Coroner Maria Dougan said there was a "number of missed opportunities" in the care and treatment of baby Troy Brady in 2016. She has recommended that all hospitals should now develop a protocol regarding receiving informed consent from parents during high-risk births. Advertisement Advertisement Troy was born in the maternity unit at Craigavon Area Hospital, Co Armagh, on August 19, 2016.

Did you know with a Digital Subscription to Belfast News Letter, you can get unlimited access to the website including our premium content, as well as benefiting from fewer ads, loyalty rewards and much more. He died in the hospital's paediatric intensive care unit six days later. His inquest heard that he had been born with with severe head injuries, with a lack of blood and oxygen to the brain.

The infant's mother, Jane Brady, from Coalisland went into labour at 33 weeks while Troy was lying breech. Advertisement Advertisement Despite the breech position, Mrs Brady and her husband John said doctors in the maternity unit recommended a natural birth. The inquest heard that consultant Dr Rohit Sharma had begun the delivery with Mrs Troy in the all-fours position, but later moved her onto her back.

Delivering her findings, Ms Dougan said: "I find on the balance of probabilities, had appropriate documented counselling been given to, and informed consent obtained from, Mrs Brady and the deceased delivered by Caesarean section, had the vaginal breech delivery been conducted in the delivery team's.