A Health and Disability Commissioner report found the Hutt Valley District Health Board its staff provided substandard care and breached the Code of Rights in the case of a baby that died in 2016.
Ruth and Kazu Toyoshima's girl Ellie died after she was deprived of oxygen and suffered brain damage during birth.
The DHB says it accepts the report and has made changes to ensure it never happens again.
Chief executive of the College of Midwives, Allison Eddy, speaks to Susie Ferguson.
