Finding into death of Baby L

0y · Female·OEIS Complex (Omphalocoele, Exstrophy of Cloaca, Imperforate Anus, Spinal Defects) and prematurity

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 incompatible with life—the large abdominal wall defect caused lethal fluid losses, renal failure, intestinal failure, and sepsis risk. Surgical repair was deemed impossible due to defect size, and even if feasible would not achieve continence. The medical team appropriately made a palliative care decision on day 7. The coroner found no preventable issues; the anomalies were random in nature and unrelated to maternal risk factors. This case illustrates appropriate end-of-life decision-making in a lethal congenital condition where aggressive intervention was futile.