Baby H was born at home on 21 September 2022 following an unassisted birth (freebirth) without medical oversight. The mother had received no antenatal care despite being unaware of the actual gestational age. The baby showed no signs of life at birth with a white-blue complexion. Autopsy revealed macrosomia, meconium aspiration, intradural haemorrhage, and placental changes consistent with maternal diabetes and post-term pregnancy (>42 weeks). The cause of death remained unascertained. The coroner found that medical oversight during pregnancy and birth would likely have been beneficial and may have increased survival likelihood. Key clinical lessons include the importance of antenatal assessment to identify risk factors like post-term pregnancy and maternal diabetes, and the risks associated with unassisted birth without medical support.
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Unassisted home birth without registered healthcare professional
Post-term pregnancy (>42 weeks gestation)
Macrosomia
Suspected maternal diabetes
Meconium aspiration
Placental pathology including chorangiosis and hypocoiling of umbilical cord
Maternal diabetes with poor foetal outcome
No medical intervention when foetal movement ceased
No emergency response when infant showed no signs of life at birth
Coroner's recommendations
Safer Care Victoria position statement on freebirth is supported; women and families should be encouraged to seek care from trained AHPRA registered professionals during pregnancy
Medical care during pregnancy recommended to allow informed decision-making about birth plans
Emphasis on importance of antenatal assessment and oversight to identify risk factors and ensure best outcomes for mother and baby
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