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VIChome2024-11-21

Finding into death of Baby S

<1y · Male·Hypoxic ischaemic encephalopathy in the setting of a breech delivery

A neonate born at home in breech presentation without medical assistance suffered hypoxic ischaemic encephalopathy and died at 7 days old. The mother had been counselled by hospital obstetricians about risks of home bree…

obstetricsemergency medicine
VIChospital2024-11-13

Finding into death of Baby XR

<1y · Male·Pneumonia (early-onset, caused by Group B Streptococcus)

Baby XR died at one day old from early-onset pneumonia caused by Group B Streptococcus (GBS) acquired during vaginal delivery. The mother had known GBS colonisation and received intrapartum prophylactic antibiotics as pe…

neonatologyobstetricscommunicationsystembenzylpenicillin
ACThospital2024-09-11

Inquest Into The Death Of Baby X

<1y · Male·Hypoxic-ischemic encephalopathy and massive subgaleal haemorrhage, both associat…

Baby X, born at Canberra Hospital after a prolonged labour, died at age 2 days from injuries sustained during birth. Two interlinked pathologies contributed to death: hypoxic-ischemic encephalopathy (HIE) from prolonged …

obstetricsneonatologydiagnosticcommunication
VIChome2024-08-19

Finding into death of Siya Yogin Patel

<1y · Female·hyperviscosity-related brain injury secondary to hypernatraemic dehydration

Siya Patel, a 23-day-old neonate, died from hyperviscosity-related brain injury secondary to severe dehydration caused by insufficient breastfeeding. Her family were recent emigrants without Medicare eligibility, creatin…

neonatologygeneral practicediagnosticcommunication
WAhospital2024-05-23

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

<1y · Female·brain death complicating head and neck injury

A five-month-old girl died from catastrophic brain injuries caused by violent shaking on 20 May 2019. Medical evidence established she was shaken by an adult on at least two occasions: once around 6 May 2019 (evidenced b…

paediatricsneonatologydiagnosticcommunicationmethamphetamine
NSWhospital2024-04-12

Inquest into the death of Everett Carleton

<1y · Male·multifactorial with severe hypoxia/hypotension which occurred in the background …

Everett Carleton died at birth following an emergency caesarean section complicated by unexpected placenta praevia and umbilical cord transection. The placenta was incorrectly reported as posterior on ultrasound, though …

obstetricsneonatologycommunicationprocedural
VIChome2024-03-06

Finding into death of Baby F

<1y · Female·Unascertained; circumstances suggest possible mechanical asphyxia in co-sleeping…

An 8-month-old premature infant died of unascertained causes while co-sleeping with her mother on a fold-out couch. Post-mortem examination revealed no significant injuries or toxins, but the sleeping position raised the…

neonatologypaediatricsthyroxine
VIC2024-01-17

Finding into death of Baby ZCZ

<1y · Female·Unascertained

Baby ZCZ, almost 15 weeks old, died of unascertained cause after being placed to sleep in a Fisher Price rocker at an unapproved home childcare service. Post-mortem examination including neuropathology, toxicology, bioch…

paediatricsforensic medicinesystem
VIChome2024

Finding into death of Baby E

<1y · Female·Neonatal pneumonia, meconium aspiration and chorioamnionitis secondary to prolon…

Baby E died at home one day after birth at 40+ weeks gestation following a prolonged labour in a hired plastic birthing pool. The mother had no antenatal care, no midwifery support, and her Group B Streptococcus status w…

obstetricsneonatologydiagnosticsystem
VIChospital2023-10-20

Finding into death of Vanessa Li

<1y · Female·subgaleal haematoma complicating an obstructed labour

Vanessa Li, a term infant born following obstructed labour, died at four days of age from subgaleal haemorrhage (SGH) with severe hypoxic-ischaemic encephalopathy. Labour was managed by private obstetrician Dr K., who wa…

obstetricsneonatologycommunicationdiagnosticoxytocin
TAShome2023-10-19

Coroner's Finding: de-identified FG

<1y · 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
SAhospital2023-08-30

Coroner's Finding: Fergusson, Logan Scott

<1y · Male·hypoxia and reduced pulmonary perfusion complicating congenital heart disease

Logan Scott Fergusson, a 6½-week-old neonate with complex congenital heart disease (pulmonary atresia with ventricular septal defect), died from hypoxia and reduced pulmonary perfusion following surgery at the Royal Chil…

cardiologypaediatricsdelaydiagnosticheparin
VIC2023-08-30

Finding into death of Baby A

<1y · Female·Sudden infant death syndrome (SIDS) category 2

Baby A, born on 6 August 2018 to a mother in remand custody at Dame Phyllis Frost Centre, died of SIDS category 2 on 18 August 2018 aged 12 days. She was born with neonatal abstinence syndrome due to maternal methadone u…

neonatologypaediatricssystemcommunicationmethadone
NSWhospital2023-08-22

Inquest into the death of AN

<1y · Female·Methylamphetamine toxicity

A newborn baby died 8 hours after birth from methylamphetamine toxicity acquired in utero. The mother unknowingly consumed methylamphetamine in the days before labour, likely by drinking from a contaminated bottle at a r…

neonatologypaediatricsmethamphetamine
TAShospital2023-08-02

Coroner's Finding: de-identified LD

<1y · Female·Intrapartum asphyxia refractory to postpartum resuscitation due to amniotic flui…

A term neonate died one hour after emergency caesarean section for fetal distress, caused by intrapartum asphyxia due to meconium aspiration. While labour induction, oxytocin dosing, and emergency surgery were appropriat…

obstetricsneonatologydiagnosticcommunicationoxytocin
SAhospital2023-07-28

Coroner's Finding: Searle, Bodhi Leo

<1y · Male·hypoxic ischaemic encephalopathy due to intrapartum asphyxia

Bodhi Leo Searle, aged 36 hours, died from hypoxic ischaemic encephalopathy due to intrapartum asphyxia. He was born to a woman in low-risk labour managed initially by independent midwife Stephanie Geyer. When labour did…

obstetricsmidwiferydiagnosticcommunication
WAhospital2023-07-07

Inquest into the Death of Ashlee Jade REINDL

<1y · Female·Fetal demise due to placental abruption and sepsis secondary to chorioamnionitis…

Ashlee Reindl died hours after birth in 2019 following a prolonged induction of labour complicated by fetal distress and chorioamnionitis. A catastrophic placental abruption occurred shortly before emergency caesarean se…

obstetricsmidwiferydiagnosticcommunicationoxytocin
SAhospital2023-06-30

Coroner's Finding: Vanin, Levi Shane

<1y · Male·severe neonatal encephalopathy, post palliative care; possible underlying cause:…

A 29-day-old neonate died from severe neonatal encephalopathy following birth asphyxia. The infant was born after prolonged induction and protracted second-stage labour at Lyell McEwin Hospital, followed by instrumental …

obstetricsneonatologydinoprostone
VIChome2023-01-25

Finding into death of Master T

1y · Male·Chronic Bronchial Asthma

Master T, a 17-month-old boy with chronic asthma, died from status asthmaticus on 25 November 2019. He had experienced recurrent wheezing episodes requiring multiple hospital admissions in September-October 2019. Medical…

paediatricsemergency medicinecommunicationsystemsalbutamol
NSWcommunity2022-10-13

Inquest into the death of Harvey McGlinn

<1y · Male·positional asphyxia

Harvey McGlinn, a 3-week-old infant, died from positional asphyxia while being carried in a Boba Wrap fabric sling in an incorrect position on 8 April 2019. The sling was positioned horizontally and low across his mother…

paediatricsneonatologysystemparacetamol
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