Coronial

34 results for foetal hypoxia

VIChospital2015-12-04

Finding into death of Baby Kylie Hamilton

0y · Female·perinatal asphyxia

…d for Caesarean delivery at 2.15pm or 2.45pm. Autopsy revealed the baby had suffered chronic intrauterine hypoxia (weeks to months prior to delivery) due to placental compromise, followed by acute hypoxia during labour.…

obstetricsmidwiferyproceduraloxytocin
VIChospital2022-09-30

Finding into death of Baby RMI

0y · Male·Perinatal hypoxia

An 8-day-old neonate died of perinatal hypoxia on 14 December 2019, 8 days after emergency caesarean section. The infant presented with seizures, hypoto…

obstetricsneonatologycommunicationsystemintrathecal morphine
VIChospital2016-04-19

Finding into death of Noah Cheron-Duncan

0y · Male·Perinatal asphyxia

…014, died from perinatal asphyxia. Labour was uncomplicated and FHR monitoring appeared reassuring, but no foetal heart rate was detectable after spontaneous rupture of membranes at 7:17am. However, this was not escalate…

obstetricsmidwiferycommunicationdelaynitrous oxide
SAhome2007-07-12

Coroner's Finding: STEPHEN Esther Ruth

Female·hypoxic-ischaemic encephalopathy due to intrapartum hypoxia due to delayed deliv…

…e birth of twins. The second twin experienced a prolonged delay in delivery (over 60 minutes) during which foetal heart rate decelerations were noted. An independent midwife appropriately managed the emergency, secured t…

obstetricsmidwifery
QLDhospital2013-09-05

Sparreboom, Sophie Claire - Non-inquest findings

0y · Female·Cerebral hypoxia due to placental abruption

Sophie Sparreboom died from cerebral hypoxia secondary to placental abruption following emergency caesarean section. Gestational diabetes indicated pl…

obstetricsmidwiferysystemcommunicationoxytocin
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 …

A neonate died shortly after birth from hypoxia due to intrauterine pneumonia, haemorrhage and uterine rupture following prolonged rupture of membranes d…

obstetricsneonatologycommunicationdelayoxytocin
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…

obstetricspaediatricscommunicationdelaypethidine
SAhospital2008-05-23

Coroner's Finding: KROL Riley

0y · Male·hypoxic ischaemic encephalopathy

…y or requested to perform general anaesthesia, delivery could have been significantly expedited. Prolonged foetal hypoxia may have rendered the outcome inevitable, but systemic inadequacies at the non-tertiary hospital c…

obstetricsanaesthesiacommunicationsystemcervedil
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 diagnose…

obstetricsmidwiferydiagnosticcommunicationoxytocin
SAhospital2014-11-14

Coroner's Finding: KEY George Darcy

0y · 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
VIChospital2014-08-12

Finding into death of Baby Paula Victoria OShea

0y · Female·Intra-uterine hypoxia

…er intervention, survival could not have been anticipated. Baby Paula's death resulted from intra-uterine hypoxia, likely multifactorial including severe head impaction during delivery, which was unforeseeable and extre…

obstetricsmidwiferydiagnosticoxytocin
NSWhospital2024-04-12

Inquest into the death of Everett Carleton

0y · Male·multifactorial with severe hypoxia/hypotension which occurred in the background …

Everett Carleton died at birth following an emergency caesarean section complicated by unexpected placenta praevia and umbilical cord transection. The placenta was incorrectly reported as posterior on ultrasound, though …

obstetricsneonatologycommunicationprocedural
VIChome2025-09-12

Finding into death of Baby H

0y · Female·Unascertained

Baby H was born at home on 21 September 2022 following an unassisted birth (freebirth) without medical oversight. The mother had received no antenatal care despite being unaware of the actual gestational age. The baby sh…

obstetricsneonatologydiagnosticdelay
TAShospital2023-08-02

Coroner's Finding: de-identified LD

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

…n weaknesses may not have altered the outcome, the coroner found them concerning and recommended mandatory Foetal Surveillance Education Program certification for all medical staff, recertified every two years, and imple…

obstetricsneonatologydiagnosticcommunicationoxytocin
SAhome2012-06-06

Coroner's Finding: Home Birthing - SPENCER-KOCH Tate and HOBBS Jahli Jean and KAVANAGH Tully Oliver

Tate Spencer-Koch: intrapartum hypoxia due to shoulder dystocia; Jahli Hobbs: in…

… homebirths attended by midwife Lisa Barrett. Tate Spencer-Koch (4790g, macrosomic) died from intrapartum hypoxia caused by shoulder dystocia; delivery was obstructed for 20 minutes with inadequate assistance. Jahli Hob…

obstetricsmidwiferydiagnosticcommunication
VIChospital2013-05-10

Finding into death of Joseph Thurgood Gates

0y · 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
SAhospital2010-07-09

Coroner's Finding: STEMMER Jessica Lee and MAHAR Thomas William

Jessica: disseminated intravascular coagulation following haemorrhage (subgaleal…

…ahar (8 days old) died from multiorgan failure following subgaleal haemorrhage complicated by intrapartum hypoxia. Both deliveries were technically appropriate. Jessica's death may have been preventable: she required ur…

obstetricsneonatologydelaycommunication
VIChospital2025-02-20

Finding into death of Mia Rose Iskander

0y · Female·Complications of ascending uterine infection (Klebsiella pneumoniae) in the sett…

…failures and inadequate senior involvement contributed to management deficiencies, though the overwhelming foetal infection may not have been preventable despite earlier delivery.

obstetricsneonatologydiagnosticdelayamoxicillin
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 before emergency caesarean se…

obstetricsmidwiferydiagnosticcommunicationoxytocin
SAhospital2023-06-30

Coroner's Finding: Vanin, Levi Shane

29y · Male·severe neonatal encephalopathy, post palliative care; possible underlying cause:…

…imary cause was fetal inflammatory response syndrome secondary to intrauterine infection, not intrapartum hypoxia or resuscitation failure. The infection was likely present for several days before birth and undetectable…

obstetricsneonatologydinoprostone

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