An investigation on Wednesday found that he died after a pregnancy ectopic was detected by doctors at the Hospital of Ulster.
Chief forensic doctor of nor, John Leckey, says that does not treat the mother and her baby by birth as separate patients. Dr. Ann Hamilton trust says that it is a very rare case.
Speaking on the programme of Stephen Nolan on BBC Radio Ulster, Dr. Hamilton apologized to the family of the trust.
He said that none of the doctors dealing with Ms McAdam had seen a similar case and that the research expert witness could only find two similar cases of "fallopian tube pregnancy" in "world literature".
"Is only to establish in the context that is not a normal ectopic pregnancy," he added.
MS McAdam, 28, died on September 25, 2008, after suffering an ectopic pregnancy that went unnoticed.
The research heard that there was a lack of dialogue between consultants and nurses in the hospital.
He heard that the mother and the fetus had been seen by a variety of consultants and midwives has been passed in critical Ms McAdam notes each other.
Mr. Leckey said that no one seems willing to take possession in case of Ms McAdam.
Wondered if it was good medical practice to treat separately the mother and child.
MS McAdam suffered a massive internal hemorrhage due to ruptured ectopic pregnancy.
In a statement, the South Eastern Health & Social Care Trust said that he wanted to "express their heartfelt condolences for the tragic death of Carla McAdam".
"Pregnancy is associated with many complications, some of which are potentially fatal," he added.
"According to the coroner, this case was extremely rare and extremely difficult to diagnose." "Lessons have been learned and applied in this situation."
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