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VIChome2019-12-11

Finding into death of Maddox Garry Wheeler

0y · Male·Unascertained

A 10-week-old boy born at 35 weeks gestation was found asleep on his mother's chest while she was asleep on a couch and died from an unascertained cause. Post-mortem toxicology detected methamphetamine and cannabis; the …

neonatologyobstetricscommunicationdelaymethamphetamine
VIChospital2019-11-11

Finding into death of Finn Moser

1y · Male·Head injury in the setting of labour

Finn Moser was a one-day-old neonate who died from head injury sustained during labour and delivery at the Royal Women's Hospital. He was born to a mother with dichorionic diamniotic twins, induced at 36 weeks due to pre…

obstetricsneonatologydiagnosticcommunicationprostaglandin gel
VICcommunity2019-10-30

Finding into death of Sanaya Sahib

1y · Female·Suffocation

Sanaya Sahib, age 14 months, died from suffocation on 9 April 2016. Her mother, Sofina Nikat, deliberately suffocated her and left her body in Darebin Creek. Ms Nikat was experiencing significant social isolation, family…

obstetricspsychiatrysystemdelaymethamphetamine
VIChospital2019-09-26

Finding into death of Tangimama Tavai

35y · Female·Unascertained

A 35-year-old grand multipara with multiple risk factors (BMI >35, smoking, grand multiparity, pregnancy-induced hypertension) presented at 40+4 weeks with absent foetal movements and was induced on Sunday evening. She e…

obstetricsanaesthesiacommunicationsystemoxytocin
VIChospital2019-09-18

Finding into death of Lucia Grace Sefton (Bowlen)

Female·Head injury in the setting of an obstructed labour

A term-destined baby (35 weeks gestation) died from head injuries sustained during delivery. She presented to hospital with suspected preterm labour, was managed conservatively initially, and progressed to spontaneous la…

obstetricspaediatricsproceduralsystemcelestone
NSWhospital2019-07-29

Inquest into the death of Naomi Williams

27y · Female·Septicaemia secondary to Neisseria meningitides infection

Naomi Williams, a 27-year-old Wiradjuri woman, died from meningococcal septicaemia on 1 January 2016. She presented to Tumut Hospital in the early hours with generalised aches and pains while pregnant. Despite vital sign…

emergency medicinegeneral practicediagnosticcommunicationparacetamol
VIChospital2019-06-17

Finding into death of Baby L

0y · Female·OEIS Complex (Omphalocoele, Exstrophy of Cloaca, Imperforate Anus, Spinal Defect…

Baby L died aged 7 days from OEIS Complex (a severe congenital condition involving omphalocoele, exstrophy of cloaca, imperforate anus, and spinal defects) combined with prematurity at 32 weeks gestation. The defect was …

neonatologypaediatric surgery
NThospital2018-11-26

Inquest into the death of Jessica Poulson

0y · Female·Hypoplastic left heart syndrome

Jessica Agnes Poulson was 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 car…

paediatricscardiologymorphine
NSWhome2018-11-14

Inquest into the death of Jaxon McGrorey-Smith

0y · Male·neonatal encephalopathy due to perinatal compromise

Jaxon McGrorey-Smith, a full-term neonate, was delivered by caesarean section after prolonged labour. He developed seizures and signs of hypoxic-ischaemic encephalopathy (HIE) within hours of birth, with MRI imaging conf…

neonatologyneurologyoxytocin
VIChospital2018-10-26

Finding into death of Baby B

1y · Male·Hypoxic-ischaemic encephalopathy and multisystem failure in the setting of extre…

Baby B was born by emergency breech extraction in an ambulance after obstructed labour, sustaining severe hypoxic-ischaemic injury. The death was multifactorial. The mother had limited antenatal care despite known metham…

obstetricsneonatologydiagnosticsystemmethamphetamine
VIChospital2018-10-05

Finding into death of Baby W

Female·Intrauterine pneumonia and meconium aspiration complicating intrauterine growth …

Baby W was born at 37+5 weeks in an ambulance and died at Bendigo Hospital from intrauterine pneumonia and meconium aspiration secondary to intrauterine growth restriction related to maternal amphetamine use. The mother …

obstetricsneonatologydiagnosticsystemmethamphetamine
VIChospital2018-09-27

Finding into death of Elizabeth Mary Gorman

35y · Female·Pulmonary thromboembolus and pulmonary infarction

A 35-year-old woman at 11 weeks gestation presented to Royal Women's Hospital Emergency Care on 3 September 2012 with chest and rib pain following severe vomiting. Dr M., a junior resident working alone overnight, assess…

emergency medicineobstetricsdiagnosticcommunicationoxycodone
QLDhospital2018-09-21

Baby M

0y · Female·Intracranial and intrapulmonary haemorrhage due to traumatic head injury from fa…

Baby M died shortly after birth on 11 February 2016 at Gladstone Base Hospital from intracranial and intrapulmonary haemorrhage due to traumatic head injury from a fall, complicated by Group B Streptococcal sepsis. A nur…

obstetricsmidwiferydiagnosticmedicationantibiotics
WAhospital2018-08-23

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

0y · Unknown·Mechanical asphyxiation as a consequence of overlaying

Baby A, a 7-week-old premature infant, died from mechanical asphyxiation due to overlaying while co-sleeping with his mother at Derby Hospital. The baby had been transferred from Darwin Hospital for weight monitoring and…

neonatologymidwiferycommunicationsystem
VIChome2018-07-10

Finding into death of Shrihan Gannaram

0y · Male·Multiple injuries sustained from impact with the ground from an extended height …

A 4-month-old boy fell from a third-floor balcony on 14 July 2015 in Melbourne, resulting in multiple injuries including abdominal stab wounds. His mother, despite experiencing postpartum depression and social isolation …

paediatricsobstetricssystem
NSWhospital2018-06-22

Inquest into the death of Manusiu Amone

0y · Female·ischaemic hypoxic encephalopathy secondary to factors associated with the sudden…

Manusiu Amone died from ischaemic hypoxic encephalopathy secondary to persistent pulmonary hypertension of the newborn (PPHN), not from pethidine toxicity as initially suspected. At 145 minutes of life, she developed gas…

obstetricsneonatologymedicationcommunicationpethidine
NSWhospital2018-06-22

Inquest into the death of Jasmine Chiang

0y · Female·Hypoxia resulting from primary idiopathic pulmonary hypertension of the newborn …

Jasmine Chiang died at 7 hours of age from primary idiopathic pulmonary hypertension of the newborn (PPHN), probably complicated by pulmonary haemorrhage. She presented with classic PPHN signs (harlequin appearance, diff…

neonatologypaediatricsdelaypethidine
NSWhospital2018-02-27

Inquest into the death of Michaela Perrin

26y · Female·sepsis

Michaela Perrin, 26, died from sepsis arising from a post-caesarean wound infection caused by MRSA on 22 October 2014. She presented to the Emergency Department on 20 October with severe pain, tachycardia (125 bpm), and …

obstetricsemergency medicinediagnosticcommunicationceftriaxone
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
WAhospital2017-08-22

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

0y · Male·hypoxia due to intrauterine pneumonia and haemorrhage with uterine rupture in a …

A neonate died shortly after birth from hypoxia due to intrauterine pneumonia, haemorrhage and uterine rupture following prolonged rupture of membranes during a planned vaginal birth after caesarean (VBAC). The mother at…

obstetricsneonatologycommunicationdelayoxytocin
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