Coronial

35 results for perinatal asphyxia

VIChospital2013-07-02

Finding into death of Bradley Piper

4y · Male·perinatal asphyxia

Bradley Piper was born prematurely (34 weeks) at Kilmore Hospital on 22 January 2007 and died from perinatal asphyxia. Expert evidence established that the hypoxic-ischaemic insult occurred before the last hour of…

obstetricsneonatologycommunicationdelaypethidine
VIChospital2025-09-29

Finding into death of Baby M

0y · Female·Perinatal asphyxia

…n in poor condition at The Royal Women's Hospital on 10 November 2022 and died at 24 minutes of age from perinatal asphyxia. Autopsy findings suggested cord compression occurring 4-6 hours before delivery had compromise…

obstetricsneonatologyproceduralcommunicationadrenaline
VIChospital2016-04-19

Finding into death of Noah Cheron-Duncan

0y · Male·Perinatal asphyxia

Noah Cheron-Duncan, a full-term neonate born at Sandringham Hospital on 19 November 2014, died from perinatal asphyxia. Labour was uncomplicated and FHR monitoring appeared reassuring, but no foetal heart rate was …

obstetricsmidwiferycommunicationdelaynitrous oxide
VIChospital2012-01-31

Finding into death of Summer Elizabeth Rose Niehoff

0y · Female·Perinatal asphyxia

Summer Elizabeth Rose Niehoff died from perinatal asphyxia hours after vaginal birth following a prolonged labour in hospital. The coroner found multiple …

anaesthesiamidwiferycommunicationdiagnosticoxytocin
VIChospital2017-01-24

Finding into death of Baby XY

0y · Female·Perinatal asphyxia

Baby XY, a 41-week-old newborn, died from perinatal asphyxia six hours after birth at Sunshine Hospital. The primary clinical lesson involves diagnostic fai…

anaesthesiaforensic medicinediagnosticsystembenzyl penicillin
VIChome2016-02-29

Finding into death of Chloe Kathleen Gent

0y · Female·Perinatal asphyxia

A 10-day-old infant died from perinatal asphyxia after being born in a home birthing pool. The mother entered the pool without a midwife present…

obstetricsmidwiferycommunicationsystem
VIChospital2015-12-04

Finding into death of Baby Kylie Hamilton

0y · Female·perinatal asphyxia

Baby Kylie Hamilton, a 3-day-old neonate, died from perinatal asphyxia following emergency Caesarean delivery during her mother's induced labour. The mother had gesta…

obstetricsmidwiferypossibly preventable - management decision at 2.15pmoxytocin
SAhome2007-09-20

Coroner's Finding: EDWARDS Elizabeth Rose

0y · Female·combined effects of asphyxia and inhalation of gastric contents

Elizabeth Rose Edwards, a 9-month-old premature infant with perinatal brain injury, died of asphyxia and aspiration of gastric contents while in temporary foster care. She ha…

paediatricsneonatologysystemcommunication
VIChospital2021-11-08

Finding into death of Baby MNL

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

A term neonate died at 3 days of age from hypoxic ischaemic encephalopathy due to perinatal asphyxia. The mother presented in early labour, was initially discharged, then readmitted when labour pr…

obstetricsneonatologysystemcommunicationterbutaline
QLDhome2012-06-29

Baby M

2y · Male·Hypoxic-ischaemic encephalopathy

…ods or recent surgery under general anaesthesia. Early recognition and appropriate emergency response to perinatal events are critical.

neonatologyparamedicinediagnosticdelay
VIChospital2022-07-28

Finding into death of H C

6y · Male·Global cerebral ischaemia secondary to perinatal asphyxia

HC was a neonate who died at 6 days old from global cerebral ischaemia secondary to perinatal asphyxia. He was born following an emergency caesarean section for obstructed labour and fetal distress.…

obstetricsneonatologydiagnosticcommunication
WAhome2015-06-08

Inquest into the Death of Baby B

0y · Male·severe hypoxic ischaemic encephalopathy due to apparent perinatal asphyxia

Baby B suffered severe perinatal asphyxia during a planned home birth and died from hypoxic ischaemic encephalopathy. An obstetrician rec…

obstetricsmidwiferycommunicationsystem
VIChospital2012-06-22

Finding into death of Sebastian Hewitt

2y · Male·Perinatal asphyxia leading to cerebral anoxia and subsequent multi-organ failure

…born at 36 weeks gestation following maternal ante-partum haemorrhage and abnormal CTG traces, died from perinatal asphyxia leading to cerebral anoxia and multi-organ failure at 3 days old. Critical clinical lessons eme…

obstetricspaediatricsdiagnosticdelay
NThospital2009-04-09

Inquest into the death of Georgia Rae Tilmouth

0y · Female·Organ failure caused by not receiving enough oxygen during labour (intrapartum h…

Georgia Rae Tilmouth was born at 35 weeks gestation after premature labour and died 13 hours later from perinatal asphyxia due to hypoxia during labour. The coroner found multiple deficiencies in obstetric care contrib…

obstetricsmidwiferydiagnosticcommunicationoxytocin
NSWhome2018-11-14

Inquest into the death of Jaxon McGrorey-Smith

0y · Male·neonatal encephalopathy due to perinatal compromise

Jaxon McGrorey-Smith, a full-term neonate, was delivered by caesarean section after prolonged labour. He developed seizures and signs of hypoxic-ischaemic encephalopathy (HIE) within hours of birth, with MRI imaging conf…

neonatologyneurologyoxytocin
VIChospital2013-05-10

Finding into death of Joseph Thurgood Gates

0y · Male·Global cerebral hypoxic injury and perinatal asphyxia secondary to uterine ruptu…

Joseph Thurgood-Gates died at 5 days old from global cerebral hypoxic injury due to uterine rupture during labour. The death was preventable. His mother, Ms Thurgood, had two prior caesarean sections and refused hospital…

obstetricsmidwiferydiagnosticcommunication
NSWhospital2018-06-22

Inquest into the death of Manusiu Amone

0y · Female·ischaemic hypoxic encephalopathy secondary to factors associated with the sudden…

…ologists' initial interpretation of autopsy findings (particularly squames in lungs) required specialist perinatal pathology input; (4) the case highlights systemic deficiencies in perinatal postmortem investigation pro…

obstetricsneonatologymedicationcommunicationpethidine
VIChospital2011-12-14

Finding into death of Poppy Louise Habgood

0y · Female·Perinatal asphyxia

… 10 July 2008 by emergency caesarean section at 42 weeks gestation, weighing 3968g. She was born severely asphyxiated with a heart rate of 60bpm and died at 0126 hours despite resuscitation. The coroner found the death w…

obstetricsmidwiferydiagnosticcommunication
VIChospital2013-05-09

Finding into death of Tyler Reading-Adams

0y · Male·Intrapartum hypoxia due to true knot in umbilical cord with cord wrapped three t…

Tyler Reading-Adams died at 95 minutes old from intrapartum hypoxia caused by a true knot in his umbilical cord wrapped three times around his neck. The mother presented at 40 weeks 6 days gestation with spontaneous rupt…

obstetricsmidwiferynitrous oxide
SAhospital2014-11-14

Coroner's Finding: KEY George Darcy

0y · Male·Perinatal hypoxic ischaemic encephalopathy with severe diffuse cortical necrosis…

George Darcy Key, an 8-day-old neonate, died from perinatal hypoxic ischaemic encephalopathy following labour complicated by excessive syntocinon-induced contractio…

obstetricsanaesthesiadiagnosticcommunicationoxytocin

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