A verdict of medical misadventure has been returned at the inquest of a woman who died within hours of undergoing an emergency C-section at the National Maternity Hospital.
31-year-old Nora Hyland of Charlotte Quay in Dublin was originally from Malaysia and was married to an Irishman.
Their son Frederick was born by emergency Caesarean section in Holles Street on February 13th 2012
Nora went into cardiac arrest after she was given a blood transfusion - and died within 3 hours of her son being born.
It emerged during the inquest into her death that no blood was kept in operating theatres in the hospital at the time.
Holles Street has since put a fridge containing emergency blood units in theatre.
Today the Dublin Coroner Dr Brian Farrell concluded Nora Hyland had died from cardiac arrest as a result of severe post natal bleeding.
He said he could not say if the delay in giving her blood was a "definite" risk factor in her death.
This evening, the Master of Holles Street Rhona Mahony, said the staff's thoughts are with Nora Hyland's family
She said there are lessons to be learned after every major adverse event and that the hospital has looked to learn everything possible from - what she termed - "this tragic outcome".