20 results for “vacuum delivery”
Female·Hypoxic ischaemic encephalopathy following hypovolaemic shock and multi-organ fa…
…2008, died less than 3 days later from subgaleal haemorrhage and multi-organ failure. She was delivered by vacuum extraction after labour complicated by fetal distress. The vacuum extraction procedure itself was appropri…
0y · Male·acute hypoxic damage caused by shoulder dystocia during delivery
Declan Brian McConville was born with shoulder dystocia (impacted shoulders) after vacuum-assisted delivery at Royal Darwin Hospital on 31 August 2007. He was stuck in the birth canal for approxim…
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…
0y · Female·Hypoxic ischaemic encephalopathy caused by multiple factors including lung abnor…
…an) after an earlier planned elective caesarean was not completed when the patient presented at 40+ weeks. Vacuum delivery was prolonged but deemed appropriate. Critical gaps included: failure to follow planned antenatal…
2y · Male·Hypoxic ischaemic encephalopathy and intracranial haemorrhage complicating obstr…
…olonged labour 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 inf…
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…
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…
0y · Female·Hypoxic ischaemic encephalopathy due to true knot in umbilical cord
…gistrar was off-site, 30 minutes away. At 0418 hours a significant bradycardia to 60 bpm prompted assisted vacuum delivery at 0431 hours. The infant required extensive resuscitation and died 2 days later. The coroner fou…
0y · Female·Severe hypoxic ischemic encephalopathy due to brain injury from complicated assi…
…es deteriorated from 2100 hours but medical staff were not escalated to review until after 0138 hours when vacuum-assisted delivery was attempted. Lucy was born in poor condition with severe metabolic acidosis and requir…
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…
0y · Female·premature delivery; extreme prematurity
… maternal psychological concerns. Labour was induced with misoprostol, expecting foetal death in utero or delivery of non-viable remains. Instead, a live infant (estimated 21-22 weeks gestation, weighing 515g) was unexpe…
0y · Male·Hypovolemic shock, metabolic acidosis and coagulopathy in association with subga…
…lemic shock and died at Warrnambool Hospital 17 hours after birth. Ventouse extraction was used to assist delivery; he was born with low APGAR score (3 at 1 minute) but improved to 7 by 5 minutes. At approximately 6:00am…
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…
0y · Female·Congenital Streptococcus agalactiae (Group B) pneumonia in the setting of compli…
…ed several suboptimal clinical management decisions. Despite high BMI (48), Mrs Windmill was approved for delivery at a regional hospital without full antenatal risk counselling. During labour, an abnormal cardiotocograp…
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 …
0y · Female·Birth asphyxia due to tight umbilical cord around neck with meconium aspiration
…roximately 30 minutes without examining the patient or commencing immediate intervention. Early caesarean delivery at approximately 11:30pm likely would have saved the baby. The coroner found substandard care by both nur…
32y · Female·Sepsis due to pyelonephritis of the right kidney due to acute and chronic cystit…
A 32-year-old Vietnamese-speaking woman died from sepsis due to pyelonephritis following premature discharge from hospital onto a midwifery support program. Multiple missed diagnostic opportunities occurred: difficulty p…
0y · Female·Peripartum hypoxia
…ing despite prolonged abnormal CTG; multiple consultant involvement without clear leadership; and delayed delivery. The coroner found numerous opportunities existed where different clinical action could have altered the …
0y · Male·cardiogenic shock and neonatal encephalopathy
Matthew Hutchinson, born at 1 day of age at Flinders Medical Centre, died from cardiogenic shock and neonatal encephalopathy. While obstetric care was appropriate, neonatal care was significantly deficient. Critical fail…
0y · Female·Group B Streptococcus meningitis and sepsis
…ns suggestive of chorioamnionitis, a paediatrician was not notified at birth. The baby appeared well post-delivery and was discharged home on day 3. She deteriorated at day 13 with feeding changes and irritability, prese…
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