Coronial

14 results for intrauterine foetal death

VIChospital2015-12-04

Finding into death of Baby Kylie Hamilton

<1y · Female·perinatal asphyxia

…asis existed 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 duri…

obstetricsmidwiferyproceduraloxytocin
QLDhome2015-01-29

Daw, Lilly Ella - Non-inquest findings

<1y · Female·cystic encephalomalacia

Lilly Ella Daw, born at 27 weeks gestation as a monochorionic diamniotic twin following intrauterine death of her co-twin, died at one month of age from cystic encephalomalacia. The surviving twin had a d…

obstetricspaediatricscommunicationdelay
WAhospital2017-08-22

Inquest into the Death of Baby CJ (Subject to Suppression Order)

<1y · 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 during a planned va…

obstetricsneonatologycommunicationdelayoxytocin
VIChospital2014-02-24

Finding into death of Baby Jacob Hill

<1y · 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 c…

obstetricspaediatricscommunicationdelaypethidine
VIChospital2017-01-30

Finding into death of Baby Emma Folwell Kuno

<1y · Female·Hypoxic-ischaemic encephalopathy in the setting of chronic placental insufficien…

…opathy associated with chronic placental insufficiency and died at 4 days old. Her mother reported reduced foetal movements after 34 weeks' gestation, but inadequate antenatal escalation occurred. At labour onset on 26 J…

obstetricsmidwiferydiagnosticcommunication
SAhospital2023-06-30

Coroner's Finding: Vanin, Levi Shane

<1y · Male·severe neonatal encephalopathy, post palliative care; possible underlying cause:…

…Lennan and Pepperell) concluded the primary cause was fetal inflammatory response syndrome secondary to intrauterine infection, not intrapartum hypoxia or resuscitation failure. The infection was likely present for sever…

obstetricsneonatologydinoprostone
VIChome2025-09-12

Finding into death of Baby H

<1y · Female·Unascertained

… and placental changes consistent with maternal diabetes and post-term pregnancy (>42 weeks). The cause of death remained unascertained. The coroner found that medical oversight during pregnancy and birth would likely h…

obstetricsneonatologydiagnosticdelay
NSWhospital2018-06-22

Inquest into the death of Manusiu Amone

<1y · Female·ischaemic hypoxic encephalopathy secondary to factors associated with the sudden…

… The excessive squames, raised nucleated red cell count, and unresponsiveness to ventilation pointed to intrauterine hypoxia and primary lung pathology. Clinical staff appropriately managed resuscitation; staffing shorta…

obstetricsneonatologymedicationcommunicationpethidine
SAhospital2002-09-18

Coroner's Finding: McPHAIL Matthew Anthony

<1y · Male·Hypoxic Ischaemic Encephalopathy (no legal death of person found; coroner declin…

… coroner concluded no independent life was established post-delivery and declined jurisdiction because the death of a person had not occurred. Clinical lessons include the importance of timely decision-making regarding …

obstetricsgeneral practicedelayoxytocin
WAhospital2023-07-07

Inquest into the Death of Ashlee Jade REINDL

<1y · 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
VIChospital2014-08-12

Finding into death of Baby Paula Victoria OShea

<1y · Female·Intra-uterine hypoxia

…rpretation might have enabled earlier intervention, survival could not have been anticipated. Baby Paula's death resulted from intra-uterine hypoxia, likely multifactorial including severe head impaction during delivery…

obstetricsmidwiferydiagnosticoxytocin
QLDhospital2011-04-05

Hoy, Samara Lee

<1y · 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…

obstetricsmidwiferydiagnosticcommunication
QLDhome2008-09-19

12 year old boy at Kowanyama

12y · Male·Suicide by hanging

…ommunities, poor inter-agency collaboration, and coronial system delays. The coroner was not satisfied the death was preventable but stressed systemic improvements were essential.

paediatricspsychiatrydiagnosticsystem
VIChospital2015-06-12

Finding into death of Baby Chloe Lee Kellett

<1y · Female·Cerebral hypoxic and ischaemic injury in a setting of clinical birth asphyxia

…ff, lack of 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 concern…

obstetricspaediatricsdiagnosticcommunicationoxytocin

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