Coronial

73 results for caesarean section

VIChospital2025-02-18

Finding into death of Tasman Murray Tribe

0y · Male·Complications of birth-related traumatic head injury

… stage; instrumental delivery was attempted but abandoned due to a deeply impacted fetal head. Emergency caesarean section was performed but the head could not be disimpacted easily despite appropriate senior clinician …

obstetricsneonatologyoxytocin
VIChospital2019-11-11

Finding into death of Finn Moser

1y · Male·Head injury in the setting of labour

… to presumed growth discordancy (subsequently recalculated as concordant). Labour progressed slowly, and caesarean section was undertaken. During extraction, Finn's head was deeply impacted in the maternal pelvis requir…

obstetricsneonatologydiagnosticcommunicationprostaglandin gel
TAShospital2023-08-02

Coroner's Finding: de-identified LD

0y · Female·Intrapartum asphyxia refractory to postpartum resuscitation due to amniotic flui…

A term neonate died one hour after emergency caesarean section for fetal distress, caused by intrapartum asphyxia due to meconium aspiration. While labour indu…

obstetricsneonatologydiagnosticcommunicationoxytocin
VIChospital2019-09-18

Finding into death of Lucia Grace Sefton (Bowlen)

Female·Head injury in the setting of an obstructed labour

…onservatively initially, and progressed to spontaneous labour. After arrest of descent at full dilation, caesarean section was appropriately arranged. During delivery, the fetal head was found to be deeply impacted in t…

obstetricspaediatricsproceduralsystemcelestone
VIChospital2020-10-19

Finding into death of BABY FF

2y · Male·Hypoxic ischaemic encephalopathy and intracranial haemorrhage complicating obstr…

…ic-ischaemic encephalopathy and intracranial haemorrhage following obstructed labour requiring emergency caesarean section. The mother presented in spontaneous labour at 39 weeks and experienced prolonged labour with fo…

obstetricsneonatologymonitoringcommunicationoxytocin
QLDhospital2009-03-20

Glasgow, Benjamin

0y · Male·Intrapartum head injuries secondary to brow presentation and obstructed labour

Benjamin Glasgow died shortly after emergency caesarean delivery at 12:30 pm on 19 October 2006 for brow presentation, an obstructed labour. Autopsy revealed un…

obstetricspaediatricscommunicationsystemnitrous oxide
NSWhospital2024-04-12

Inquest into the death of Everett Carleton

0y · Male·multifactorial with severe hypoxia/hypotension which occurred in the background …

Everett Carleton died at birth following an emergency caesarean section complicated by unexpected placenta praevia and umbilical cord transection. The placenta was inco…

obstetricsneonatologycommunicationprocedural
SAhospital2008-05-23

Coroner's Finding: KROL Riley

0y · Male·hypoxic ischaemic encephalopathy

Riley Krol, a 11-day-old male infant, died from hypoxic ischaemic encephalopathy following emergency caesarean section delivery on 1 March 2005. After artificial rupture of membranes during labour induction, the foe…

obstetricsanaesthesiacommunicationsystemcervedil
TAShospital2022-02-08

Coroner's Finding: KN - deidentified

0y · Male·global hypoxic ischaemic encephalopathy

…ties existed between membrane rupture and the second obstetrician's arrival to perform a straightforward caesarean section. The coroner found the birth was mismanaged due to poor clinical decision-making not adhering to…

obstetricsmidwiferydiagnosticdelay
QLDhospital2013-09-05

Sparreboom, Sophie Claire - Non-inquest findings

0y · Female·Cerebral hypoxia due to placental abruption

Sophie Sparreboom died from cerebral hypoxia secondary to placental abruption following emergency caesarean section. Gestational diabetes indicated planned induction at term. At 2050 hours, antepartum haemorrhage…

obstetricsmidwiferysystemcommunicationoxytocin
WAhome

Inquest into the Death of Baby AM

0y · Male·severe hypoxic ischaemic encephalopathy secondary to uterine rupture

… hypoxic ischaemic encephalopathy secondary to uterine rupture during a planned home vaginal birth after caesarean (VBAC). The mother, Ms M, was 40 weeks and 5 days pregnant, attended by a private midwife (Ms Mansfield)…

obstetricsmidwiferydiagnosticcommunication
VIChospital2025-07-14

Finding into death of Baby Sidney

0y · Male·Head injury sustained in a difficult delivery including head impaction and caesa…

