Finding into death of BABY FF

<1y · Male·Hypoxic ischaemic encephalopathy and intracranial haemorrhage complicating obstructed labour

A term infant died on day 2 of life from hypoxic-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 foetal tachycardia and reduced variability on CTG monitoring. After failed attempts at vacuum and forceps delivery in the birthing room, an urgent category-one caesarean section was performed. The infant was born in poor condition with APGAR scores of 1, 2, 2 and required resuscitation and intubation. Significant birth injuries including subgaleal haemorrhage and intracranial bleeding were noted. While expert review found antenatal care and labour management were generally appropriate, the coroner identified inadequate FHR monitoring during transfer to theatre and lack of continuous CTG during the operative delivery attempt. The finding emphasises the importance of continuous foetal monitoring, appropriate escalation in obstructed labour, and multidisciplinary training for managing impacted foetal heads at caesarean section.