Coronial

28 results for high-risk pregnancy

QLDhospital2021-01-20

Palhares, Fabiana - Non-inquest findings

34y · Female·Head injuries from blunt force trauma (multiple blows from axe); abdominal injur…

A 34-year-old pregnant woman died from severe head and abdominal injuries inflicted by her estranged partner in a domestic violence homicide. The death followed escalating domestic and family violence (DFV) including phy…

emergency medicinepsychiatrydiagnosticcommunicationmirtazapine
NSW2022-07-22

Inquest into the death of Daniel KING

33y · Male·multiple gunshot wounds to the head, trunk and limbs

… threats they perceived. Critical learning includes: adequate mental health support and surveillance for high-risk individuals; improved police communications protocols during active incidents; and ensuring mental healt…

psychiatryneurologysystemcocaine
VICcommunity2010

Finding into death of Mikael Chandra Rohan

14y · Male·head injuries when struck by a train

…after stepping in front of a train on 16 November 2010. He had recently been distressed about a reported pregnancy with a girlfriend and experienced a rapid deterioration following his girlfriend ending their relationsh…

psychiatrygeneral practicediagnosticcommunicationtemazepam
NSWhome2016-09-14

Inquest into the death of NA

0y · Male·Hypoxic ischaemic encephalopathy (brain damage) sustained during and just after …

…e clear medical advice against home birth, the parents proceeded. Key clinical lessons: (1) GPs managing high-risk pregnancies need support from peak bodies with clear guidelines on non-hospital births; (2) when a patie…

general practiceobstetricscommunicationsystem
QLDhospital2017-06-28

Langley, Archer

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

…full clinical assessment. The consultant was absent due to personal distress and unavailable despite the high-risk nature of the case. An 85-minute delay occurred between decision and operation. Expert evidence was conf…

obstetricsneonatologydiagnosticcommunicationprostin
VIChome2002-08-30

SMEETON Debra

34y · Female·Dothiepin toxicity in a setting of post-natal depression

…fter her first child in 1996, requiring hospitalisation and ECT. Anticipating recurrence with her second pregnancy, she proactively sought psychiatric care from Dr D., who prescribed dothiepin (Prothiaden), a cardiotoxi…

psychiatryobstetricscommunicationmedicationdosulepin
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
NSWhome2018-06-08

Inquest into the death of BL GN and D G

Female·Sudden Unexpected Death in Infancy (SUDI), otherwise undetermined

…never properly assessed. The critical issue was a 'competing priorities' culture that allowed closure of high-risk child protection reports without proper evaluation, escalation, or home visits. The mother's chronic dru…

paediatricsneonatologysystemdelayice/methamphetamine

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