Coronial

58 results for caesarean delivery

VIChospital2020-10-19

Finding into death of BABY FF

<1y · Male·Hypoxic ischaemic encephalopathy and intracranial haemorrhage complicating obstr…

…ic-ischaemic encephalopathy and intracranial haemorrhage following obstructed labour requiring emergency caesarean section. The mother presented in spontaneous labour at 39 weeks and experienced prolonged labour with fo…

obstetricsneonatologymonitoringcommunicationoxytocin
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 w…

obstetricsneonatologydiagnosticcommunicationprostaglandin gel
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 progr…

obstetricspaediatricsproceduralsystemcelestone
VIChospital2025-07-14

Finding into death of Baby Sidney

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

…ney 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 short of…

obstetricsneonatologydiagnosticcommunicationoxytocin
VIChospital2015-12-04

Finding into death of Baby Kylie Hamilton

<1y · 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 co…

obstetricsmidwiferyproceduraloxytocin
VIChospital2015-04-02

Finding into death of Linda Elizabeth Parker

39y · Female·Hypoxic brain injury secondary to multiple hypovolaemic cardiac arrests from cat…

…ied from hypoxic brain injury following catastrophic postpartum haemorrhage from placenta increta during caesarean delivery. Critical lessons: (1) Placenta increta risk was not detected prenatally despite three prior ca…

obstetricsanaesthesiadiagnosticdelay
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…

obstetricsmidwiferysystemcommunicationoxytocin
SAhospital2008-05-23

Coroner's Finding: KROL Riley

<1y · Male·hypoxic ischaemic encephalopathy

Riley Krol, a 11-day-old male infant, died from hypoxic ischaemic encephalopathy following emergency caesarean section delivery on 1 March 2005. After artificial rupture of membranes during labour induction, the foe…

obstetricsanaesthesiacommunicationsystemcervedil
SAhome2007-07-12

Coroner's Finding: STEPHEN Esther Ruth

Female·hypoxic-ischaemic encephalopathy due to intrapartum hypoxia due to delayed deliv…

… encephalopathy following a planned home birth of twins. The second twin experienced a prolonged delay in delivery (over 60 minutes) during which foetal heart rate decelerations were noted. An independent midwife appropr…

obstetricsmidwifery
NSWhospital2024-04-12

Inquest into the death of Everett Carleton

<1y · Male·multifactorial with severe hypoxia/hypotension which occurred in the background …

Everett Carleton died at birth following an emergency caesarean section complicated by unexpected placenta praevia and umbilical cord transection. The placenta was inco…

obstetricsneonatologycommunicationprocedural
VIChospital2015-07-15

Finding into death of Baby Mabel Windmill

<1y · Female·Congenital Streptococcus agalactiae (Group B) pneumonia in the setting of compli…

Baby Mabel Windmill was born in a moribund state following emergency caesarean section after complicated labour and died from congenital Group B streptococcal pneumonia. The inquest i…

obstetricsanaesthesiadiagnosticmedicationbenzylpenicillin
TAShospital2022-02-08

Coroner's Finding: KN - deidentified

<1y · Male·global hypoxic ischaemic encephalopathy

A term breech baby was born at Launceston General Hospital following a traumatic vaginal delivery with instrumental assistance after failed initial extraction attempts. The infant suffered severe hypoxic…

obstetricsmidwiferydiagnosticdelay
VIChospital2025-02-18

Finding into death of Tasman Murray Tribe

<1y · Male·Complications of birth-related traumatic head injury

…plications of birth-related traumatic head injury. Labour was prolonged in the second stage; instrumental delivery was attempted but abandoned due to a deeply impacted fetal head. Emergency caesarean section was performe…

obstetricsneonatologyoxytocin
VIChospital2014-02-24

Finding into death of Baby Jacob Hill

<1y · Male·complications of intrauterine hypoxia

…9-week primiparous labour was complicated by deep transverse arrest. After initial assessment suggesting caesarean delivery, the consultant (Dr D.) elected to trial forceps delivery, which failed due to cephalopelvic di…

obstetricspaediatricscommunicationdelaypethidine
NSWhospital2016-03-11

Inquest into the death of Elsie COGHILL

<1y · Female·Hypoxic ischaemic encephalopathy caused by multiple factors including lung abnor…

…ansfer, and undiagnosed bilateral tension pneumothoraces. The mother attempted VBAC (vaginal birth after caesarean) after an earlier planned elective caesarean was not completed when the patient presented at 40+ weeks. …

obstetricsneonatologycommunicationsystemoxytocin
VIChospital2025-02-20

Finding into death of Mia Rose Iskander

<1y · Female·Complications of ascending uterine infection (Klebsiella pneumoniae) in the sett…

…itical delays occurred on 18 June during labour: abnormal CTG was first noted at 12:43 pm but Category 1 caesarean decision not made until 2:02 pm (79 minutes later), with agreement about delivery need reached at 1:14 p…

obstetricsneonatologydiagnosticdelayamoxicillin
QLDhospital2017-06-28

Tonkin, Nixon Martin

<1y · Male·Head injuries (birth trauma) secondary to obstructed labour and fetal macrosomia…

Nixon Martin Tonkin died from head injuries sustained during caesarean delivery for obstructed labour at 38 weeks gestation. The infant's head became deeply impacted in the ma…

obstetricsanaesthesiadiagnosticcommunicationoxytocin
WAhospital2017-08-22

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

<1y · Male·hypoxia due to intrauterine pneumonia and haemorrhage with uterine rupture in a …

…rrhage and uterine rupture following prolonged rupture of membranes during a planned vaginal birth after caesarean (VBAC). The mother attended hospital with ruptured membranes at 38+6 weeks gestation but discharged hers…

obstetricsneonatologycommunicationdelayoxytocin
VIChospital2012-01-31

Finding into death of Summer Elizabeth Rose Niehoff

<1y · Female·Perinatal asphyxia

…nitoring reliability; poor quality CTG interpretation in critical final hours; and reversal of a planned Caesarean section in favour of vaginal delivery based on inadequate clinical information. The coroner stated that …

anaesthesiamidwiferycommunicationdiagnosticoxytocin
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 o…

obstetricsneonatologycommunicationdelayoxytocin

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.