AN immobile Kellie Hiscock sat solemnly and silently in the dock of Horsham Coroner's Court.
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A hushed courtroom hung on every word as a law clerk read quickly Ms Hiscock's heart-wrenching account of tragic events surrounding the short life of son Jaxson.
The baby's father Yanick Heller, leaning forward and with head in his hands, sobbed audibly as the statement unfolded Ms Hiscock's anguish, frustration, anger and pain of her son's birth, struggle for life, death and events in the next few weeks.
Family members, filling two rows near Mr Heller, also failed to hold back tears.
Coroner Phil Byrne called an adjournment in the inquest immediately after Ms Hiscock's statement to allow police to investigate new evidence surrounding Jaxson Heller's death which resulted after nurse Thelma Natt of Jeparit administered an incorrect drug during the baby's birth in August, 2002.
West Wimmera Health Service chief executive John Smith, committee chairman John Magrath, director of nursing Pauline Scottow, Kaye Borgelt and Diane Hobday were among Nhill Hospital representatives.
Ms Hiscock's first reference to Mrs Natt in the report was during labor when she had become `very frustrated' and had sworn after discovering Mrs Natt was to replace the midwife on duty.
It later told of her agony at finding that her baby would never open his eyes, would have to feed through a tube and need support to breathe.
The statement also told how family had taken photographs before doing the painful task of turning off life support.
"It was hard to let go," she said. "I knew it was the right thing to do; but it was so hard."
In the statement, written seven weeks later for police, Ms Hiscock said she felt a range of emotions including anger and sadness, and remained an `emotional mess'.
The statement also outlined:
·She had felt sharp pain which caused her to sit upright during the birth when Mrs Natt administered syntometrine which is a drug to help release the placenta after birth instead of the pain-killing pethidine.
·That Dr Malcolm Anderson and staff refused to inform her why the sudden need for an emergency caesarean delivery and why staff jumped to `emergency mode' when the birth was proceeding well and within hours.
·The force of the birth because of effect from the incorrectly administered drug.
·That she had seen a nurse with an arm around a tearful Thelma Natt.
·That after birth her baby was `gasping' but Dr Anderson and nursing staff had continued to assure her he would be all right despite requests for information.
·That Dr Anderson continued to assure her and her partner that Jaxson would be all right after explaining the mix-up.
·That Thelma Natt had falsely accused her of pushing buttons on the humidicrib.
·That staff refused her request to accompany a NeoNatal Emergency Team and her baby to the Royal Children's Hospital in Melbourne.
·Staff later reversed the decision but told Ms Hiscock she would have to find her own way to the hospital.
·She had been forced, unshowered from the birth and bleeding, to travel by taxi to the hospital.
·That assurances that her baby had breathing problems were incorrect after a Melbourne doctor informed the couple that Jaxson had 95 to 97 per cent brain damage.
·Her agony at returning home without a baby but with severe bruising and cuts from the birth and needing to go through the process of drying up milk supply.
·Her anger that Dr Anderson had visited several weeks after the baby's death and while expressing sorrow, had refused to answer questions.
She said it appeared he was endeavoring to absolve himself. While accepting he was sincere, she was unable to accept an apology.
·That seven weeks after the incident she was without a letter or apology from Nhill Hospital or a visit from anyone other than Dr Anderson.