A pregnant woman, who took a bath in hospital during labour to ease the pain, was found drowning after midwives ignored warnings to leave her unattended, an inquest was told.
Doctors carried out an emergency caesarean section after Lorraine Maddi was found unconscious under the water and her baby miraculously survived.
But the first-time mother died in hospital eight days later.
Mrs Maddi, 31, had a history of fainting attacks and would often collapse in stressful situations.
Medical staff were warned about her condition and a family friend even told a midwife to keep an eye on her in the bath.