Coronial

12 results for foetal compromise

VIChospital2015-12-04

Finding into death of Baby Kylie Hamilton

0y · Female·perinatal asphyxia

… the baby had suffered chronic intrauterine hypoxia (weeks to months prior to delivery) due to placental compromise, followed by acute hypoxia during labour. While earlier delivery by Caesarean at 2.45pm might have resul…

obstetricsmidwiferyproceduraloxytocin
TAShospital2023-08-02

Coroner's Finding: de-identified LD

0y · Female·Intrapartum asphyxia refractory to postpartum resuscitation due to amniotic flui…

…iciencies in CTG trace interpretation by clinical staff from 12:40 am onwards, when clear signs of fetal compromise were evident. The timing of meconium aspiration could not be precisely determined. Although CTG interpre…

obstetricsneonatologydiagnosticcommunicationoxytocin
VIChospital2025-09-29

Finding into death of Baby M

0y · Female·Perinatal asphyxia

… perinatal asphyxia. Autopsy findings suggested cord compression occurring 4-6 hours before delivery had compromised foetal wellbeing, though no compromise was detected during labour or antenatally. The neonatal resuscit…

obstetricsneonatologyproceduralcommunicationadrenaline
VIChospital2014-08-28

Finding into death of Lily Irwin

0y · 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
VIChospital2012-05-23

Finding into death of Dean Smith

1y · Male·Hypoxic ischaemic encephalopathy

… He died from hypoxic-ischaemic encephalopathy within 24 hours. The coroner found critical deficiencies in foetal monitoring. Although classified as high-risk (primigravida, post-term, induced labour), continuous electro…

obstetricsmidwiferydiagnosticproceduralprostaglandin
QLDhospital2026-05-07

Non-inquest findings into the death of Lucy Campbell

0y · Female·Severe hypoxic ischemic encephalopathy due to brain injury from complicated assi…

…peutic cooling but ultimately died. Expert review found that earlier recognition and escalation of fetal compromise around 2230 hours could have enabled earlier delivery with potentially improved outcomes. Key clinical l…

obstetricsmidwiferydiagnosticcommunicationoxytocin
QLDhospital2012-09-28

Davies, Mia

0y · Female·Peripartum hypoxia

Mia Davies died from peripartum hypoxia after a prolonged and poorly managed labour at Royal Brisbane and Women's Hospital. She had been diagnosed with multiple congenital anomalies (atrioventricular septal defect, oesop…

obstetricsmidwiferydiagnosticcommunicationoxytocin
QLDhomePodcast2021-09-17

Ely-Smith, Zamia

3y · Female·Hypoxic-ischaemic encephalopathy due to chorioamnionitis due to Gardnerella Vagi…

Zamia Ely-Smith died at 3 days of age from hypoxic-ischaemic encephalopathy due to chorioamnionitis following home birth at term. Clinical lessons include: (1) decreased fetal movements at 39+ weeks gestation and hospita…

midwiferyobstetricsdiagnosticcommunication
VIChospital2015-06-12

Finding into death of Baby Chloe Lee Kellett

5y · Female·Cerebral hypoxic and ischaemic injury in a setting of clinical birth asphyxia

…ilure between medical and nursing staff, lack of escalation mechanisms, and delayed recognition of fetal compromise contributed to prolonged intrauterine hypoxia during labour. Had earlier operative delivery been perform…

obstetricspaediatricsdiagnosticcommunicationoxytocin
VIChospital2015-07-15

Finding into death of Baby Mabel Windmill

0y · Female·Congenital Streptococcus agalactiae (Group B) pneumonia in the setting of compli…

…y interpreted by the attending locum obstetrician, Dr W., who failed to appreciate the severity of fetal compromise. Critically, Dr W. augmented labour with Syntocinon in the presence of an abnormal CTG—contrary to estab…

obstetricsanaesthesiadiagnosticmedicationbenzylpenicillin
VIChospital2025-05-13

Finding into death of Baby W

0y · Male·subgaleal haematoma and subarachnoid haemorrhage complicating a prolonged labour

Baby W died within 40 minutes of birth from subgaleal haematoma and subarachnoid haemorrhage following a failed instrumental delivery for prolonged labour. The coroner identified critical missed opportunities in decision…

obstetricsneonatologydiagnosticproceduralclindamycin
QLDhospital2014-12-09

Baby A - Non-inquest findings

Male·Hypoxic-ischaemic encephalopathy due to meconium aspiration syndrome

…ment. Appropriate continuous electronic fetal monitoring throughout labour, earlier recognition of fetal compromise, and timely delivery likely would have prevented this death.

obstetricsmidwiferydiagnosticprocedurallabetalol

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