URGENT UPDATE: A shocking investigation has revealed a significant failure in maternity care, prompting immediate calls for policy reforms after a mother was forced to give birth in the back of her car on the Kwinana Freeway. The incident took place on November 13, 2022, when pregnant Lena and her partner Abdul were left with no choice but to deliver their baby, Sofia, while stranded on the roadside.
The SAC1 report, released by St John of God Midland Public Hospital, highlights critical errors in the handling of Lena’s case during a maternity bypass situation. The report indicates that hospital staff failed to inform her about the bypass status for over two hours, during which she experienced worsening contractions. Instead of arranging for an ambulance, Lena was instructed to drive an hour to Rockingham General Hospital, where no beds were available.
Just 20 minutes into their journey, Lena gave birth in the backseat of their family vehicle. An emergency call from Abdul captured the harrowing moment when they feared their newborn was not breathing. “I need help. The cord is wrapped around (her neck),” Abdul frantically shouted to emergency responders. Thankfully, they managed to free Sofia from the umbilical cord, and she survived.
The SAC1 report reveals alarming systemic issues within the hospital. It emphasizes that there is currently no policy requiring a vaginal examination before transferring a patient during maternity bypass, leaving staff unable to assess the urgency of the situation. The investigation concluded that staff should have performed an examination in Lena’s case, despite the absence of a formal requirement.
Health Minister Meredith Hammat responded, asserting that all recommendations from the report will be implemented promptly. “I want to thank Lena and Abdul for sharing their experience, which will help prevent future incidents,” she stated. The hospital is now under scrutiny, with a six-month timeline to report on the effectiveness of the new policies.
Community advocate Suresh Rajan, representing the couple, expressed frustration over the hospital’s communication failures. “It’s unfortunate that we’re in a state of play with our hospital system that it’s going to take media stories before we get action in relation to potential negligence,” he said.
The report also indicates that the maternity bypass directive at SJOG Midland was issued at 5:30 AM on the day of the incident, a decision attributed to staffing shortages and full beds. Lena arrived at the hospital at 3:35 AM, with her first examination occurring at 4:10 AM. Just over an hour later, the hospital reached capacity, leading to the bypass directive.
As the investigation unfolds, the hospital has committed to reviewing its policies regarding maternity bypass transfers, emphasizing the need for clinical oversight. The report reveals that at least two other mothers were transferred for ongoing care that same morning, raising questions about the decision-making process that led to Lena’s case.
This urgent situation highlights the critical need for reforms in maternity care protocols to ensure the safety of birthing mothers. With the hospital facing increased scrutiny and pressure for immediate changes, the community watches closely to see how these recommendations will impact future maternity care.
Stay tuned for more updates as this developing story unfolds.


































