54 results for “foetal distress”
1y · Male·Hypoxic ischaemic encephalopathy
… He died from hypoxic-ischaemic encephalopathy within 24 hours. The coroner found critical deficiencies in foetal monitoring. Although classified as high-risk (primigravida, post-term, induced labour), continuous electro…
0y · Male·hypoxic ischaemic encephalopathy due to intrapartum asphyxia
…ead of the baby's for approximately 26 minutes, during which time the baby was likely experiencing severe distress. This monitoring failure occurred because the midwife failed to verify the CTG was tracing the correct he…
Female·hypoxic-ischaemic encephalopathy due to intrapartum hypoxia due to delayed deliv…
…e 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 t…
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 and pat…
0y · Female·Hypoxic-ischaemic encephalopathy in the setting of chronic placental insufficien…
…opathy associated with chronic placental insufficiency and died at 4 days old. Her mother reported reduced foetal movements after 34 weeks' gestation, but inadequate antenatal escalation occurred. At labour onset on 26 J…
1y · Female·Neonatal pneumonia, meconium aspiration and chorioamnionitis secondary to prolon…
…ls). The coroner found the death preventable: hospital birth would have enabled cardiotocography to detect foetal distress, prompt intervention, GBS screening with antibiotics, and immediate neonatal resuscitation. Even …
0y · Male·Perinatal asphyxia
…014, died from perinatal asphyxia. Labour was uncomplicated and FHR monitoring appeared reassuring, but no foetal heart rate was detectable after spontaneous rupture of membranes at 7:17am. However, this was not escalate…
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 induction, oxytocin dosing, and …
0y · Female·Fetal demise due to placental abruption and sepsis secondary to chorioamnionitis…
…hlee Reindl died hours after birth in 2019 following a prolonged induction of labour complicated by fetal distress and chorioamnionitis. A catastrophic placental abruption occurred shortly before emergency caesarean sect…
0y · Male·hypoxia due to intrauterine pneumonia and haemorrhage with uterine rupture in a …
…strumental delivery complications, forceps were eventually applied at 9:11pm. The baby was born in severe distress with cord around neck and died despite resuscitation. Key clinical lessons: early recognition of uterine …
0y · Male·Perinatal hypoxic ischaemic encephalopathy with severe diffuse cortical necrosis…
…igns. The CTG tracing was faxed late (23 minutes) to the obstetrician's rooms, delaying his recognition of foetal distress. Though Dr A. attended when urgently called, caesarean section was delayed approximately 60 minut…
2y · Male·Hypoxic ischaemic encephalopathy and intracranial haemorrhage complicating obstr…
…rean section. The mother presented in spontaneous labour at 39 weeks and experienced prolonged labour with foetal tachycardia and reduced variability on CTG monitoring. After failed attempts at vacuum and forceps deliver…
0y · Male·Perinatal hypoxia
…ng of injury 3-5 days before delivery. The mother had multiple presentations during pregnancy with reduced foetal movements, and investigations including CTGs and ultrasounds were performed. Clinical lessons include the …
0y · Female·Hypoxic ischaemic encephalopathy due to true knot in umbilical cord
…rd. The mother presented in labour with spontaneous rupture of membranes and had a prolonged second stage. Foetal heart rate monitoring showed intermittent decelerations and bradycardia from 0300 hours onwards. The locum…
0y · Male·Hypoxic Ischaemic Encephalopathy (no legal death of person found; coroner declin…
…. Clinical lessons include the importance of timely decision-making regarding cesarean section when fetal distress is evident, accurate documentation during resuscitation, and clear communication about findings.
35y · Female·Acute right heart failure (cor pulmonale) following intravenous injection of cru…
…of crushed Xanax tablets. She presented to hospital with cardiogenic shock, hypertension, and respiratory distress while pregnant. Her unborn child suffered foetal distress and died in utero. Autopsy revealed microcrysta…
0y · Female·Perinatal asphyxia
… consultant obstetrician despite clear clinical deterioration, (3) false reassurance from an unusually low foetal scalp lactate result (1.3 mmol/L) clinically inconsistent with CTG findings, and (4) lack of clear communi…
0y · Female·Complications of ascending uterine infection (Klebsiella pneumoniae) in the sett…
…failures and inadequate senior involvement contributed to management deficiencies, though the overwhelming foetal infection may not have been preventable despite earlier delivery.
0y · Female·Sepsis
…ture of maternal membranes 48 hours prior to delivery. The infection caused chorioamnionitis with profound foetal inflammatory response, severely compromising the baby before labour commenced. Clinical lessons: (1) Patie…
0y · Female·Birth asphyxia due to tight umbilical cord around neck with meconium aspiration
…ography (CTG) monitoring was inadequate (less than 5 minutes, policy required 10+ minutes). During labour, foetal tachycardia was detected but continuous CTG monitoring was not commenced despite clear policy requirements…
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