Coronial

41 results for co-sleeping risk

WA2016-09-27

Inquest into the Death of Baby Z

0y · Male·unascertained

…nth of age. Despite extensive forensic investigation, the cause of death remained unascertained, though co-sleeping and possible underlying neurological abnormality could not be excluded. Key clinical lessons include: (…

obstetricsneonatologycommunicationdelaymethadone
SAhome2008-06-25

Coroner's Finding: Baby Safe Sleeping Practices

Zara Schupelius: suffocation; Callum Smith: undetermined; Jake Hackett: suffocat…

…d hazards: soft mattresses creating dangerous depressions, V/U-shaped pillows, inflatable plastic beds, co-sleeping arrangements, and heavy bedding. Key clinical lessons: safe sleeping environments are critical for prev…

forensic medicinepaediatricssystemcommunication
QLDhome2021-05-13

Baby J - Non-inquest findings

0y · Unknown·Category II Sudden Infant Death Syndrome (co-sleeping)

…a healthy 23-week-old infant, died from Category II Sudden Infant Death Syndrome (SIDS) associated with co-sleeping. He was found unresponsive while sleeping chest-to-chest with his father on makeshift bedding with mult…

paediatricsemergency medicinesystemcommunicationmethamphetamine
VIChome2019-12-11

Finding into death of Maddox Garry Wheeler

0y · Male·Unascertained

…; the cause of death could not be determined but multiple factors may have contributed including unsafe co-sleeping position, prematurity, and substance exposure. The mother had a known history of cannabis use in her fi…

neonatologyobstetricscommunicationdelaymethamphetamine
QLDhome2007-08-10

Stiller-Smith, Felix Jake

0y · Male·undetermined; possible drug effect, hypoxia, or asphyxia; methylamphetamine expo…

Felix Jake Stiller-Smith, a 37-day-old infant, died on 6 February 2003 while co-sleeping with his mother. The cause of death remained undetermined at autopsy, though heavy, congested internal …

paediatricspathologycommunicationsystemamphetamine
TAShome2023-10-19

Coroner's Finding: de-identified FG

0y · Male·suffocation due to overlay by a sleeping adult

A 59-day-old premature infant died from suffocation due to overlay by a sleeping parent. The infant was placed on a mattress next to the parent's cot after refusing to settle in his own cot. Despite the parent's attempt …

paediatricsneonatologysystem
VIChome2012-07-06

Finding into death of Baby N

4y · Male·Sudden Infant Death Syndrome (Category 2)

…other. The coroner emphasised that shared sleep surfaces with infants under 6 months significantly increase risk of fatal sleep accidents and SIDS. Key clinical lesson: healthcare professionals must consistently and clea…

paediatricsforensic medicinecommunicationsystem
WAhome2012-04

Inquest into the Death of BENFIELD

0y · Female·Unascertainable

… June 2008 at Kalgoorlie Hospital with an unascertainable cause. The child was found unresponsive after co-sleeping with her father in a warm bedroom. Multiple SIDS risk factors were present: prematurity, co-sleeping, p…

paediatricspsychiatrysystemdelay
TAShome2020-03-09

Coroner's Finding: MH

0y · Female·Suffocation due to unsafe sleeping environment with overlying and/or bedding ent…

…responders. The coroner found suffocation as the likely cause, either by overlying or bedding entanglement. Risk factors included maternal smoking despite safe sleep education at health assessments, poor home hygiene, an…

paediatricsforensic medicinesystem
TAShome2025-06-24

Coroner's Finding: Infant W and Infant P

Infant W: asphyxia due to accidental overlay by parent in unsafe sleeping enviro…

…critical failures by Child Safety Services: delays in case allocation (two months in each case), inadequate risk assessment despite identified high-risk factors (family violence, substance use, mental health issues, pare…

paediatricspsychiatrydiagnosticcommunicationmethadone
SAhome2024-06-28

Coroner's Finding: Evans, Caleb

0y · Male·unascertained, in an unsafe sleeping environment, on a background of respiratory…

