“Proper precautions” can prevent the deaths of three newborns, found in a fatal accident investigation.

Leo Lamont, Ellie McCormic and Meera-Belle Bosch all died in two Lanarkshire hospitals in 2019 and 2021 within hours of birth.

The report found that all three deaths may be “real”, which are advised separately by the right or procedures.

The McCormic family stated that they could “never imagine” the volume of failures that died and called it a “list of errors”.

The “defects” within the system contributed to each death, including that one of the conception had a “lack of an effective means” to highlight risks and the rights had no guidance to assess pre -labor symptoms.

Sheriff Principal Aisha Anwar Casey made 11 recommendations for the future, including creating a “trigger list” to identify and assess early labor symptoms.

Out of these risk mothers are reviewing electronic patient information records to improve alerts, and there is a straight telephone line for each maternity unit in Scotland for an ambulance crew.

In a statement, the McCormic family said: “The family had never imagined the scale of both personal and system failures that came to light during the investigation.

“What do you think the defect with the electronic system of holding records became a list of errors with several opportunities to really avoid wrong results.

“It was extremely difficult for the family to listen to evidence and read determination, it is a bitwatch in terms of achieving something sensible, but learn once again how different things should happen.”

The family said they hope that all the investigations would be implemented.

Leo Lamont’s family said he hoped that “lessons have been learned” from deaths, and Sheriff thanked Anwar for “sensitive ways” in which he investigated.

Leo Lamont died on 15 February 2019 at University Hospital, Monklands, Just two hours after birth.

His family called Princess Royal Maternity Hospital in Glasgow as Mam Nadin Runi was experiencing “Egony Back Pain” – but Midwife did not see it as a sign of Preitram Labor for her in 27 weeks to try the call.

This Ms. Runi was considered a high -risk pregnancy, earlier gave birth to a pre -child and a smoking.

Instead he was advised to take pain reliever, and gave birth after less than two hours on his bathroom floor at home.

By the time an ambulance crew arrived, his son was blue in color – known as Cyne founded – and struggling to breathe.

He was later declared dead in the university hospital, and Sheriff Anwar found that Ms. Roney was asked to go to the hospital that death could be avoided.

Meera-Bale Bosch Death on 2 July 2021 Wishaw General Hospital, 12 hours after her birth.

He suffered a brain injury due to lack of oxygen during labor.

Her mother Rojel asked the Vishwas General to report that her water was broken and she was contraction on 30 June, but was discharged after attending the hospital.

The next day he again called about the contraction and it was said that he should stay at home, only to give birth to that evening.

Participating Paramedics in this scene made more calls for assistance, including five calls to Wishaw General that became unanswered.

Sheriff Anwar found that the employee was very much dependent on NHS Lanarkshire guidance, which was waiting 47 hours after the water broke before induction of water and contributed to Meera-Bale’s death.

Investigation states that Rosel Bosch should have been asked to go for induction 24 hours after his water breaks.

Sheriff Anwar said that he has accepted “pain and suffering” that each family was with deaths.

He said: “The death of a child is an unimaginable and deep painful event in the life of any parents, from which it is undoubtedly difficult to recover.

“What should be the celebration time for parents and families waiting for the birth of Leo, Elli and Meera-Belle, which turned into one of sorrows and tragedy.”

Procuretor Fiscal Andy Shanex, who went towards a deadly investigation to the Crown Office, said he hoped that the investigation asked the families to “reply” after “heavy losses”.