Coronial

9 results for prolonged decelerations

SAhospital2023-07-28

Coroner's Finding: Searle, Bodhi Leo

0y · Male·hypoxic ischaemic encephalopathy due to intrapartum asphyxia

… 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.) recognised…

obstetricsmidwiferydiagnosticcommunication
SAhome2007-07-12

Coroner's Finding: STEPHEN Esther Ruth

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

… 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 decelerations were noted. An independ…

obstetricsmidwifery
QLDhospital2012-10-25

Paudel, Preston

Male·Global hypoxic-ischaemic encephalopathy

Preston Paudel, born at 37 weeks gestation after meconium-stained labour with syntocinon augmentation, was delivered severely compromised with Apgar scores of 1-1-1 and died of hypoxic-ischaemic encephalopathy. Multiple …

obstetricsmidwiferydiagnosticcommunicationoxytocin
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

…th the insult occurring 6-8 hours before delivery. Clinical concerns: midwives identified multiple CTG decelerations from 11:45 AM onwards but the obstetrician did not share their concerns until 6 PM, delaying expeditio…

obstetricspaediatricsdiagnosticcommunicationoxytocin
WAhospital2023-07-07

Inquest into the Death of Ashlee Jade REINDL

0y · 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 abrupti…

obstetricsmidwiferydiagnosticcommunicationoxytocin
VIChospital2011-07-11

Finding into death of Cara Grace Zambelli

0y · Female·Hypoxic ischaemic encephalopathy due to true knot in umbilical cord

…ot in the umbilical cord. 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 h…

obstetricsneonatologycommunicationsystemadrenaline
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 diagnosed with multiple c…

obstetricsmidwiferydiagnosticcommunicationoxytocin
QLDhospital2017-06-28

Langley, Archer

0y · Male·Amniotic fluid aspiration (severe); with contribution from thin umbilical cord a…

…iration following delivery by emergency caesarean section for obstructed labour. His mother's labour was prolonged and difficult, but critical delays occurred between 15:15 and 17:15 when clear clinical signs of obstruc…

obstetricsneonatologydiagnosticcommunicationprostin
QLDhospital2013-09-05

Sparreboom, Sophie Claire - Non-inquest findings

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…

obstetricsmidwiferysystemcommunicationoxytocin

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