Coronial

14 results for vacuum extraction delivery

NSWhospital2010-07-22

Finding helanisirianni257 08 dscmitchell

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…

obstetricsmidwiferydiagnosticcommunication
NThospital2009-05-28

Inquest into the death of Declan McConville

<1y · 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…

obstetricspaediatricsproceduralsystemoxytocin
ACThospital2024-09-11

Inquest Into The Death Of Baby X

<1y · 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…

obstetricsneonatologydiagnosticcommunication
VIChospital2011-06-16

Finding into death of Owen Appleby

<1y · Male·Hypovolemic shock, metabolic acidosis and coagulopathy in association with subga…

…r induction, developed hypovolemic 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 min…

obstetricsneonatologydiagnosticdelayprostin gel
QLDhospital2026-05-07

Non-inquest findings into the death of Lucy Campbell

<1y · 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…

obstetricsmidwiferydiagnosticcommunicationoxytocin
VIChospital2020-10-19

Finding into death of BABY FF

<1y · 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…

obstetricsneonatologymonitoringcommunicationoxytocin
VIChospital2011-07-11

Finding into death of Cara Grace Zambelli

<1y · 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…

obstetricsneonatologycommunicationsystemadrenaline
VIChospital2017-01-24

Finding into death of Baby XY

<1y · 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…

anaesthesiaforensic medicinediagnosticsystembenzyl penicillin
QLDhospital2011-04-05

Hoy, Samara Lee

<1y · 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…

obstetricsmidwiferydiagnosticcommunication
QLDhospital2026-07-17

Inquest into the death of Thea Flaskett

<1y · Female·Transposition of the Great Arteries

…ng, possibly pulmonary hypertension) that would have compromised survival even in a tertiary centre. Post-delivery resuscitation was provided to an excellent standard, but Redcliffe Hospital lacks emergency cardiac inter…

obstetricspaediatrics
VIChospital2015-07-15

Finding into death of Baby Mabel Windmill

<1y · 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…

obstetricsanaesthesiadiagnosticmedicationbenzylpenicillin
SAhospital2005-06-02

Coroner's Finding: HUTCHINSON Matthew

<1y · 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…

neonatologyobstetricsproceduralcommunicationphenobarbital
QLDhospital2012-09-28

Davies, Mia

<1y · 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 …

obstetricsmidwiferydiagnosticcommunicationoxytocin
QLDhospital2017-06-09

Baby L - Non-inquest findings

<1y · 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…

obstetricsneonatologycommunicationdiagnostic

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.