A first-time mother who died a week after an emergency Caesarean section lost her life in medical misadventure, an inquest jury has found.
Dhara Kivlehan (29), originally from India, died in Belfast's Royal Victoria Hospital on September 28, 2010 after being airlifted from Sligo Hospital where she had given birth a week earlier and suffered a severe strain of pre-eclampsia.
The five-day hearing at Carrick-on-Shannon courthouse heard deficiencies in her care included a 96-hour delay in a kidney specialist assessing her critical condition and a 12-hour gap in the first set of blood tests being reviewed.
Last month her son Dior turned four.
Widower and full-time father Michael Kivlehan said the inquests was about getting answers.
"We had no answers up to now. We have clarity now but in a curtailed fashion," he said.
The Republic's Health Service Executive said the delay in checking blood results was a shortcoming. The agency apologised for Sligo Hospital at a civil case.