67 results for “foetal resuscitation”
0y · 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…
2y · 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…
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…
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…
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…
0y · Female·Perinatal asphyxia
…ing 3968g. She was born severely asphyxiated with a heart rate of 60bpm and died at 0126 hours despite resuscitation. The coroner found the death was preventable. Critical failures included: (1) failure to recognise inc…
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…
0y · Female·Hypoxic ischaemic encephalopathy due to true knot in umbilical cord
…rd. The mother presented in labour with spontaneous rupture of membranes and had a prolonged second stage. Foetal heart rate monitoring showed intermittent decelerations and bradycardia from 0300 hours onwards. The locum…
0y · 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 diabetes and the fetus showed concerning CTG ab…
0y · Male·complications of intrauterine hypoxia
…ean followed, but Baby Jacob was born severely hypoxic (Apgar 2 at 1 min, 0 at 5 min) and died despite resuscitation. Key preventability factors included poor communication between junior registrars and senior consultan…
0y · Female·Perinatal asphyxia
… 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 resuscitation enco…
1y · Female·cystic encephalomalacia
… a documented 20% risk of neurological injury secondary to twin-twin transfusion syndrome, yet the planned foetal MRI to assess this was never performed. After premature discharge from neonatal care at <36 weeks without …
0y · Female·Birth asphyxia due to tight umbilical cord around neck with meconium aspiration
…ography (CTG) monitoring was inadequate (less than 5 minutes, policy required 10+ minutes). During labour, foetal tachycardia was detected but continuous CTG monitoring was not commenced despite clear policy requirements…
0y · Male·hypoxic ischaemic encephalopathy due to intrapartum asphyxia
…the CTG was tracing the correct heart rate, failed to prioritize monitoring despite earlier concerns about foetal decelerations, and failed to communicate concerns to senior staff. By the time a junior registrar (Dr L.) …
0y · Female·Pulmonary hypoplasia in the setting of ascending maternal genital tract infectio…
… She was born via emergency caesarean section after induction of labour for brow presentation. Despite resuscitation efforts, she remained bradycardic and died 22 minutes after birth. The coroner found pulmonary hypopla…
0y · Male·hypoxia due to intrauterine pneumonia and haemorrhage with uterine rupture in a …
…ntually applied at 9:11pm. The baby was born in severe distress with cord around neck and died despite resuscitation. Key clinical lessons: early recognition of uterine rupture warning signs (pain at scar, CTG changes, …
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…
0y · Male·Intrapartum head injuries secondary to brow presentation and obstructed labour
…cision to proceed to caesarean section. The injuries likely occurred during the manual disimpaction of the foetal head from the pelvis by the obstetrician and assisting midwife. While the coroner identified deficiencies …
0y · Male·multifactorial with severe hypoxia/hypotension which occurred in the background …
…eonatal teams regarding cord transection—the NICU team was unaware, preventing deployment of high-risk resuscitation with emergency blood transfusion; and equipment malfunction (dim laryngoscope light) during resuscitat…
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 planned induction at term. At 2050 hours, antepartum haemorrhage and pat…
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