329 results for “delivery”
44y · Male·Electrocution from high voltage (12,700V) overhead power line contact
… overhead line, delivering a fatal electric shock. Preventable contributing factors included: lack of pre-delivery site assessment, minimal driver training on safe distances from power lines ('no-go zones'), absence of a…
0y · Female·Congenital Streptococcus agalactiae (Group B) pneumonia in the setting of compli…
…ed several suboptimal clinical management decisions. Despite high BMI (48), Mrs Windmill was approved for delivery at a regional hospital without full antenatal risk counselling. During labour, an abnormal cardiotocograp…
Female·Hypoxic ischaemic encephalopathy following hypovolaemic shock and multi-organ fa…
… staff failed to alert the obstetrician when the CTG trace deteriorated significantly at 1:50am, delaying delivery by 1 hour 15 minutes; the paediatrician missed early clinical signs of bleeding (vasoconstriction, boggy …
1y · Male·Head injury in the setting of labour
Finn Moser was a one-day-old neonate who died from head injury sustained during labour and delivery at the Royal Women's Hospital. He was born to a mother with dichorionic diamniotic twins, induced at 36 w…
0y · Female·Perinatal asphyxia
… interpretation in critical final hours; and reversal of a planned Caesarean section in favour of vaginal delivery based on inadequate clinical information. The coroner stated that better pain relief, continuous fetal mo…
0y · Female·Hypoxic ischaemic encephalopathy due to true knot in umbilical cord
…was off-site, 30 minutes away. At 0418 hours a significant bradycardia to 60 bpm prompted assisted vacuum delivery at 0431 hours. The infant required extensive resuscitation and died 2 days later. The coroner found the r…
0y · Female·Hypoxic ischaemic encephalopathy due to intra-partum event and E. coli sepsis, s…
…nclature delayed resuscitation by 30 seconds to 4 minutes—surviving twins should be clearly identified at delivery using unambiguous language; (2) E. coli chorioamnionitis signs (maternal pyrexia, malodorous baby) requir…
0y · Male·Head injuries (birth trauma) secondary to obstructed labour and fetal macrosomia…
Nixon Martin Tonkin died from head injuries sustained during caesarean delivery for obstructed labour at 38 weeks gestation. The infant's head became deeply impacted in the maternal pel…
0y · Male·Head injury in the setting of labour
Baby Cai Wheeler-Trow was born at 36 weeks and 2 days following a failed instrumental delivery and emergency caesarean section. He developed a skull fracture and subgaleal haemorrhage, presenting with…
51y · Male·Electrocution from high voltage electricity wires
…hn Richard Jones, died from electrocution while acting as a spotter for a tipper truck driver during lime delivery to his Mudgegonga property. The truck trailer contacted a 12,700-volt Single Wire Earth Return (SWER) ove…
0y · Male·hypoxia due to intrauterine pneumonia and haemorrhage with uterine rupture in a …
…ned, influenced by their successful previous vaginal births. After further deterioration and instrumental delivery complications, forceps were eventually applied at 9:11pm. The baby was born in severe distress with cord …
30y · Male·Electrocution from contact with 22,000 volt overhead power lines
Dallas Anderson, a 30-year-old truck driver, was fatally electrocuted on 9 January 2006 when his lime-delivery tipper trailer contacted 22,000-volt overhead power lines on a rural Victoria farm. He had received gener…
0y · Male·complications of intrauterine hypoxia
…imiparous labour was complicated by deep transverse arrest. After initial assessment suggesting caesarean delivery, the consultant (Dr D.) elected to trial forceps delivery, which failed due to cephalopelvic disproportio…
0y · Male·hypoxic ischaemic encephalopathy
… 11-day-old male infant, died from hypoxic ischaemic encephalopathy following emergency caesarean section delivery on 1 March 2005. After artificial rupture of membranes during labour induction, the foetus developed seve…
0y · Female·Hypoxic episode, probably caused by cord entanglement during delivery
…in ~20% of births but is lethal in <1% in hospital settings where continuous fetal monitoring and skilled delivery can detect complications. Without antenatal assessment, cord entanglement went undetected and unmanaged. …
55y · Male·Electrocution
Gavin Boyd, a 55-year-old truck driver, died from electrocution when his trailer contacted overhead 22kV power lines while delivering fertiliser to a dairy farm. The farm owner directed him to unload in Paddock 1 but did…
0y · Female·Complications of ascending uterine infection (Klebsiella pneumoniae) in the sett…
…2:43 pm but Category 1 caesarean decision not made until 2:02 pm (79 minutes later), with agreement about delivery need reached at 1:14 pm. The on-call consultant obstetrician was inadequately involved in decision-making…
0y · Male·complications of extreme prematurity in the setting of precipitant premature bre…
…ring drug calculation tools are accessible even during sterile procedures; and the critical importance of delivery in tertiary maternity centres for extremely premature infants.
0y · Male·global hypoxic ischaemic encephalopathy
A term breech baby was born at Launceston General Hospital following a traumatic vaginal delivery with instrumental assistance after failed initial extraction attempts. The infant suffered severe hypoxic…
0y · Female·acute blood loss due to velamentous insertion of the umbilical cord with likely …
…e followed to ensure special care nursery is prepared; and (4) blood gas testing must be prioritized post-delivery to guide management. While the underlying condition was rare and potentially unpreventable, systemic fail…
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