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Coroner raises concerns over Bednest bed side crib following death of 7 week old girl

Tuesday 28th April 2015

Bednest crib

Grace Joy Roseman was a 7 week old baby who was placed in her Bednest Bed Side crib by her mother at around 8.30am on 9th April 2015. The crib has a panel on either side one of which can be folded down leaving about 7 cm of side with a narrow, hard metal plastic covered edge. At about 10.00am, Grace was found by her mother lying with her head over the edge of the crib and her neck resting on the low plastic ridge. The provisional cause of death is that Grace died from Asphyxia. It appears that Grace managed to get her head over the side of the crib. Due to the weight of her head on the side of the cot her air supply was restricted and this led to her death.

 The Coroner for West Sussex, Penelope Schofield has today issued an interim report expressing concern. This interim report has been served on both the National Children's Trust who sell the cot and Bednest Ltd.

"In my opinion there is a risk that future deaths will occur unless action is taken."

The Coroner lists a number of issues that are of concern in the attached report and in particular she states,

 "Should another baby be placed in the prone position and left with the side incompletely lowered again in one of these cots, another death could occur. If the cot's side is not safe to be incompletely lowered or for the cot to be tilted more than 5cms then it should be questioned as to whether these should be options available at all."

 The Coroner, in particular, highlights in her report, that urgent action should be taken by the NCT and Bednest Ltd.

 "In my opinion urgent action should be taken to prevent future deaths and I believe you and/or your organisation have the power to take such action."

The Coroner’s report states there was a “tilt” of 8cm to the cot, which should have no more than 5cm, but Penelope Schofield said the information should be on the cot itself, not just available in paper instructions, especially when many cots are given, or bought and sold secondhand.

The National Children’s Trust has withdrawn the cot from sale and stopped all pending orders going out. Susie Parsons, interim chief executive of the charity, said: ‘This is a tragedy and our thoughts and deepest sympathies are with the Roseman family at this time.

 ‘We have immediately suspended all sales and despatches of the Bednest crib until the completion of the inquiry and we will also undertake our own detailed and thorough review.’

A spokesman for Bednest has said: ‘We are greatly saddened and extend our heartfelt condolences to Grace’s parents.

 ‘We are doubly upset to hear this news, since the concept behind Bednest’s design is first and foremost about baby health and safety and came originally from highly experienced neo-natal nurses.

‘It is not the case that the coroner has called the cot “dangerous” and asked for it to be withdrawn.

 ‘The coroner has highlighted that all safety guidelines for the correct use of the crib are laid out in the instruction manual, but due to a growing second-hand market for our Bednest cribs, these instruction manuals may not be passed on. This may be, sadly, what happened with Grace’s crib.

 ‘We are now considering displaying basic instructions on the side of the crib itself.’

 The inquest continues.

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