Carla McAdam, 28, from Bangor, died on 25 September 2008 after suffering a ectopic pregnancy to go.
His medical team in the Ulster hospital failed to detect that the pregnancy was not developing properly.
The inquest hearing that there was an absence of dialogue between the consultant and nurses in the hospital.
Inquest in Belfast on Wednesday heard that mother and baby unborn he appeared before a variety of consultant and sages-femmes who have failed to pass a critical note on wife McAdam.
Chief, coroner John Leckey said no, the UN decided to propriete two wives McAdam case.
He questioned whether it was good to treat pratique medical mother and children separately.
Wife McAdam to another for an internal est ectopic pregnancy.
In a statement, the South Eastern health & social Soins Confiance said "souhaite plus to express sympathy on death tragic Carla McAdam.
"Pregnancy associated with many complications, certains two that's life threatening.
'' As the coroner, who said, this case was extremement rare and difficult to extremement diagnostic. Lesson ont appris and apply was in this situation. "
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