[Setarime]

"My wife just didn't die, she was killed. For me, intentionally or not, that's the bottom line."

Just hours after Arnel Cabrera's son Zak was born, his wife Mayra died. She was given an epidural in her arm instead of a saline drip.

It was a fatal mistake compounded by the fact the two infusion bags looked almost identical and were both kept in the same unlocked drawers.

An inquest ruled her death at Swindon's Great Western Hospital in May 2004 was unlawful.

Warnings issued after similar incidents appeared to have gone unheeded.

In 2000 a patient at the Royal Liverpool University Hospital died after an identical mistake.

BBC NEWS | England | Wiltshire | Epidural drip 'killed' new mother

This tragedy need never have occured, heads will roll for this. But unfortunately it wont bring poor little Zak his mum back.