Deceased
Esther Ruth Stephen
Demographics
female
Date of death
2004-07-21
Finding date
2007-07-12
Cause of death
hypoxic-ischaemic encephalopathy due to intrapartum hypoxia due to delayed delivery of second twin
AI-generated summary
A 54-hour-old neonate died of hypoxic-ischaemic encephalopathy following a planned home birth of twins. The second twin experienced a prolonged delay in delivery (over 60 minutes) during which foetal heart rate decelerations were noted. An independent midwife appropriately managed the emergency, secured transfer to hospital by ambulance, and the baby was delivered by emergency caesarean section within 7 minutes of arrival. The coroner found no fault with clinical management, concluding the parents made an informed decision despite clear advice that twin births should occur in hospital. The case highlights inherent risks of twin home births and the critical importance of hospital delivery for twins due to unpredictable complications in the second twin.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Clinical conditions
Procedures
0y · Female·Blunt head trauma from multiple deliberate blows inflicted by father
Ebony Napier, aged 4 months, died from blunt head trauma resulting from multiple deliberate blows inflicted by her father Bradley Napier-Tucker over several weeks. A critical failure occurred when the South Australian ch…
Tate Spencer-Koch: intrapartum hypoxia due to shoulder dystocia; Jahli Hobbs: in…
Three neonates died following complications during planned homebirths attended by midwife Lisa Barrett. Tate Spencer-Koch (4790g, macrosomic) died from intrapartum hypoxia caused by shoulder dystocia; delivery was obstru…
Female·intra-partum hypoxic event secondary to shoulder dystocia with prolonged foetal …
Tate Spencer-Koch was delivered via homebirth at 5:40am after her head crowned at 5:20am with shoulder dystocia causing entrapment in the birth canal for approximately 20 minutes. During this period, the foetus remained …
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