Coronial

22 results for forceps delivery

NSWhospital2011-02-03

Finding&recommendations owens,jonah3648 09

Unknown·Subgaleal Haemorrhage caused by position of forceps on baby's head together with…

…stle on 12 December 2008 from a subgaleal haemorrhage. The coroner found the death was directly caused by forceps delivery — specifically the position of the forceps on the baby's head combined with excessive traction a…

obstetricsprocedural
VIChospitalNew2026-07-01

Finding into death of Baby H

0y · Male·traumatic head injury due to instrumental vaginal delivery of a term infant

…24 March 2019, one day after birth, from traumatic head injuries sustained during an instrumental vaginal delivery using Neville Barnes forceps on a baby in occipito-posterior position. Critical clinical lessons identifi…

obstetricsgeneral practicecommunicationprocedural
VIChospital2026-01-08

Finding into death of Malakai Cross-De Jesus

0y · Male·Complications following forceps delivery

A 3-day-old neonate died from complications of instrumental forceps delivery, specifically subgaleal haemorrhage with associated skull fracture and intracranial bleeding. Cr…

obstetricsneonatologydiagnosticcommunicationbenzylpenicillin
VIChospital2025-05-13

Finding into death of Baby W

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

…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-making around assi…

obstetricsneonatologydiagnosticproceduralclindamycin
SAhospital2002-09-18

Coroner's Finding: McPHAIL Matthew Anthony

0y · Male·Hypoxic Ischaemic Encephalopathy (no legal death of person found; coroner declin…

…ia episodes around 6.55 pm with recovery, followed by total loss of fetal heartbeat between 9.30-9.40 pm. Delivery was by forceps. The child was pale, cyanotic and unresponsive at delivery. Resuscitation was attempted bu…

obstetricsgeneral practicedelayoxytocin
VIChospital2014-02-24

Finding into death of Baby Jacob Hill

0y · Male·complications of intrauterine hypoxia

…imiparous labour was complicated by deep transverse arrest. After initial assessment suggesting caesarean delivery, the consultant (Dr D.) elected to trial forceps delivery, which failed due to cephalopelvic disproportio…

obstetricspaediatricscommunicationdelaypethidine
VIChospital2020-10-19

Finding into death of BABY FF

2y · Male·Hypoxic ischaemic encephalopathy and intracranial haemorrhage complicating obstr…

…ur with foetal tachycardia and reduced variability on CTG monitoring. After failed attempts at vacuum and forceps delivery in the birthing room, an urgent category-one caesarean section was performed. The infant was bor…

obstetricsneonatologymonitoringcommunicationoxytocin
SAhospital2023-06-30

Coroner's Finding: Vanin, Levi Shane

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

…prolonged induction and protracted second-stage labour at Lyell McEwin Hospital, followed by instrumental delivery. Initial concerns about delayed delivery and inadequate resuscitation were addressed through expert revie…

obstetricsneonatologydinoprostone
VIChospital2020-07-02

Finding into death of Cai Wheeler-Trow

0y · Male·Head injury in the setting of labour

Baby Cai Wheeler-Trow was born at 36 weeks and 2 days following a failed instrumental delivery and emergency caesarean section. He developed a skull fracture and subgaleal haemorrhage, presenting with…

obstetricspaediatricsdiagnosticcommunication
VIChospital2023-10-20

Finding into death of Vanessa Li

0y · Female·subgaleal haematoma complicating an obstructed labour

Vanessa Li, a term infant born following obstructed labour, died at four days of age from subgaleal haemorrhage (SGH) with severe hypoxic-ischaemic encephalopathy. Labour was managed by private obstetrician Dr K., who wa…

obstetricsneonatologycommunicationdiagnosticoxytocin
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 …

…ned, influenced by their successful previous vaginal births. After further deterioration and instrumental delivery complications, forceps were eventually applied at 9:11pm. The baby was born in severe distress with cord …

obstetricsneonatologycommunicationdelayoxytocin
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

…r induction of labour for rupture of membranes and group B streptococcus positivity. She was delivered by forceps in theatre for a non-reassuring cardiotocogram (CTG) trace but was born in poor condition (Apgar 2/5/7), …

obstetricspaediatricsdiagnosticcommunicationoxytocin
VIChospital2017-01-24

Finding into death of Baby XY

0y · Female·Perinatal asphyxia

…g labour, likely changing labour management decisions. However, an expert obstetrician noted even earlier delivery might not have prevented serious harm due to multiple pre-existing physiological compromises including pl…

anaesthesiaforensic medicinediagnosticsystembenzyl penicillin
VIChospital2025-07-14

Finding into death of Baby Sidney

0y · Male·Head injury sustained in a difficult delivery including head impaction and caesa…

…ney died from severe hypoxic-ischaemic encephalopathy caused by head impaction during a difficult vaginal delivery attempt and subsequent caesarean section at 6 days old. The coroner found that medical care fell short of…

obstetricsneonatologydiagnosticcommunicationoxytocin
SAhospital2014-11-14

Coroner's Finding: KEY George Darcy

0y · Male·Perinatal hypoxic ischaemic encephalopathy with severe diffuse cortical necrosis…

…A. attended when urgently called, caesarean section was delayed approximately 60 minutes from decision to delivery. Clinical lessons include: obstetricians must personally review patients before escalating syntocinon, es…

obstetricsanaesthesiadiagnosticcommunicationoxytocin
VIChospital2025-09-29

Finding into death of Baby M

0y · Female·Perinatal asphyxia

…es of age from 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 neo…

obstetricsneonatologyproceduralcommunicationadrenaline
ACThospital2024-09-11

Inquest Into The Death Of Baby X

0y · Male·Hypoxic-ischemic encephalopathy and massive subgaleal haemorrhage, both associat…

…gies contributed to death: hypoxic-ischemic encephalopathy (HIE) from prolonged asphyxia during difficult delivery, and massive subgaleal haemorrhage from unsuccessful vacuum extraction. Clinical failures included: inade…

obstetricsneonatologydiagnosticcommunication
VIChospital2019-11-11

Finding into death of Finn Moser

1y · Male·Head injury in the setting of labour

Finn Moser was a one-day-old neonate who died from head injury sustained during labour and delivery at the Royal Women's Hospital. He was born to a mother with dichorionic diamniotic twins, induced at 36 w…

obstetricsneonatologydiagnosticcommunicationprostaglandin gel
SAhospital2002-02-28

Coroner's Finding: GALEA Lesley Anne

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

A 30-year-old woman with a previous caesarean section attempted a trial of vaginal delivery. She received Syntocinon augmentation at 6:45 AM without prior cervical assessment and epidural analgesia…

obstetricsanaesthesiadiagnosticcommunicationoxytocin
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

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