Coronial

13 results for failure to progress in labour

VIChospital2015-12-04

Finding into death of Baby Kylie Hamilton

0y · Female·perinatal asphyxia

…d neonate, died from perinatal asphyxia following emergency Caesarean delivery during her mother's induced labour. The mother had gestational diabetes and the fetus showed concerning CTG abnormalities from early in labou…

obstetricsmidwiferyproceduraloxytocin
VIChospital2014-08-12

Finding into death of Baby Paula Victoria OShea

0y · 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 int…

obstetricsmidwiferydiagnosticoxytocin
VIChospital2014-02-24

Finding into death of Baby Jacob Hill

0y · Male·complications of intrauterine hypoxia

Baby Jacob Hill died from intrauterine hypoxia following an obstructed labour managed at Sunshine Hospital. A 39-week primiparous labour was complicated by deep transverse arrest. Afte…

obstetricspaediatricscommunicationdelaypethidine
VIChospital2021-11-08

Finding into death of Baby MNL

0y · Male·Hypoxic ischaemic encephalopathy complicating peri partum asphyxia

…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 progressed slowly; cervical dila…

obstetricsneonatologysystemcommunicationterbutaline
WAhospital2023-07-07

Inquest into the Death of Ashlee Jade REINDL

0y · 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 be…

obstetricsmidwiferydiagnosticcommunicationoxytocin
SAhospital2002-02-28

Coroner's Finding: GALEA Lesley Anne

30y · Female·respiratory failure related to bronchopneumonia following cerebral anoxia due to…

…coagulopathy, and eventual death from bronchopneumonia 4 months later. The coroner found inadequate labor progress assessment, insufficient fetal heart monitoring given multiple risk factors (trial of scar, Syntocinon, e…

obstetricsanaesthesiadiagnosticcommunicationoxytocin
QLDhospital2017-06-28

Langley, Archer

0y · Male·Amniotic fluid aspiration (severe); with contribution from thin umbilical cord a…

…our 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 occurred between 15:15 and 17:15 whe…

obstetricsneonatologydiagnosticcommunicationprostin
VIChospital2021-11-18

Finding into death of Pippa May Griffiths

0y · Female·Neonatal death in the setting of meconium aspiration

A term neonate died from meconium aspiration three hours after spontaneous labour onset. The mother had presented to hospital the previous day with decreased foetal movements and was disch…

obstetricsmidwiferycommunicationdiagnosticbenzyl penicillin
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 …

…but discharged herself against medical advice before receiving antibiotics. She returned 33 hours later in labour. During labour, signs of possible uterine rupture emerged around 6:00pm, and emergency caesarean section w…

obstetricsneonatologycommunicationdelayoxytocin
QLDhospital2011-04-05

Hoy, Samara Lee

0y · Female·Birth asphyxia due to tight umbilical cord around neck with meconium aspiration

…ilical cord around her neck, complicated by meconium aspiration. The coroner identified multiple systemic failures in care. Crucially, admission cardiotocography (CTG) monitoring was inadequate (less than 5 minutes, pol…

obstetricsmidwiferydiagnosticcommunication
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 hy…

obstetricsmidwiferydiagnosticcommunicationoxytocin
SAhospital2023-07-28

Coroner's Finding: Searle, Bodhi Leo

0y · Male·hypoxic ischaemic encephalopathy due to intrapartum asphyxia

…died from hypoxic ischaemic encephalopathy due to intrapartum asphyxia. He was born to a woman in low-risk labour managed initially by independent midwife Stephanie Geyer. When labour did not progress normally, the mothe…

obstetricsmidwiferydiagnosticcommunication
VIChome2026-05-29

Finding into death of Baby R

0y · Male·Perinatal hypoxia

…ximately 3:30pm would have allowed hospital assessment and earlier delivery, likely preventing death. Key failures included inadequate risk discussion, failure to follow consultation guidelines, and delayed recognition …

obstetricsmidwiferydiagnosticcommunication

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