Coronial

39 results for foetal asphyxia

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 dia…

obstetricsmidwiferyproceduraloxytocin
VIChospital2016-04-19

Finding into death of Noah Cheron-Duncan

<1y · Male·Perinatal asphyxia

… Cheron-Duncan, a full-term neonate born at Sandringham Hospital on 19 November 2014, died from perinatal asphyxia. Labour was uncomplicated and FHR monitoring appeared reassuring, but no foetal heart rate was detectable…

obstetricsmidwiferycommunicationdelaynitrous oxide
SAhospital2023-07-28

Coroner's Finding: Searle, Bodhi Leo

<1y · Male·hypoxic ischaemic encephalopathy due to intrapartum asphyxia

Bodhi Leo Searle, aged 36 hours, 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…

obstetricsmidwiferydiagnosticcommunication
VIChospital2012-05-23

Finding into death of Dean Smith

<1y · Male·Hypoxic ischaemic encephalopathy

Dean Smith, a full-term neonate, was born severely asphyxiated after an induced labour managed at Central Gippsland Health Service. He died from hypoxic-ischaemic en…

obstetricsmidwiferydiagnosticproceduralprostaglandin
VIChospital2020-10-19

Finding into death of BABY FF

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

…rean 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 deliver…

obstetricsneonatologymonitoringcommunicationoxytocin
TAShospital2023-08-02

Coroner's Finding: de-identified LD

<1y · Female·Intrapartum asphyxia refractory to postpartum resuscitation due to amniotic flui…

A term neonate died one hour after emergency caesarean section for fetal distress, caused by intrapartum asphyxia due to meconium aspiration. While labour induction, oxytocin dosing, and emergency surgery were appropria…

obstetricsneonatologydiagnosticcommunicationoxytocin
VIChospital2011-12-14

Finding into death of Poppy Louise Habgood

<1y · Female·Perinatal asphyxia

… 10 July 2008 by emergency caesarean section at 42 weeks gestation, weighing 3968g. She was born severely asphyxiated with a heart rate of 60bpm and died at 0126 hours despite resuscitation. The coroner found the death w…

obstetricsmidwiferydiagnosticcommunication
VIChospital2013-05-10

Finding into death of Joseph Thurgood Gates

<1y · Male·Global cerebral hypoxic injury and perinatal asphyxia secondary to uterine ruptu…

…iculate risks, supported home birth plans despite clinical concerns, and delayed transfer to hospital when foetal bradycardia developed during labour. The bradycardia persisted for over 40 minutes before hospital transfe…

obstetricsmidwiferydiagnosticcommunication
VIChospital2025-09-29

Finding into death of Baby M

<1y · Female·Perinatal asphyxia

… condition at The Royal Women's Hospital on 10 November 2022 and died at 24 minutes of age from perinatal asphyxia. Autopsy findings suggested cord compression occurring 4-6 hours before delivery had compromised foetal w…

obstetricsneonatologyproceduralcommunicationadrenaline
VIChospital2021-11-18

Finding into death of Pippa May Griffiths

<1y · Female·Neonatal death in the setting of meconium aspiration

…hours after spontaneous labour onset. The mother had presented to hospital the previous day with decreased foetal movements and was discharged without comprehensive assessment (no amniotic fluid index measurement). Criti…

obstetricsmidwiferycommunicationdiagnosticbenzyl penicillin
VIChospital2025-02-18

Finding into death of Tasman Murray Tribe

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

…easily despite appropriate senior clinician involvement and anesthetic support. Tasman was born in severe asphyxia with poor Apgar scores, requiring resuscitation and intensive care. He suffered extensive hypoxic-ischemi…

obstetricsneonatologyoxytocin
VIChospital2012-06-22

Finding into death of Sebastian Hewitt

<1y · Male·Perinatal asphyxia leading to cerebral anoxia and subsequent multi-organ failure

…6 weeks gestation following maternal ante-partum haemorrhage and abnormal CTG traces, died from perinatal asphyxia leading to cerebral anoxia and multi-organ failure at 3 days old. Critical clinical lessons emerged regar…

obstetricspaediatricsdiagnosticdelay
QLDhospital2011-04-05

Hoy, Samara Lee

<1y · Female·Birth asphyxia due to tight umbilical cord around neck with meconium aspiration

Samara Lea Hoy died shortly after birth from asphyxia caused by a tight umbilical cord around her neck, complicated by meconium aspiration. The coroner identif…

obstetricsmidwiferydiagnosticcommunication
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. …

obstetricsneonatologysystemcommunicationterbutaline
SAhospital2014-11-14

Coroner's Finding: KEY George Darcy

<1y · Male·Perinatal hypoxic ischaemic encephalopathy with severe diffuse cortical necrosis…

…igns. The CTG tracing was faxed late (23 minutes) to the obstetrician's rooms, delaying his recognition of foetal distress. Though Dr A. attended when urgently called, caesarean section was delayed approximately 60 minut…

obstetricsanaesthesiadiagnosticcommunicationoxytocin
VIChospital2017-01-24

Finding into death of Baby XY

<1y · Female·Perinatal asphyxia

Baby XY, a 41-week-old newborn, died from perinatal asphyxia six hours after birth at Sunshine Hospital. The primary clinical lesson involves diagnostic failure: the …

anaesthesiaforensic medicinediagnosticsystembenzyl penicillin
VIChospital2008-08-15

Finding into death of William Grant Keays

Male·Hypoxic brain injury arising from intra-uterine asphyxia (causative factors unas…

…scitation to achieve cardiac output. He died 7 hours later from hypoxic brain injury due to intra-uterine asphyxia. Clinical issues included: inadequate informed consent regarding induction necessity and risks; lack of a…

obstetricsneonatologycommunicationdelayoxytocin
VIChospital2014-08-28

Finding into death of Lily Irwin

<1y · Female·Sepsis

…ture of maternal membranes 48 hours prior to delivery. The infection caused chorioamnionitis with profound foetal inflammatory response, severely compromising the baby before labour commenced. Clinical lessons: (1) Patie…

obstetricsmidwiferydiagnosticcommunication
VIChospital2022-07-28

Finding into death of H C

<1y · Male·Global cerebral ischaemia secondary to perinatal asphyxia

HC was a neonate who died at 6 days old from global cerebral ischaemia secondary to perinatal asphyxia. He was born following an emergency caesarean section for obstructed labour and fetal distress. Key clini…

obstetricsneonatologydiagnosticcommunication
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 h…

obstetricsmidwiferycommunicationsystem

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