Deceased
Hannah McNeil
Demographics
0y, female
Date of death
2011-11-15
Finding date
2014-01-22
Cause of death
Pulmonary hypoplasia in the setting of ascending maternal genital tract infection
AI-generated summary
Hannah McNeil, a term neonate, died from pulmonary hypoplasia secondary to ascending maternal genital tract infection. She was born via emergency caesarean section after induction of labour for brow presentation. Despite resuscitation efforts, she remained bradycardic and died 22 minutes after birth. The coroner found pulmonary hypoplasia, an undiagnosable prenatatal condition with low survival, was the primary cause. While concerns were raised about labour management timing, CTG interpretation, and delayed Code Blue activation (5 minutes), the coroner determined these were unlikely to have altered outcome given the severe underlying lung pathology. The hospital conducted a Root Cause Analysis and implemented improvements to neonatal resuscitation guidelines and education.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Specialties
Error types
Drugs involved
Clinical conditions
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0y · Male·Perinatal hypoxia
Baby R, born at 39 weeks 6 days via planned homebirth with private midwives, died from perinatal hypoxia on day 6 of life. The mother had significant obstetric risk factors: previous emergency caesarean section, macrosom…
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