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Inquest dates set for new mums Kim Sampson and Samantha Mulcahy who died after being infected with herpes

11:25, 30 December 2021

updated: 14:27, 30 December 2021

A mother hopes her family will finally get the answers they need after a coroner agreed to open an inquest into her daughter's death.

Kim Sampson, 29, from Whitstable, and Samantha Mulcahy, 32, from Hawkinge, tragically died of herpes in 2018 shortly after giving birth.

Kim Sampson and Samantha Mulcahy both died of herpes after undergoing C-sections performed by the same surgeon. Pics: Facebook
Kim Sampson and Samantha Mulcahy both died of herpes after undergoing C-sections performed by the same surgeon. Pics: Facebook

Neither women had a history of the virus, but both had recently undergone Caesarean sections at hospitals in east Kent.

An investigation later found both C-sections were performed by the same locum doctor, who could have infected the women with herpes.

But more than a year after they died, the women's families received letters from the coroner saying there would be no inquests into their deaths.

The letters acknowledged there had been a similar case but did not mention the same surgeon and midwife had been involved in both C-sections, and said there was "no connection" between the deaths.

But in a U-turn, the coroner has now arranged for inquests into the women's deaths to open on January 4.

Kim Sampson was described as 'bright and bubbly' by her devastated family (2190900)
Kim Sampson was described as 'bright and bubbly' by her devastated family (2190900)

Kim's mother Yvette Sampson was informed yesterday that the inquest would be taking place, and has welcomed the news.

"We're very pleased that it's finally going to be happening," she told KentOnline this morning.

"We've waited since 2018, so it's been a long while.

"We're just hopeful we will get from the inquest the answers that we need, for ourselves and obviously our grandchildren."

Meanwhile, Ryan Mulcahy, Samantha's husband told the BBC that "not knowing what happened has worsened the pain and the suffering from losing Sam".

Samantha Mulcahy from Hawkinge died after giving birth to her daughter in 2018. Picture: Facebook
Samantha Mulcahy from Hawkinge died after giving birth to her daughter in 2018. Picture: Facebook

Samantha's mother Nicky said: "How did Sam and Kim get the virus, and from where? You feel like you are stuck and you can't move forward because you haven't got the answers you should have had."

The decision to open inquests more than three years after the women's deaths comes after a BBC investigation uncovered details of efforts made behind closed doors to establish any links between the two tragedies.

Dr Rebecca Martin, chief medical officer for East Kent Hospitals, told the BBC: "Our deepest sympathies are with the families and friends of Kimberley and Samantha.

"We will do everything possible to support these inquests and our thoughts are with Kimberley and Samantha's families at this time."

The QEQM hospital in Margate
The QEQM hospital in Margate

Tragic deaths after C-sections

Kim Sampson, a "bright and bubbly" barber and mum to a three-year-old daughter, lived at her mother's home in Newton Road, Whitstable.

After a smooth pregnancy, she went into labour at Margate's QEQM Hospital on May 3, 2018. She experienced complications, and it was eventually decided to perform a C-section.

Baby Albie was delivered healthy, but Kimberly required a blood transfusion following the operation.

She was discharged with Albie two days later, at her request, but was in a lot of pain and barely able to walk.

Her condition deteriorated over the following days and she was eventually taken back to hospital by ambulance, where she was treated on the maternity ward for bacterial sepsis - a potentially fatal condition - with antibiotics.

But her condition continued to worsen, so she underwent a series of operations to identify and treat the infection.

Eight days after she was readmitted, a consultant microbiologist suggested trying the antiviral drug Aciclovir, which is used to treat herpes infections.

It was only after Kimberly was transferred to King's College Hospital in London that she was diagnosed with a catastrophic herpes infection.

She was given just "hours or days" to live and died on May 22.

Samantha Mulcahy on her wedding day. Picture: Facebook
Samantha Mulcahy on her wedding day. Picture: Facebook

Six weeks later, nursery nurse Samantha would die of the same virus at the William Harvey in Ashford, which is also run by East Kent Hospitals.

