Coronial

10 results for vaginal examinations

SAhospital2002-02-28

Coroner's Finding: GALEA Lesley Anne

30y · Female·respiratory failure related to bronchopneumonia following cerebral anoxia due to…

A 30-year-old woman with a previous caesarean section attempted a trial of vaginal delivery. She received Syntocinon augmentation at 6:45 AM without prior cervical assessment and epidural …

obstetricsanaesthesiadiagnosticcommunicationoxytocin
VIChospital2019-11-11

Finding into death of Finn Moser

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

…ordancy, discontinuation of fetal monitoring during transfer to theatre, failure to perform pre-operative vaginal examination to assess fetal head position, and absence of consultant obstetrician supervision during a po…

obstetricsneonatologydiagnosticcommunicationprostaglandin gel
SAhospital2009-06-24

Coroner's Finding: LINNELL Sienna Jools

0y · Female·Group B Streptococcus infection

A 7-hour-old neonate died from early-onset Group B Streptococcus (GBS) infection contracted during labour. The mother's GBS screening test at 35-37 weeks gestation was reported negative, and no antibiotic prophylaxis was…

obstetricsgeneral practicesystemcommunication
SAhospital2011-08-05

Coroner's Finding: LEONARD Emily Ruth and HILLMAN Glenys Anne

Female·Emily Ruth Leonard: multi-organ failure due to overwhelming sepsis from a perfor…

Two elderly women died following vaginal prolapse surgery performed by the same surgeon, Dr O., with similar mechanisms: bowel perforation leading…

gynaecologyintensive carediagnosticproceduralheparin
WAhospital2023-07-07

Inquest into the Death of Ashlee Jade REINDL

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

… concerns to senior obstetric review until too late, and an apparent 'tunnel vision' focused on achieving vaginal delivery despite slow labour progress and deteriorating fetal condition. The patient herself requested a …

obstetricsmidwiferydiagnosticcommunicationoxytocin
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…

…t), failure to recognize abnormal CTG patterns indicating fetal distress over a 7-hour period, inadequate vaginal examinations (4-hour gap at critical time), and poor midwifery supervision due to inadequate staffing and…

obstetricsmidwiferydiagnosticcommunicationoxytocin
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 progressed. Labour progres…

obstetricsneonatologysystemcommunicationterbutaline
VIChospital2014-02-24

Finding into death of Baby Jacob Hill

0y · Male·complications of intrauterine hypoxia

Baby Jacob Hill died from intrauterine hypoxia following an obstructed labour managed at Sunshine Hospital. A 39-week primiparous labour was complicated by deep transverse arrest. After initial assessment suggesting caes…

obstetricspaediatricscommunicationdelaypethidine
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…

Three neonates died following complications during planned homebirths attended by midwife Lisa Barrett. Tate Spencer-Koch (4790g, macrosomic) died from intrapartum hypoxia caused by shoulder dystocia; delivery was obstru…

obstetricsmidwiferydiagnosticcommunication
VIChome2026-05-29

Finding into death of Baby R

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…

obstetricsmidwiferydiagnosticcommunication

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.