0y · Female·Perinatal asphyxia
…pital 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 compromised foetal wellbeing, though no compromise was …
0y · Male·multifactorial with severe hypoxia/hypotension which occurred in the background …
…on died at birth following an emergency caesarean section complicated by unexpected placenta praevia and umbilical cord transection. The placenta was incorrectly reported as posterior on ultrasound, though this didn't c…
0y · Male·Amniotic fluid aspiration (severe); with contribution from thin umbilical cord a…
… clear causal link between delays and the rare aspiration event. The placental pathology revealed a thin umbilical cord predisposing to compression injury. Core failures included communication breakdowns, inadequate con…
0y · Male·Perinatal hypoxia
Baby R, born at 39 weeks 6 days via planned homebirth with private midwives, died from perinatal hypoxia on day 6 of life. The mother had significant obstetric risk factors: previous emergency caesarean section, macrosom…
0y · Male·subgaleal haematoma and subarachnoid haemorrhage complicating a prolonged labour
Baby W died within 40 minutes of birth from subgaleal haematoma and subarachnoid haemorrhage following a failed instrumental delivery for prolonged labour. The coroner identified critical missed opportunities in decision…
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