Phoebe-Rose Douglas died on October 29, 2019
A baby who died after being found with heroin and cocaine in her system arrived at the hospital “unkempt and smelly”, despite several concerns being raised to social services, an inquest has heard.
Ten-week-old Phoebe-Rose Douglas was rushed to the Royal Stoke University Hospital where staff discovered she had dirt beneath her fingernails, armpits and skin creases.
She had been transferred from a house on Meaford Drive, Blurton, on the morning of October 25, 2019, after reports that the infant had gone into cardiac arrest. Despite treatment at the paediatric intensive care unit, she died four days later, on October 29.
The court was told that a urine sample taken on the day of the baby’s death revealed a level of cocaine, and further testing on hair samples confirmed she had been exposed to cocaine, heroin and cannabis, StokeonTrentLive reports.
Parents Rachel Bourne and John Douglas both admitted child cruelty at Stoke-on-Trent Crown Court in 2024. Bourne was jailed for 31 months and Douglas was given a 10-month custodial sentence, suspended for two years.
An inquest into Phoebe-Rose’s death is now being held this week at Swann House, Stoke.
Phoebe-Rose was born in Halifax in August 2019, where her father lived, and returned to Stoke-on-Trent with her mother a month later, the inquest heard.
Both parents were drug users, with several referrals having previously been made to social services before Phoebe-Rose’s birth, prompted by concerns amongst family members. One such concern was raised in July 2019, relating to their living conditions.
The couple were subsequently evicted from the property, where drug paraphernalia was later discovered. Paediatrician Dr Deborah Stalker told the inquest that hospital discharge notes from Phoebe-Rose’s birth showed no signs of neonatal abstinence syndrome – withdrawal symptoms that newborn babies may experience if they have been exposed to opiates while still in the womb.
“But she was a bit of a struggle to feed, reading between the lines of notes”, Dr Stalker said. “There was also evidence that feeding bottles were not sterilised prior to use – that had been observed in hospital.”
Dr Stalker told the inquest how, when Phoebe-Rose was admitted to hospital in October 2019, “she was unkempt and she was unclean”, adding “She was smelly and she had dirty fingernails and feet and creases under arms and neck.”
Dr Roger Malcolmson, a consultant paediatric and perinatal pathologist, was involved in post-mortem examinations conducted following Phoebe-Rose’s death. He described her to the inquest as “relatively small”.
“There was no evidence of external injuries of any significance that would suggest a pattern of physical abuse”, he said.
“Her brain was swollen, which correlates with injury to brain cells and hypoxia (reduced oxygen to the brain). There was no obvious underlying cause. I think the biggest risk factor for this death we can identify from the history is maternal drug use and smoking.”








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