Coronial

17 results for prolonged pregnancy

QLDhome2012-06-29

Baby M

2y · Male·Hypoxic-ischaemic encephalopathy

…orn at term (35-38 weeks gestation) into a toilet bowl at home on 27 November 2008 after an unrecognised pregnancy. The mother reported no awareness of pregnancy despite a positive pregnancy test earlier in the pregnanc…

neonatologyparamedicinediagnosticdelay
VIChome2024

Finding into death of Baby E

1y · Female·Neonatal pneumonia, meconium aspiration and chorioamnionitis secondary to prolon…

Baby E died at home one day after birth at 40+ weeks gestation following a prolonged labour in a hired plastic birthing pool. The mother had no antenatal care, no midwifery support, and her…

obstetricsneonatologydiagnosticsystem
SAhome2007-07-12

Coroner's Finding: STEPHEN Esther Ruth

Female·hypoxic-ischaemic encephalopathy due to intrapartum hypoxia due to delayed deliv…

… hypoxic-ischaemic encephalopathy following a planned home birth of twins. The second twin experienced a prolonged delay in delivery (over 60 minutes) during which foetal heart rate decelerations were noted. An independ…

obstetricsmidwifery
QLDhospital2012-09-28

Davies, Mia

0y · Female·Peripartum hypoxia

Mia Davies died from peripartum hypoxia after a prolonged and poorly managed labour at Royal Brisbane and Women's Hospital. She had been diagnosed with multiple c…

obstetricsmidwiferydiagnosticcommunicationoxytocin
SAhospital2023-06-30

Coroner's Finding: Vanin, Levi Shane

29y · Male·severe neonatal encephalopathy, post palliative care; possible underlying cause:…

…old neonate died from severe neonatal encephalopathy following birth asphyxia. The infant was born after prolonged induction and protracted second-stage labour at Lyell McEwin Hospital, followed by instrumental delivery…

obstetricsneonatologydinoprostone
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 gestational diabetes and the fetus showed concerning CTG ab…

obstetricsmidwiferyproceduraloxytocin
WAhospital2023-07-07

Inquest into the Death of Ashlee Jade REINDL

0y · Female·Fetal demise due to placental abruption and sepsis secondary to chorioamnionitis…

Ashlee Reindl died hours after birth in 2019 following a prolonged induction of labour complicated by fetal distress and chorioamnionitis. A catastrophic placental abrupti…

obstetricsmidwiferydiagnosticcommunicationoxytocin
SAhome2012-06-06

Coroner's Finding: Home Birthing - SPENCER-KOCH Tate and HOBBS Jahli Jean and KAVANAGH Tully Oliver

Tate Spencer-Koch: intrapartum hypoxia due to shoulder dystocia; Jahli Hobbs: in…

…gnancies unsuitable for homebirth: macrosomia with shoulder dystocia risk, breech presentation, and twin pregnancy. Hospital births with continuous monitoring, immediate access to intervention, and availability of skill…

obstetricsmidwiferydiagnosticcommunication
VIChome2017-08-28

Finding into death of Tara Sue Love

22y · Female·Sudden Arrhythmic Death Syndrome

…ented multiple times to the Royal Women's Hospital with ECG changes and electrolyte abnormalities during pregnancy. Critical failures occurred in ECG interpretation and escalation: ECG abnormalities documented in Januar…

obstetricscardiologydiagnosticcommunicationlabetalol
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 identified several suboptimal clinical…

obstetricsanaesthesiadiagnosticmedicationbenzylpenicillin
VIChospital2020-09-07

Finding into death of Ms TP

37y · Female·Hypoxic ischaemic encephalopathy as a direct result of neck compression

Ms TP, a 37-year-old woman of Indian origin living in Victoria, died from hypoxic ischaemic encephalopathy resulting from ligature strangulation (neck compression). She was admitted to ICU in cardiac arrest and died nine…

intensive careemergency medicine
WAhome2015-06-08

Inquest into the Death of Baby C

0y · Male·Group B Streptococcal infection and meconium aspiration with early bronchopneumo…

…oman with prior traumatic hospital birth who had declined GBS screening and hospital booking. Labour was prolonged (40 hours membrane rupture, 24 hours active labour). After delivery of a malodorous placenta indicating …

midwiferyobstetricsdiagnosticdelay
WAhome2015-06-08

Inquest into the Death of Baby P

0y · Male·intrapartum hypoxia due to placental abruption

…to attend the home birth. During labour, the baby experienced placental abruption and was born lifeless. Prolonged resuscitation in the community delayed optimal care. Medical experts agreed hospital birth with standard…

obstetricsmidwiferycommunicationdelay
VIChome2024-11-21

Finding into death of Baby S

7y · Male·Hypoxic ischaemic encephalopathy in the setting of a breech delivery

A neonate born at home in breech presentation without medical assistance suffered hypoxic ischaemic encephalopathy and died at 7 days old. The mother had been counselled by hospital obstetricians about risks of home bree…

obstetricsemergency medicine
VIChospital2017-01-24

Finding into death of Baby XY

0y · Female·Perinatal asphyxia

…inical lesson involves diagnostic failure: the mother was not diagnosed with gestational diabetes during pregnancy due to a pathology laboratory system error (two of three glucose tolerance test results not downloaded t…

anaesthesiaforensic medicinediagnosticsystembenzyl penicillin
QLDhospital2017-06-28

Langley, Archer

0y · Male·Amniotic fluid aspiration (severe); with contribution from thin umbilical cord a…

…iration following delivery by emergency caesarean section for obstructed labour. His mother's labour was prolonged and difficult, but critical delays occurred between 15:15 and 17:15 when clear clinical signs of obstruc…

obstetricsneonatologydiagnosticcommunicationprostin
QLDhospital2017-06-28

Tonkin, Nixon Martin

0y · Male·Head injuries (birth trauma) secondary to obstructed labour and fetal macrosomia…

…cted labour at 38 weeks gestation. The infant's head became deeply impacted in the maternal pelvis after prolonged second-stage labour. During emergency disimpaction attempts, a midwife applied excessive focused pressur…

obstetricsanaesthesiadiagnosticcommunicationoxytocin

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