Coronial

21 results for artificial rupture of membranes

NSWhospital2012-12-11

Ty lacey findings dsc guy

Male·Extreme prematurity

Ty Lacey was born at 24.2 weeks gestation with Twin to Twin Transfer Syndrome (TTTS) after his co-twin died in utero. His parents explicitly requested full resuscitation and transfer to Sydney. When Mrs Lacey laboured at…

obstetricsneonatologycommunicationsystem
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
SAhospital2008-05-23

Coroner's Finding: KROL Riley

<1y · Male·hypoxic ischaemic encephalopathy

…m hypoxic ischaemic encephalopathy following emergency caesarean section delivery on 1 March 2005. After artificial rupture of membranes during labour induction, the foetus developed severe, sustained bradycardia lasting…

obstetricsanaesthesiacommunicationsystemcervedil
VIChospital2014-01-22

Finding into death of Hannah McNeil

<1y · Female·Pulmonary hypoplasia in the setting of ascending maternal genital tract infectio…

Hannah McNeil, a term neonate, died from pulmonary hypoplasia secondary to ascending maternal genital tract infection. She was born via emergency caesarean section after induction of labour for brow presentation. Despite…

obstetricsneonatologydelaycommunicationoxytocin
VIChospital2021-11-08

Finding into death of Baby MNL

<1y · Male·Hypoxic ischaemic encephalopathy complicating peri partum asphyxia

A term neonate died at 3 days of age from hypoxic ischaemic encephalopathy due to perinatal asphyxia. The mother presented in early labour, was initially discharged, then readmitted when labour progressed. Labour progres…

obstetricsneonatologysystemcommunicationterbutaline
VIChospital2014-08-12

Finding into death of Baby Paula Victoria OShea

<1y · Female·Intra-uterine hypoxia

Baby Paula O'Shea was born at Sandringham Hospital at term following spontaneous labour. Labour was augmented with IV Syntocinon after ARM. Cardiotocography (CTG) monitoring was difficult to interpret due to poor detecti…

obstetricsmidwiferydiagnosticoxytocin
VIChospital2025-07-14

Finding into death of Baby Sidney

<1y · Male·Head injury sustained in a difficult delivery including head impaction and caesa…

Baby Sidney died from severe hypoxic-ischaemic encephalopathy caused by head impaction during a difficult vaginal delivery attempt and subsequent caesarean section at 6 days old. The coroner found that medical care fell …

obstetricsneonatologydiagnosticcommunicationoxytocin
VIChospital2017-01-30

Finding into death of Baby Emma Folwell Kuno

<1y · Female·Hypoxic-ischaemic encephalopathy in the setting of chronic placental insufficien…

Emma, born 26 July 2011, developed severe hypoxic-ischaemic encephalopathy associated with chronic placental insufficiency and died at 4 days old. Her mother reported reduced foetal movements after 34 weeks' gestation, b…

obstetricsmidwiferydiagnosticcommunication
WAhome2015-06-08

Inquest into the Death of Baby B

<1y · Male·severe hypoxic ischaemic encephalopathy due to apparent perinatal asphyxia

Baby B suffered severe perinatal asphyxia during a planned home birth and died from hypoxic ischaemic encephalopathy. An obstetrician recommended hospital delivery based on the mother's previous unexplained neonatal emer…

obstetricsmidwiferycommunicationsystem
VIChospital2011-06-16

Finding into death of Owen Appleby

<1y · 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
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

<1y · Male·acute hypoxic damage caused by shoulder dystocia during delivery

Declan Brian McConville was born with shoulder dystocia (impacted shoulders) after vacuum-assisted delivery at Royal Darwin Hospital on 31 August 2007. He was stuck in the birth canal for approximately 15 minutes before …

obstetricspaediatricsproceduralsystemoxytocin
NSWhospital2018-06-22

Inquest into the death of Manusiu Amone

<1y · 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
QLDhospital2013-09-05

Sparreboom, Sophie Claire - Non-inquest findings

<1y · Female·Cerebral hypoxia due to placental abruption

Sophie Sparreboom died from cerebral hypoxia secondary to placental abruption following emergency caesarean section. Gestational diabetes indicated planned induction at term. At 2050 hours, antepartum haemorrhage and pat…

obstetricsmidwiferysystemcommunicationoxytocin
WAhospital2005-12-09

Inquest into the Death of Laura Marguerite Sinclair

31y · Female·Post-partum Haemorrhage associated with Amniotic Fluid Embolism and Uterine Hypo…

Laura Marguerite Sinclair, 31-year-old primigravida, died from post-partum haemorrhage associated with amniotic fluid embolism (AFE) and uterine hypotonia. She underwent emergency caesarean section for foetal distress at…

obstetricsanaesthesiadiagnosticcommunicationpethidine
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
QLDhospital2012-10-25

Paudel, Preston

Male·Global hypoxic-ischaemic encephalopathy

Preston Paudel, born at 37 weeks gestation after meconium-stained labour with syntocinon augmentation, was delivered severely compromised with Apgar scores of 1-1-1 and died of hypoxic-ischaemic encephalopathy. Multiple …

obstetricsmidwiferydiagnosticcommunicationoxytocin
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
QLDhospital2017-06-28

Langley, Archer

<1y · Male·Amniotic fluid aspiration (severe); with contribution from thin umbilical cord a…

Archer Langley died at age 1 hour from severe amniotic fluid aspiration following delivery by emergency caesarean section for obstructed labour. His mother's labour was prolonged and difficult, but critical delays occurr…

obstetricsneonatologydiagnosticcommunicationprostin
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

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