…aemic encephalopathy caused by head impaction during a difficult vaginal delivery attempt and subsequent caesarean section at 6 days old. The coroner found that medical care fell short of acceptable standards due to: fa…

obstetricsneonatologydiagnosticcommunicationoxytocin
VIChospital2015-07-15

Finding into death of Baby Mabel Windmill

0y · Female·Congenital Streptococcus agalactiae (Group B) pneumonia in the setting of compli…

Baby Mabel Windmill was born in a moribund state following emergency caesarean section after complicated labour and died from congenital Group B streptococcal pneumonia. The inquest i…

obstetricsanaesthesiadiagnosticmedicationbenzylpenicillin
VIChospital2025-02-20

Finding into death of Mia Rose Iskander

0y · Female·Complications of ascending uterine infection (Klebsiella pneumoniae) in the sett…

…itical delays occurred on 18 June during labour: abnormal CTG was first noted at 12:43 pm but Category 1 caesarean decision not made until 2:02 pm (79 minutes later), with agreement about delivery need reached at 1:14 p…

obstetricsneonatologydiagnosticdelayamoxicillin
VIChospital2015-10-20

Finding into death of THI DIEP ANH LU

36y · Female·Haemorrhage complicating elective caesarean section (placenta praevia accreta)

Ms. Thi Lu, aged 36, died from massive hemorrhage following caesarean section for placenta praevia with underlying placenta accreta. Although imaging could not definitively e…

obstetricsanaesthesiadelayprocedural
NSWhospital2009-06-12

Coroner's Finding: Rebecca Murray

29y · Female·Multisystem organ failure following postpartum haemorrhage due to atonic uterus

…ecca Murray, 29, died from multisystem organ failure following postpartum haemorrhage after an emergency caesarean section at Bathurst Base Hospital on 24–25 June 2007. The coroner found her death preventable. Key clini…

obstetricsanaesthesiasystemcommunicationoxytocin
VIChospital2014-02-24

Finding into death of Baby Jacob Hill

0y · Male·complications of intrauterine hypoxia

…9-week primiparous labour was complicated by deep transverse arrest. After initial assessment suggesting caesarean delivery, the consultant (Dr D.) elected to trial forceps delivery, which failed due to cephalopelvic di…

obstetricspaediatricscommunicationdelaypethidine
TAShospital2017-06-12

Coroner's Finding: Paino, Sarah

Female·neck and chest injuries from motor vehicle crash

… Emergency services responded promptly and medical staff at Royal Hobart Hospital performed an emergency Caesarean section during ongoing CPR, successfully delivering her baby. The criminal driver was convicted of mansl…

emergency medicineobstetricscannabis
VIChospital2008-08-15

Finding into death of William Grant Keays

Male·Hypoxic brain injury arising from intra-uterine asphyxia (causative factors unas…

William Keays was a neonate born at 37 weeks via emergency caesarean section for fetal distress during labour induction with Syntocinon. He was stillborn with Apgar scores o…

obstetricsneonatologycommunicationdelayoxytocin
VIChospital2021-11-08

Finding into death of Baby MNL

0y · Male·Hypoxic ischaemic encephalopathy complicating peri partum asphyxia

…cm for 2.5 hours despite mild-moderate contractions. Fetal bradycardia developed at 7:30pm and emergency caesarean section was performed 22 minutes later. The baby was born severely compromised (Apgar 0/1/2/3 at 1/5/10/…

obstetricsneonatologysystemcommunicationterbutaline

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