Baby Caleb, aged 2 months, died on 30 November 2018 in an unsafe sleeping environment while his mother co-slept with him on a fold-out sofa in a squalid home. He had a concurrent respiratory tract infection. The coroner …

paediatricsgeneral practicesystemcommunication
TAS2021-09-17

Coroner's Finding: Infant Deaths

varied: sudden unexpected death in infancy (unsafe sleeping environment); drowni…

…, and poor internal communication. Common clinical issues included unsafe infant sleeping environments (co-sleeping, unsafe bedding), inadequate parental engagement with health services, family violence, substance abuse…

paediatricspsychiatrydiagnosticcommunicationalcohol
QLDhome2015-01-29

Daw, Lilly Ella - Non-inquest findings

1y · Female·cystic encephalomalacia

…her co-twin, died at one month of age from cystic encephalomalacia. The surviving twin had a documented 20% risk of neurological injury secondary to twin-twin transfusion syndrome, yet the planned foetal MRI to assess th…

obstetricspaediatricscommunicationdelay
VIChome2012-07-06

Finding into death of Baby J

0y · Unknown·Sudden Infant Death Syndrome (SIDS Category 2)

…n a bed with multiple blankets and pillows. The coroner's investigation examined shared sleep surfaces as a risk factor for infant death. Key clinical lessons include: room-sharing (separate surfaces) reduces SIDS risk b…

forensic medicinepaediatricscommunicationparacetamol
QLDhome2021-02-17

T, an eight week old infant - Non-inquest findings

0y · Male·Sudden infant death syndrome category II (SIDS) - accidental asphyxiation due to…

…tamines and methamphetamine postnatally. The Department of Child Safety failed to adequately assess serious risk factors identified by healthcare professionals, including the mother's active drug use, documented instance…

neonatologypaediatricssystemcommunicationheroin
QLDhospital2011-06-29

Heidrich, Bela

0y · Female·Mechanical asphyxia due to or as a consequence of overlaying while bed-sharing d…

Bela Heidrich, a newborn, died from mechanical asphyxia due to overlaying while bed-sharing with her mother during breastfeeding in hospital. The mother, Zelia, was exhausted after labour and fell asleep while breastfeed…

midwiferyobstetricscommunicationsupervisionpethidine
TAShome2018-12-17

Coroner's Finding: Pitchford, Rhiannon Pearl Vanessa

0y · Female·Sudden infant death whilst bed-sharing with risk factors including unsafe sleepi…

…ical failures by Child Safety Services included: premature closure of an 'unborn baby notification' without risk assessment despite known non-accidental injuries to an older sibling, inadequate safety planning, and poor …

paediatricsforensic medicinesystemdelaymorphine
NT2024-05-30

Inquest into the death of Douglass Maggie

46y · Male·Complications arising from hyperthermia, with alcohol intoxication and underlyin…

…ipation and thermoregulation, and that patients with epilepsy left unattended in hot vehicles face critical risk. The death highlights the danger of leaving intoxicated or vulnerable individuals unattended in enclosed ve…

emergency medicineparamedicinesystemdelayalcohol
WAmental health2021-10-22

Inquest into the Death of Russell David BROCKLISS

38y · Male·acute cardiac arrhythmia in a man with cardiomegaly, focal coronary atherosclero…

…-old Aboriginal man with severe treatment-resistant schizoaffective disorder and significant cardiovascular risk factors (obesity, smoking, focal coronary atherosclerosis), died from acute cardiac arrhythmia while in men…

psychiatryemergency medicinedelaysystemrisperidone depot
QLDhospital2007-11-06

Huber, Arisa

1y · Female·sudden unexpected death in infancy due to hypoxic episode while co-bedding with …

…2005, two days after birth. Key clinical lessons include: (1) the mother received no specific warning about risks of bed-sharing despite extreme exhaustion after labour and birth; (2) the required 15-30 minute observatio…

neonatologyobstetricscommunicationsystem

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