G and M v Armellin

Case [2009] ACTCA 6


G and M v ARMELLIN
[2009] ACTCA 6 (1 May 2009)

APPEAL – Appeal from order of a single Judge – Appeal on inferences drawn from the facts found by the primary Judge – action for damages – error in the determination of the respondent’s duty of care – Appeal allowed

NEGLIGENCE – negligently caused pregnancy – wrongful birth – in vitro fertilisation – appellant instructed that she did not want a multiple pregnancy – Risk of multiple pregnancy associated with single embryo transfer accepted by the appellant – appellant communicated to respondent that she only wanted one embryo transferred during IVF procedure – instruction not communicated to embryologist – appellant sedated for transfer procedure – embryologist transferred the embryos – two embryos transferred – transfer resulted in multiple pregnancy and birth of twins

NEGLIGENCE – duty of care – appellant was the respondent’s patient – respondent was ultimately responsible for the transfer procedure – respondent owed ‘a duty to exercise reasonable care and skill in the provision of professional advice and treatment’ to the appellant – appellant not advised of default procedure of fertility clinic to transfer two embryos – appellant told she could advise the number of embryos for transfer ‘up to the point of the transfer’ – failure of the respondent to confirm the number of embryos for transfer with fertility centre staff was a breach of his duty of care to the appellant  

Harriton v Stephens (2006) 226 CLR 52
Cattanach v Melchior (2003) 215 CLR 1
Elliott v Bickerstaff (1999) 48 NSWLR 214

REASONS FOR JUDGMENT

ON APPEAL FROM A SINGLE JUDGE OF THE SUPREME COURT OF THE AUSTRALIAN CAPITAL TERRITORY

No. ACTCA 16 - 2008
No. SC 796 of 2005

Judges:         Higgins CJ, Refshauge and Marshall JJ
Court of Appeal of the Australian Capital Territory
Date:            1 May 2009

IN THE SUPREME COURT OF THE       )          No. ACTCA 16 - 2008
  )          No. SC 796 of 2005
AUSTRALIAN CAPITAL TERRITORY    )
  )

COURT OF APPEAL  )

ON APPEAL FROM A SINGLE JUDGE OF THE SUPREME COURT OF THE AUSTRALIAN CAPITAL TERRITORY

BETWEEN:G

First Appellant

M

Second Appellant

AND:SYDNEY ROBERT ARMELLIN

Respondent

Judges:  Higgins CJ, Refshauge and Marshall JJ
Date:  1 May 2009
Place:  Canberra

REASONS FOR JUDGMENT

THE COURT:

  1. At the conclusion of submissions of counsel at the hearing of this appeal, the Court announced that it was unanimously of the view that the appeal should be allowed and so ordered. What follows are the Court’s reasons for allowing the appeal.

  1. The appellants appeal from an order of a single judge of the Court. The primary judge dismissed the appellants’ action for damages based on the judgment of the High Court in Harriton v Stephens (2006) 226 CLR 52 (Harriton), and Cattanach v Melchior (2003) 215 CLR 1 (Cattanach). In Harriton the High Court held that the common law recognises an action by a parent for “wrongful birth” arising out of the negligence of a medical practitioner. Cattanach,…

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G and M v Armellin [2009] ACTCA 6
Case
[2009] ACTCA 6
Decision Date

CaseChat Overview and Summary

This matter concerned an appeal to the Supreme Court of the Australian Capital Territory from an order made by a single Judge. The appeal arose from an action for damages for negligence, specifically concerning an alleged error in the determination of the respondent's duty of care. The central dispute involved a pregnancy resulting from an in vitro fertilisation (IVF) procedure. The appellant had instructed the respondent that she did not wish to have a multiple pregnancy, and while she accepted the risk associated with a single embryo transfer, she communicated her desire for only one embryo to be transferred. However, this instruction was not conveyed to the embryologist. During the procedure, the appellant was sedated, and the embryologist transferred two embryos, leading to a multiple pregnancy and the birth of twins.

The legal issues before the Court were whether the respondent owed a duty of care to the appellant in relation to the IVF procedure, and if so, whether that duty had been breached. Specifically, the Court had to consider whether the respondent, as the appellant's treating physician and the person ultimately responsible for the transfer procedure, had failed to exercise reasonable care and skill in providing professional advice and treatment. This included examining whether the appellant was adequately advised about the clinic's default procedure regarding the number of embryos transferred and whether the respondent had taken sufficient steps to ensure the appellant's specific instructions were followed.

The Court reasoned that the respondent, as the appellant's patient, owed a duty to exercise reasonable care and skill. It was found that the appellant was not advised of the fertility clinic's default procedure of transferring two embryos. Furthermore, the appellant had been informed that she could specify the number of embryos for transfer up to the point of the procedure. The Court concluded that the respondent's failure to confirm the number of embryos for transfer with the fertility centre staff constituted a breach of his duty of care to the appellant.

The appeal was allowed.

Orders

Orders of the court

The appeal should be allowed

Background

Background to the litigation

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Evidence

Evidence Before The Court

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Decision

Reasons for decision

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Ratio Decidendi

Legal Principle Established

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