Coronial

19 results for intrapartum hypoxia

VIChome2016-10-06

Finding into death of Martha Alice Fraser

0y · Female·Intrapartum hypoxia due to breech delivery with head entrapment and associated c…

…t did not reach hospital in time. The delivery involved head entrapment and cord compression leading to intrapartum hypoxia and death. The coroner found that adequate advice was provided about risks and birthing options…

obstetricsneonatologycommunicationdelayadrenaline
SAhome2007-07-12

Coroner's Finding: STEPHEN Esther Ruth

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

A 54-hour-old neonate died of hypoxic-ischaemic encephalopathy following a planned home birth of twins. The second twin experienced a prolonged delay in delivery (over 60 minutes) during which foetal heart rate decelerat…

obstetricsmidwifery
SAhospital2010-07-09

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

Jessica: disseminated intravascular coagulation following haemorrhage (subgaleal…

…. Thomas Mahar (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 r…

obstetricsneonatologydelaycommunication
VIChospital2013-05-09

Finding into death of Tyler Reading-Adams

0y · Male·Intrapartum hypoxia due to true knot in umbilical cord with cord wrapped three t…

Tyler Reading-Adams died at 95 minutes old from intrapartum hypoxia caused by a true knot in his umbilical cord wrapped three times around his neck. The mother pre…

obstetricsmidwiferynitrous oxide
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…

…ng planned 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.…

obstetricsmidwiferydiagnosticcommunication
SAhospital2023-06-30

Coroner's Finding: Vanin, Levi Shane

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

…ded the primary 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 un…

obstetricsneonatologydinoprostone
VIChospital2015-07-15

Finding into death of Baby Mabel Windmill

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

…. While the immediate cause of death was established infection, earlier delivery before significant fetal hypoxia developed might have improved survival chances. Key learning points include the importance of clear commu…

obstetricsanaesthesiadiagnosticmedicationbenzylpenicillin
NThospital2009-04-09

Inquest into the death of Georgia Rae Tilmouth

0y · Female·Organ failure caused by not receiving enough oxygen during labour (intrapartum h…

… born at 35 weeks gestation after premature labour and died 13 hours later from perinatal asphyxia due to hypoxia during labour. The coroner found multiple deficiencies in obstetric care contributed to her death. Key fa…

obstetricsmidwiferydiagnosticcommunicationoxytocin
TAShospital2023-08-02

Coroner's Finding: de-identified LD

0y · 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 wer…

obstetricsneonatologydiagnosticcommunicationoxytocin
SAhospital2020-08-04

Coroner's Finding: WILLMETT Laura Angela

0y · Female·hypoxic ischaemic encephalopathy secondary to intrapartum hypoxia

A 2-day-old neonate, Laura Angela Willmett, died from hypoxic-ischaemic encephalopathy following intrapartum hypoxia. She was born by emergency caesarean section after a planned vaginal birth after caesarean (VBA…

obstetricsmidwiferydiagnosticcommunicationparacetamol/codeine
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
VIChospital2016-04-19

Finding into death of Noah Cheron-Duncan

0y · Male·Perinatal asphyxia

…ry at 7:37am, when the baby was born in severe distress (Apgar 0/0). Autopsy showed severe uteroplacental hypoxia. The critical failing was failure to recognise and escalate absent foetal heart rate after membrane ruptu…

obstetricsmidwiferycommunicationdelaynitrous oxide
SAhospital2002-09-18

Coroner's Finding: McPHAIL Matthew Anthony

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

A full-term infant, Matthew Anthony McPhail, was delivered at 9.55 pm on 9 July 2000 at Naracoorte Health Service with no signs of life (Apgar 0). CTG monitoring during labour showed concerning fetal bradycardia episodes…

obstetricsgeneral practicedelayoxytocin
WAhome2015-06-08

Inquest into the Death of Baby P

0y · Male·intrapartum hypoxia due to placental abruption

A second twin boy was born at home despite medical advice that twin pregnancies require hospital care. The mother, who strongly preferred home birth, disengaged from hospital when her preferences for birth management (va…

obstetricsmidwiferycommunicationdelay
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
SAhospital2014-07-08

Coroner's Finding: SLEEP Aurora Doreen Maureen

4y · Female·hypoxic-ischaemic encephalopathy attributed to intrapartum asphyxia secondary to…

Aurora Sleep died from hypoxic-ischaemic encephalopathy caused by uterine rupture during labour induction with prostaglandin gel. Her mother had a perforated uterus from a D&C procedure 9 months earlier. The coroner foun…

obstetricsmidwiferycommunicationdiagnosticprostaglandin gel
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

… escalation mechanisms, and delayed recognition of fetal compromise contributed to prolonged intrauterine hypoxia during labour. Had earlier operative delivery been performed when midwives first raised concerns, the out…

obstetricspaediatricsdiagnosticcommunicationoxytocin
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
VIChospital2019-09-26

Finding into death of Tangimama Tavai

35y · Female·Unascertained

A 35-year-old grand multipara with multiple risk factors (BMI >35, smoking, grand multiparity, pregnancy-induced hypertension) presented at 40+4 weeks with absent foetal movements and was induced on Sunday evening. She e…

obstetricsanaesthesiacommunicationsystemoxytocin

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