Coronial

54 results for emergency caesarean section

QLDhospital2017-06-28

Tonkin, Nixon Martin

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 ma…

obstetricsanaesthesiadiagnosticcommunicationoxytocin
QLDhospital2017-06-28

Langley, Archer

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

Archer Langley died at age 1 hour from severe amniotic fluid aspiration following delivery by emergency caesarean section for obstructed labour. His mother's labour was prolonged and difficult, but critical d…

obstetricsneonatologydiagnosticcommunicationprostin
VIChospital2014-01-22

Finding into death of Hannah McNeil

0y · Female·Pulmonary hypoplasia in the setting of ascending maternal genital tract infectio…

…died from pulmonary hypoplasia secondary to ascending maternal genital tract infection. She was born via emergency caesarean section after induction of labour for brow presentation. Despite resuscitation efforts, she re…

obstetricsneonatologydelaycommunicationoxytocin
WAhospital2017-08-22

Inquest into the Death of Baby CJ (Subject to Suppression Order)

0y · Male·hypoxia due to intrauterine pneumonia and haemorrhage with uterine rupture in a …

…rrhage and uterine rupture following prolonged rupture of membranes during a planned vaginal birth after caesarean (VBAC). The mother attended hospital with ruptured membranes at 38+6 weeks gestation but discharged hers…

obstetricsneonatologycommunicationdelayoxytocin
QLDhospital2014-12-09

Baby A - Non-inquest findings

Male·Hypoxic-ischaemic encephalopathy due to meconium aspiration syndrome

…ned liquor risk); water birth was allowed despite being contraindicated in severe pre-eclampsia; and the caesarean section was delayed 90 minutes after decision-to-delivery. The obstetrician did not review the admission…

obstetricsmidwiferydiagnosticprocedurallabetalol
VIChospital2022-09-30

Finding into death of Baby RMI

0y · Male·Perinatal hypoxia

An 8-day-old neonate died of perinatal hypoxia on 14 December 2019, 8 days after emergency caesarean section. The infant presented with seizures, hypotonia, and severe encephalopathy. Autopsy rev…

obstetricsneonatologycommunicationsystemintrathecal morphine
WAhospital2023-07-07

Inquest into the Death of Ashlee Jade REINDL

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

…cated by fetal distress and chorioamnionitis. A catastrophic placental abruption occurred shortly before emergency caesarean section, and though resuscitated, she suffered irreversible brain damage and died the same day…

obstetricsmidwiferydiagnosticcommunicationoxytocin
VIChospital2014-08-12

Finding into death of Baby Paula Victoria OShea

0y · Female·Intra-uterine hypoxia

…eline fetal heart rate and decelerations. The attending midwife attempted to contact the obstetrician; a Caesarean section was performed at 1425 hours (approximately 85 minutes later) for failure to progress. Baby Paula…

obstetricsmidwiferydiagnosticoxytocin
SAhospital2014-07-08

Coroner's Finding: SLEEP Aurora Doreen Maureen

4y · Female·hypoxic-ischaemic encephalopathy attributed to intrapartum asphyxia secondary to…

…ious uterine surgery is contraindicated with prostaglandins. Aurora's death was preventable via elective caesarean section. Key lessons: practitioners must communicate previous uterine injuries to patients and subsequen…

obstetricsmidwiferycommunicationdiagnosticprostaglandin gel
VIChospital2022-07-28

Finding into death of H C

6y · Male·Global cerebral ischaemia secondary to perinatal asphyxia

…d at 6 days old from global cerebral ischaemia secondary to perinatal asphyxia. He was born following an emergency caesarean section for obstructed labour and fetal distress. Key clinical lessons include: (1) continuous…

obstetricsneonatologydiagnosticcommunication
VIChospital2020-07-02

Finding into death of Cai Wheeler-Trow

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 clinical det…

obstetricspaediatricsdiagnosticcommunication
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…

obstetricsmidwiferypossibly preventable - management decision at 2.15pmoxytocin
VIChome2026-05-29

Finding into death of Baby R

0y · Male·Perinatal hypoxia

…ied from perinatal hypoxia on day 6 of life. The mother had significant obstetric risk factors: previous emergency caesarean section, macrosomic first baby, postpartum hemorrhage, and obstructed labor. Private midwife M…

obstetricsmidwiferydiagnosticcommunication
NSWhome2018-11-14

Inquest into the death of Jaxon McGrorey-Smith

0y · Male·neonatal encephalopathy due to perinatal compromise

Jaxon McGrorey-Smith, a full-term neonate, was delivered by caesarean section after prolonged labour. He developed seizures and signs of hypoxic-ischaemic encephalopathy (HIE…

neonatologyneurologyoxytocin
WAhospital2005-12-09

Inquest into the Death of Laura Marguerite Sinclair

31y · Female·Post-partum Haemorrhage associated with Amniotic Fluid Embolism and Uterine Hypo…

…st-partum haemorrhage associated with amniotic fluid embolism (AFE) and uterine hypotonia. She underwent emergency caesarean section for foetal distress at Peel Health Campus, experiencing heavy blood loss (estimated 15…

obstetricsanaesthesiadiagnosticcommunicationpethidine
VIChospital2011-12-14

Finding into death of Poppy Louise Habgood

0y · Female·Perinatal asphyxia

Poppy Louise Habgood was born at 0100 hours on 10 July 2008 by emergency caesarean section at 42 weeks gestation, weighing 3968g. She was born severely asphyxiated with a heart …

obstetricsmidwiferydiagnosticcommunication
VIChospital2014-03-21

Finding into death of Michelle Johnson

31y · Female·Ruptured splenic artery aneurysm with extensive retroperitoneal and intraperiton…

Michelle Johnson, a 31-year-old pregnant woman at 32 weeks gestation, presented to the Royal Women's Hospital with sudden-onset severe left-sided abdominal pain and hypotension on 21 March 2010. She was assessed by regis…

obstetricsemergency medicinecommunicationsystempethidine
NThospital2012-08-27

Inquest into the death of Kalotina Galimitakis

0y · Female·acute blood loss due to velamentous insertion of the umbilical cord with likely …

…ion about the cord abnormality even though it was mentioned; (3) protocols for alerting key personnel to emergency caesareans must be followed to ensure special care nursery is prepared; and (4) blood gas testing must b…

obstetricspaediatricsdiagnosticcommunication
NSWhospital2018-02-27

Inquest into the death of Michaela Perrin

26y · Female·sepsis

Michaela Perrin, 26, died from sepsis arising from a post-caesarean wound infection caused by MRSA on 22 October 2014. She presented to the Emergency Department on 20 Octob…

obstetricsemergency medicinediagnosticcommunicationceftriaxone
VIChospital2020-05-21

Finding into death of Baby S

Female·Sepsis in the setting of a lotus birth

A premature female neonate born at 36+5 weeks via emergency caesarean section developed sepsis and died at 2 days of age. She had been delivered with lotus birth (c…

obstetricspaediatricscommunicationsystembenzylpenicillin

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