91 results for “pregnancy”
Female·meconium aspiration
Talisha Hildebrandt was stillborn at Ayr Hospital on 7 January 2007 due to meconium aspiration. The pregnancy was low-risk and managed appropriately. A CTG monitor showed concerning fetal heart rate changes, prompt…
0y · Female·Intracranial and intrapulmonary haemorrhage due to traumatic head injury from fa…
… Key clinical lessons include: inadequate prenatal care with missed opportunities for earlier induction (pregnancy went 14 days post-due date); failure to admit the mother to hospital when she called with strong contrac…
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…
1y · Male·Hypoxic ischaemic encephalopathy
Dean Smith, a full-term neonate, was born severely asphyxiated after an induced labour managed at Central Gippsland Health Service. He died from hypoxic-ischaemic encephalopathy within 24 hours. The coroner found critica…
37y · Female·Hypoxic ischaemic encephalopathy as a direct result of neck compression
Ms TP, a 37-year-old woman of Indian origin living in Victoria, died from hypoxic ischaemic encephalopathy resulting from ligature strangulation (neck compression). She was admitted to ICU in cardiac arrest and died nine…
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 showed concerning CTG ab…
0y · Female·Peripartum hypoxia
Mia Davies died from peripartum hypoxia after a prolonged and poorly managed labour at Royal Brisbane and Women's Hospital. She had been diagnosed with multiple congenital anomalies (atrioventricular septal defect, oesop…
32y · Female·Head injuries in a motor vehicle incident
Helena Zoe Broadbent, a 32-year-old pregnant Aboriginal woman, died from severe head injuries sustained when her partner William Wilson drove off in a vehicle while she was partially inside it, causing her to be ejected …
42y · Female·Global cerebral ischaemia in a setting of anaesthesia
…rom global cerebral ischaemia following cardiac arrest during anaesthesia for a late-term termination of pregnancy. The anaesthetist, Dr McAllister, failed to obtain or ensure a functioning pulse oximeter reading before…
3y · Unknown·Unascertained - natural causes; evidence of aspiration pneumonia, hypoxic-ischae…
Baby R, born at 38 weeks gestation to a mother with previous pregnancy losses, was small-for-gestational-age (SGA, 10th centile). The mother was appropriately excluded from th…
0y · 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…
0y · Male·severe hypoxic ischaemic encephalopathy secondary to uterine rupture
Baby AM died from severe hypoxic ischaemic encephalopathy secondary to uterine rupture during a planned home vaginal birth after caesarean (VBAC). The mother, Ms M, was 40 weeks and 5 days pregnant, attended by a private…
30y · Female·Hanging
A 30-year-old woman with borderline personality disorder, substance abuse history, and exposure to multiple family suicides (father, close friend, partner's mother) presented to Emergency Department after self-harm and s…
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…
0y · Male·Perinatal hypoxic ischaemic encephalopathy with severe diffuse cortical necrosis…
…ions and delayed obstetric intervention. The infant was delivered at term after induction for post-dates pregnancy. During labour, syntocinon infusion was increased to 120 ml/hour without adequate clinical oversight by …
0y · Female·Hypoxic ischaemic encephalopathy due to intra-partum event and E. coli sepsis, s…
Elsie Robertson was a preterm neonate born at 30 weeks gestation from a monochoroidal diamniotic twin pregnancy complicated by Twin-to-Twin Transfusion Syndrome (TTTS) treated with laser photocoagulation at 23 weeks.…
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…
19y · Female·Mechanical asphyxia due to crush injuries sustained under coach rollover; pregna…
On 16 April 2009, a V-Line coach rolled over on the Princes Highway near Heathmere, Victoria, killing three occupants: Sabrina Brady (19 years, 7 months pregnant), her daughter Madison Dobie, and Justin Pomery. The coach…
25y · Female·ruptured splenic artery aneurysm with haemorrhage and internal blood loss
A 25-year-old pregnant woman (23 weeks) presented to hospital with sudden left upper quadrant abdominal pain and loss of consciousness. Clinical assessment identified renal colic and gallstones as likely diagnoses. She r…
Unknown·Multiple injuries (road crash)
Three family members died on 1 February 2015 when a car was deliberately driven into a tree: Darren Milne (42), his wife Susana Estevez Castillo (39, pregnant), and their son Liam (11). Darren, an electrical engineer, pr…
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