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NThospital2024-12-06

Inquest into the death of Baby G

<1y · Male·Trisomy 21 with complex cardiac anomalies complicated by pulmonary hypertension,…

Baby G, born with Trisomy 21 (Down Syndrome) and complex cardiac anomalies, died at Royal Darwin Hospital on 18 March 2023 aged 6 months. The coroner found that non-invasive prenatal testing (NIPT) should have been offer…

neonatologypaediatricsdiagnosticsystem
NThome2014-09-01

Inquest into the death of Baby C

<1y · Female·undetermined (chronic malnutrition ruled out; possible dehydration with electrol…

Baby C, born prematurely at 32 weeks (1.64kg), was discharged from Alice Springs Hospital on 2 January 2013 medically well and appropriately. She was placed in foster care with Ms Preston, an exceptionally experienced an…

paediatricsneonatologydelay
NThospital2012-08-27

Inquest into the death of Kalotina Galimitakis

<1y · Female·acute blood loss due to velamentous insertion of the umbilical cord with likely …

A neonate died from acute blood loss due to velamentous insertion of the umbilical cord with likely vasa previa, a rare condition causing vulnerability to catastrophic bleeding. Key clinical lessons include: (1) prenatal…

obstetricspaediatricsdiagnosticcommunication
NThome2011-09-09

Inquest into the death of Baby M

4y · Male·chronic degenerative damage (complications) from neonatal cerebral palsy

Baby M was a 4.5-year-old Aboriginal boy with severe neonatal cerebral palsy causing quadriplegia, intellectual disability, seizures, blindness, and severe gastro-oesophageal reflux. He died unexpectedly at home from chr…

paediatricsneonatology
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 approximately 15 minutes before …

obstetricspaediatricsproceduralsystemoxytocin
NThospital2009-04-09

Inquest into the death of Georgia Rae Tilmouth

<1y · Female·Organ failure caused by not receiving enough oxygen during labour (intrapartum h…

Georgia 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 contribut…

obstetricsmidwiferydiagnosticcommunicationoxytocin
NThome2003-12-15

Inquest into the death of Skye Bree Burnett

<1y · Female·sudden death in an infant with broncho-pulmonary dysplasia

A 74-day-old premature infant (27 weeks gestation) died unexpectedly at home three days after discharge from hospital. Post-mortem examination revealed broncho-pulmonary dysplasia (BPD), which was clinically silent and u…

neonatologypaediatricscommunicationcaffeine
NThospital2000-04-10

Inquest into the death of Baby J

<1y · Female·premature delivery; extreme prematurity

A 19-week pregnant woman was admitted for pregnancy termination due to maternal psychological concerns. Labour was induced with misoprostol, expecting foetal death in utero or delivery of non-viable remains. Instead, a l…

obstetricsmidwiferycommunicationsystemmisoprostol

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