Coronial

54 results for emergency caesarean section

VIChospital2017-01-30

Finding into death of Baby Emma Folwell Kuno

0y · Female·Hypoxic-ischaemic encephalopathy in the setting of chronic placental insufficien…

…yed and poorly coordinated. By 5:25pm, obstetric review showed a clearly abnormal CTG pattern warranting emergency caesarean delivery, yet this was not performed until natural delivery occurred at 7:26pm. The coroner fo…

obstetricsmidwiferydiagnosticcommunication
NThospital2011-09-09

Inquest into the death of Linda Nha Tran

34y · Female·Catastrophic post-partum haemorrhage following caesarean delivery, secondary to …

A 34-year-old Vietnamese woman died from catastrophic postpartum haemorrhage following an elective caesarean delivery. Placenta accreta was discovered intraoperatively and managed with blood transfusion, uterotoni…

obstetricsanaesthesiamedicationcommunicationoxytocin
NThospital2018-11-26

Inquest into the death of Jessica Poulson

0y · Female·Hypoplastic left heart syndrome

…s a 17-day-old neonate born with hypoplastic left heart syndrome, a fatal congenital condition requiring emergency surgery unavailable in the Northern Territory. The parents elected palliative care, supported by paediat…

paediatricscardiologymorphine
ACThospital2009-04-28

Inquest Into The Death Of Stacey And Courtney Meas

Female·Stacey Meas: severe closed head injury from motor vehicle collision. Courtney Me…

…tained when the driver's car struck hers at a traffic light. Her unborn daughter, Courtney, was born via emergency caesarean but died from hypoxic brain injury 8 days later. The driver had developed hypoglycaemic unawar…

endocrinologyemergency medicinesysteminsulin
VIChospital2019-10-31

Finding into death of Armani El-Sayegh

0y · Female·Right ventricular failure secondary to pulmonary atresia with ventricular septal…

Armani El-Sayegh was a seven-month-old infant who died from right ventricular failure secondary to complex congenital heart disease (pulmonary atresia with ventricular septal defect and major aortopulmonary collateral ar…

cardiologyneonatologyprostin
SAhome2012-06-06

Coroner's Finding: Home Birthing - SPENCER-KOCH Tate and HOBBS Jahli Jean and KAVANAGH Tully Oliver

Tate Spencer-Koch: intrapartum hypoxia due to shoulder dystocia; Jahli Hobbs: in…

Three neonates died following complications during planned homebirths attended by midwife Lisa Barrett. Tate Spencer-Koch (4790g, macrosomic) died from intrapartum hypoxia caused by shoulder dystocia; delivery was obstru…

obstetricsmidwiferydiagnosticcommunication
VIChome2024-11-21

Finding into death of Baby S

7y · 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
VIChome2017-08-28

Finding into death of Tara Sue Love

22y · Female·Sudden Arrhythmic Death Syndrome

Tara Love, a 22-year-old woman, died from sudden arrhythmic death syndrome due to long QT syndrome (LQTS). She presented multiple times to the Royal Women's Hospital with ECG changes and electrolyte abnormalities during …

obstetricscardiologydiagnosticcommunicationlabetalol
VIChospital2012-06-22

Finding into death of Sebastian Hewitt

2y · Male·Perinatal asphyxia leading to cerebral anoxia and subsequent multi-organ failure

Sebastian Hewitt, born at 36 weeks gestation following maternal ante-partum haemorrhage and abnormal CTG traces, died from perinatal asphyxia leading to cerebral anoxia and multi-organ failure at 3 days old. Critical cli…

obstetricspaediatricsdiagnosticdelay
VIChospital2020-03-18

Finding into death of Sommer Bethany Warren

18y · Female·Generalised tonic-clonic seizure and cardiac arrest arising from severe hyperten…

An 18-year-old pregnant woman presented in labour at 41 weeks and 2 days gestation. From 23 September onwards, she experienced intermittent headaches, epigastric pain, proteinuria and peripheral oedema. At 1755 hours on …

obstetricsanaesthesiamedicationdiagnosticropivacaine
NThospital2009-05-28

Inquest into the death of Declan McConville

0y · Male·acute hypoxic damage caused by shoulder dystocia during delivery

…ve been performed in the operating theatre rather than the birthing suite, allowing easier conversion to caesarean section if needed. Antenatal recognition of the baby's large size (estimated 4.5 kg) through ultrasound …

obstetricspaediatricsproceduralsystemoxytocin
NSWmental health2011-06-23

Djordevic final

32y · Female·hypoxic brain injury as a result of a cardiac arrest due to positional asphyxia …

A 32-year-old woman with schizophrenia, well-controlled on clozapine, became pregnant. Poor communication between her general practitioners, community mental health service, and the hospital meant the hospital was unawar…

obstetricsgeneral practicecommunicationsystemclozapine
VIChospital2025-05-13

Finding into death of Baby W

0y · Male·subgaleal haematoma and subarachnoid haemorrhage complicating a prolonged labour

Baby W died within 40 minutes of birth from subgaleal haematoma and subarachnoid haemorrhage following a failed instrumental delivery for prolonged labour. The coroner identified critical missed opportunities in decision…

obstetricsneonatologydiagnosticproceduralclindamycin
WAhome2015-06-08

Inquest into the Death of Baby P

0y · Male·intrapartum hypoxia due to placental abruption

A second twin boy was born at home despite medical advice that twin pregnancies require hospital care. The mother, who strongly preferred home birth, disengaged from hospital when her preferences for birth management (va…

obstetricsmidwiferycommunicationdelay

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