysis, and quickly to follow up the result. I say always because, at the time of the amniocentesis, there was no fever or other indicator of infection, yet when Ms Sirghi-Marin presented at the emergency unit the following afternoon she was very unwell, and she died the next morning. Such action would not have changed the outcome in this instance, because presentation to the emergency unit took place approximately 26 hours after the amniocentesis. However, it might in another case. And given the rarity of such non blood stained discoloured amniotic fluid, a guideline that this action is necessary does not seem onerous. ”
    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to British Maternal And Fetal Medicine Society; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to obtain immediate microbiological analysis of unusually discoloured amniotic fluid

    Wider context from the report

    “The amniotic fluid drawn off at amniocentesis two days before death was neither purulent nor blood stained, but was discoloured dark yellow. Given the rarity of such non blood stained discolouration, I heard evidence that it would be a wise precaution in this situation always to send a sample for immediate microbiological analysis, and quickly to follow up the result. I say always because, at the time of the amniocentesis, there was no fever or other indicator of infection, yet when Ms Sirghi-Marin presented at the emergency unit the following afternoon she was very unwell, and she died the next morning. Such action would not have changed the outcome in this instance, because presentation to the emergency unit took place approximately 26 hours after the amniocentesis. However, it might in another case. And given the rarity of such non blood stained discoloured amniotic fluid, a guideline that this action is necessary does not seem onerous. ”
    Open source report

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    The Royal College of Obstetricians and Gynaecologists is responsible for considering the recommendations in guideline revision and website guidance.

    Verbatim wording from the response

    “We have discussed your recommendations with the joint chair of the Royal College of Obstetricians & Gynaecologists’ Guidelines Committee.”

    Source location

    2017-0005-Response-by-Royal-College-of-Obstetricians-Gynaecologists
    Page 1 · response
    Published 19 February 2017

    Open published response
Back to top

Information checked against published PFD reports and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Data last updated 7 September 2026