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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
VIChospital2012-05-23

Finding into death of Dean Smith

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…

obstetricsmidwiferydiagnosticproceduralprostaglandin
VIChospital2012-01-31

Finding into death of Summer Elizabeth Rose Niehoff

0y · Female·Perinatal asphyxia

Summer Elizabeth Rose Niehoff died from perinatal asphyxia hours after vaginal birth following a prolonged labour in hospital. The coroner found multiple clinically preventable failures: escalation of oxytocin augmentati…

anaesthesiamidwiferycommunicationdiagnosticoxytocin
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 rate of 60bpm and died at 0126 hours despit…

obstetricsmidwiferydiagnosticcommunication
VIChospital2011-07-11

Finding into death of Cara Grace Zambelli

0y · Female·Hypoxic ischaemic encephalopathy due to true knot in umbilical cord

A term infant died from hypoxic ischaemic encephalopathy caused by a true knot in the umbilical cord. The mother presented in labour with spontaneous rupture of membranes and had a prolonged second stage. Foetal heart ra…

obstetricsneonatologycommunicationsystemadrenaline
VIChospital2011-06-16

Finding into death of Owen Appleby

0y · Male·Hypovolemic shock, metabolic acidosis and coagulopathy in association with subga…

Owen Appleby, born at Portland Hospital after labour induction, developed hypovolemic shock and died at Warrnambool Hospital 17 hours after birth. Ventouse extraction was used to assist delivery; he was born with low APG…

obstetricsneonatologydiagnosticdelayprostin gel
VIChospital2010-09-03

Finding into death of Jacinta Megan Pascoe

0y · Female·Myocardial infarction

Jacinta Pascoe, a 4-week-old premature infant, died of myocardial infarction due to unclear aetiology on 10 July 2007. She presented to Austin Hospital via ambulance on 9 July with vomiting, limpness, and grunting. Clini…

neonatologyemergency medicinecommunicationsystem
VIChospital2008-08-15

Finding into death of William Grant Keays

Male·Hypoxic brain injury arising from intra-uterine asphyxia (causative factors unas…

William Keays was a neonate born at 37 weeks via emergency caesarean section for fetal distress during labour induction with Syntocinon. He was stillborn with Apgar scores of 0/0/1, requiring 12 minutes of resuscitation …

obstetricsneonatologycommunicationdelayoxytocin
VIChospital2003-02-01

AINALIDIS Taylor

0y · Male·Cardiorespiratory failure due to failure of anaesthetic rebreathe bag

Taylor Ainalidis, aged 3 weeks, died on 21 June 2000 at the Royal Children's Hospital following cardiorespiratory failure during resuscitation after surgery for Tetralogy of Fallot. The primary cause was failure of an an…

cardiothoracic surgeryanaesthesiasystemprocedural

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