0y · Female·Perinatal asphyxia
… condition at The Royal Women's Hospital on 10 November 2022 and died at 24 minutes of age from perinatal asphyxia. Autopsy findings suggested cord compression occurring 4-6 hours before delivery had compromised foetal w…
29y · Male·severe neonatal encephalopathy, post palliative care; possible underlying cause:…
A 29-day-old neonate died from severe neonatal encephalopathy following birth asphyxia. The infant was born after prolonged induction and protracted sec…
4y · Male·perinatal asphyxia
…dley Piper was born prematurely (34 weeks) at Kilmore Hospital on 22 January 2007 and died from perinatal asphyxia. Expert evidence established that the hypoxic-ischaemic insult occurred before the last hour of labour, b…
0y · Female·Hypoxic episode, probably caused by cord entanglement during delivery
…d entanglement. The baby showed initial signs of life (cord pulsation, pinking) but parents, untrained in neonatal resuscitation, attempted ineffective CPR on inadequate surfaces. Expert obstetricians testified cord enta…
0y · Male·Perinatal asphyxia
… Cheron-Duncan, a full-term neonate born at Sandringham Hospital on 19 November 2014, died from perinatal asphyxia. Labour was uncomplicated and FHR monitoring appeared reassuring, but no foetal heart rate was detectable…
0y · Male·severe hypoxic ischaemic encephalopathy due to apparent perinatal asphyxia
Baby B suffered severe perinatal asphyxia during a planned home birth and died from hypoxic ischaemic encephalopathy. An obstetrician recommended h…
0y · Female·Perinatal asphyxia
Baby XY, a 41-week-old newborn, died from perinatal asphyxia six hours after birth at Sunshine Hospital. The primary clinical lesson involves diagnostic failure: the …
0y · Female·Hypoxic ischaemic encephalopathy due to intra-partum event and E. coli sepsis, s…
… 30 minutes of birth, actual delay ~3 hours); (3) fragmented handover communication between obstetric and neonatal teams lacked essential clinical history; (4) CTG abnormalities between 22:15-00:00 hours were not adequat…
0y · Female·Perinatal asphyxia
A 10-day-old infant died from perinatal asphyxia after being born in a home birthing pool. The mother entered the pool without a midwife present after spo…
2y · Male·Severe hypoxic ischaemic encephalopathy (grade 3)
…ng a home birth on a farm 25km from hospital. The birth was complicated by shoulder dystocia and profound asphyxia. Although expert opinion suggested outcome might have been identical in hospital, the coroner found that …
0y · Male·neonatal encephalopathy due to perinatal compromise
Jaxon McGrorey-Smith, a full-term neonate, was delivered by caesarean section after prolonged labour. He developed seizures and signs of hypoxic-ischaemic encephalopathy (HIE) within hours of birth, with MRI imaging conf…
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 were appropria…
0y · Female·meconium aspiration
…hting (used only candles), preventing early detection of meconium in the birthing pool; perform effective neonatal CPR on an inappropriate surface; and promptly contact emergency services. The midwife had no formal neona…
0y · Male·Hypoxic ischaemic encephalopathy complicating peri partum asphyxia
A term neonate died at 3 days of age from hypoxic ischaemic encephalopathy due to perinatal asphyxia. The mother presented in early labour, was initially discharged, then readmitted when labour progressed. …
2y · Male·Perinatal asphyxia leading to cerebral anoxia and subsequent multi-organ failure
…6 weeks gestation following maternal ante-partum haemorrhage and abnormal CTG traces, died from perinatal asphyxia leading to cerebral anoxia and multi-organ failure at 3 days old. Critical clinical lessons emerged regar…
0y · Female·Organ failure caused by not receiving enough oxygen during labour (intrapartum h…
…Rae Tilmouth was 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 he…
0y · Female·Perinatal asphyxia
Summer Elizabeth Rose Niehoff died from perinatal asphyxia hours after vaginal birth following a prolonged labour in hospital. The coroner found multiple clinically…
0y · Female·Neonatal death in the setting of meconium aspiration
…ctronic foetal monitoring as guidelines required. After meconium-stained liquor was observed, appropriate neonatal resuscitation occurred but the infant could not be resuscitated. The coroner identified that failure to c…
0y · Male·Hypoxic-ischemic encephalopathy and massive subgaleal haemorrhage, both associat…
…h. Two interlinked pathologies contributed to death: hypoxic-ischemic encephalopathy (HIE) from prolonged asphyxia during difficult delivery, and massive subgaleal haemorrhage from unsuccessful vacuum extraction. Clinica…
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…
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