WHEN little Mohammed Rahaan was born, his parents were overjoyed after trying to have a baby for ten years.
But sadly he only survived for four days after his liver became damaged at hospital, an inquest heard.
Mohammed was born on November 17, 2019, and stayed overnight at Royal Oldham Hospital.
The inquest in Rochdale heard that Mohammed had been born prematurely, arriving after 24 weeks and five days.
He was fitted with a tube carrying vital fluids into his body, which damaged his liver and caused bleeding to his stomach, the Manchester Evening News reported.
Guidelines state that an umbilical venous catheter (UVC) should be in place for, at most, 24 hours.
In total, Mohammed had been attached to the catheter for 66 hours.
The inquest heard that Mohammed's condition had deteriorated on November 20 at around 6pm and his heartbroken parents have told how they never want the same mistakes to be repeated.
Northern Care Alliance Trust, which runs Royal Oldham Hospital, has admitted a series of failings when it comes to Mohammed's care.
During the inquest, the trust said that it was only after the catheter had been inserted that it was discovered to be in the wrong position.
They said that it was 'acceptable' to keep using it for a short while until Mohammed had become stable.
Senior coroner for North Manchester Joanne Kearsley was told that there were 'missed opportunities' to communicate this plan as medics crossed over shifts.
She also heard how there was a breakdown in communication between doctors over the replacement and that this had not been noted.
The trust said that this was 'poor and below standard' and agreed that the positioning of the catheter contributed to the rupture of the liver capsule and consequently Mohammed's death.
She said: "I'm satisfied Mohammed would not have died at the time he did if it had not been for the sub-optimal UVC line, albeit Mohammed was, in any event, an extremely poorly baby and I do acknowledge the risk of sub-optimal positioning is a noted recognised complication of a UVC line."
'ALWAYS IN OUR HEARTS'
The inquest heard how there were attempts to save the little boy's life and that he died due to a recognised complication of a necessary procedure.
Ms Kearsley said the hospital had now 'tightened' its procedures and praised Mohammed's parents Ommar Ahmed and Shabana Kousar, both 34.
She said while they would have struggled to hear the findings, they had conducted themselves well.
Mr Ahmed later told the Manchester Evening News that Mohammed with 'always be in our hearts'.
He said: "Our main concern is that these mistakes never get repeated again so that another family doesn't have to go through the pain that we have."
Just last year, almost a year after Mohammed's death, Shabana gave birth to a daughter, Ayat Ahmed.
"We will never forget her older brother and he will always be in our hearts", Mr Ahmed said.
A spokesperson for Northern Care Alliance NHS Foundation Trust, which runs The Royal Oldham Hospital, said: "We would like to offer our sincere condolences to Mohammed's family for their loss. Mohammed died of a recognised complication of a necessary medical procedure, but we accept there were failings in his care and we would like to apologise to his family for this.
"As an organisation we are committed to learning and steps have been taken to reduce the risk of similar failings in future, including updates to policy, training, improvements to documentation and audits to ensure compliance."
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