She had gone into labour four days before her due date, and after 17 hours of contractions and some concerning blood test results was taken for a C-section.

The operation was performed by the same doctor who had delivered Kimberly's baby.

Samantha's daughter was born healthy, but the new mum was kept in for observation because doctors were concerned about signs of the blood pressure condition pre-eclampsia.

These were no longer visible three days later, but Samantha continued to deteriorate, with her stomach swelling and her temperature and blood pressure rising.

Like Kimberly, doctors thought Samantha was suffering from bacterial sepsis so she too was given antibiotics, which did not work.

As her organs began to shut down, she was taken to intensive care, where she stayed for four days.

Ashford's William Harvey Hospital
Ashford's William Harvey Hospital

A doctor suggested she be treated with antiviral medication, but they were advised by the microbiology department to continue with antibiotics instead.

Doctors called for support from a hospital in London, and surgeons took her into the operating theatre to try to stabilise her, but she died on July 4.

"They told us that unfortunately they couldn't save her - that she'd gone, passed away," her mum, Nicola Foster, told the BBC.

The post-mortem investigation found Samantha had died from multiple-organ failure following a "disseminated herpes simplex type 1 infection".

Herpes is generally passed on by skin-to-skin contact, and almost 70% of adults have one of its two strains by the time they are 25.

Some people will develop cold sores or genital herpes, but about two-thirds will have no, or mild, symptoms.

Analysis of medical records revealed neither Kimberly or Samantha had previously had herpes, so would not have built up any natural protection against the virus.

Women in the late stages of pregnancy also have less protection from their immune system.

Kim Sampson died 19 days after giving birth to her son, Albie
Kim Sampson died 19 days after giving birth to her son, Albie

Investigation carried out behind closed doors

More than a year after the women died, their families each received a letter from the coroner, Katrina Hepburn, saying there would be no inquests into their deaths.

The letters acknowledged there had been a similar case but said there was "no connection" between the two deaths.

They also set out the investigating pathologist's belief that the women had been infected with herpes "prior to hospital admission".

But BBC journalists who have been investigating the East Kent Hospitals Trust's maternity services since 2019 turned their attention to the deaths of Kimberly and Samantha in the spring of this year.

While reviewing documents sent to the families, they found Public Health England (PHE) had looked into how the women could have come into contact with the herpes viruses.

Kimberly's family requested PHE gave them access to that investigation, and were sent redacted emails sent between staff at PHE, East Kent Hospitals Trust, other NHS bodies and a private laboratory called Micropathology.

The emails showed PHE's investigation continued even after the coroner told the families no inquests would be taking place.

The emails also revealed a significant link between the two deaths: that the same surgeon and midwife had taken part in both Kimberly's and Samantha's C-sections.

Micropathology was asked to examine the two viruses the women had been infected with, to see if they were genetically identical and could have come from the same place.

The emails show the parts of the virus that were tested were identical.

In one email, someone working for Micropathology said both cases "look like surgical contamination".

In another email, a Micropathology worker says "it seems the most likely explanation [is] that these strains are probably the same… which also adds weight to the idea that these two women were infected with the same virus."

The laboratory asked East Kent Hospitals Trust to provide a mouth or lesion swab from "the suspect surgeon in O&G (obstetrics and gynaecology)", but this was not provided.

In a statement, the Trust said the surgeon underwent a verbal occupational health check, where he said he had no history of herpes infection and had no hand lesions, although he was not tested for the virus at the time of the operations.

KentOnline understands the surgeon no longer works for the Trust.

Sexual health consultant Peter Greenhouse - who has 30 years experience in the field, and a particular interest in the herpes viruses - reviewed the cases and uncovered documents for the BBC.

Contrary to the pathologist's opinion, Mr Greenhouse believes the most likely scenario is that the infection was passed on accidentally by the surgeon carrying out the C-sections, through the women's abdomens.

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