20 results
0y · Male·hypoxic ischaemic encephalopathy due to intrapartum asphyxia
Bodhi Leo Searle, aged 36 hours, died from hypoxic ischaemic encephalopathy due to intrapartum asphyxia. He was born to a woman in low-risk labour managed initially by independent midwife Stephanie Geyer. When labour did…
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 second-stage labour at Lyell McEwin Hospital, followed by instrumental …
0y · Female·hypoxic ischaemic encephalopathy secondary to intrapartum hypoxia
A 2-day-old neonate, Laura Angela Willmett, died from hypoxic-ischaemic encephalopathy following intrapartum hypoxia. She was born by emergency caesarean section after a planned vaginal birth after caesarean (VBAC) at a …
25y · Female·ruptured splenic artery aneurysm with haemorrhage and internal blood loss
A 25-year-old pregnant woman (23 weeks) presented to hospital with sudden left upper quadrant abdominal pain and loss of consciousness. Clinical assessment identified renal colic and gallstones as likely diagnoses. She r…
0y · Female·Blunt head trauma from multiple deliberate blows inflicted by father
Ebony Napier, aged 4 months, died from blunt head trauma resulting from multiple deliberate blows inflicted by her father Bradley Napier-Tucker over several weeks. A critical failure occurred when the South Australian ch…
25y · Female·ruptured splenic artery aneurysm
A 25-year-old pregnant woman (23 weeks gestation) presenting with collapse and severe abdominal pain was not definitively diagnosed with a ruptured splenic artery aneurysm despite examination by multiple medical practiti…
25y · Female·ruptured splenic artery aneurysm
This ruling concerns a legal dispute over production of documents rather than the clinical circumstances of death itself. Mellanie Joanne Paltridge, 25 years old and 23 weeks pregnant, died from a ruptured splenic artery…
0y · Male·Perinatal hypoxic ischaemic encephalopathy with severe diffuse cortical necrosis…
George Darcy Key, an 8-day-old neonate, died from perinatal hypoxic ischaemic encephalopathy following labour complicated by excessive syntocinon-induced contractions and delayed obstetric intervention. The infant was de…
4y · Female·hypoxic-ischaemic encephalopathy attributed to intrapartum asphyxia secondary to…
Aurora Sleep died from hypoxic-ischaemic encephalopathy caused by uterine rupture during labour induction with prostaglandin gel. Her mother had a perforated uterus from a D&C procedure 9 months earlier. The coroner foun…
0y · Female·respiratory failure due to congenital pneumonia with hyaline membrane disease ca…
Trinity Kison, a 21-hour-old neonate born at 35 weeks gestation, died from respiratory failure due to congenial pneumonia caused by streptococcus pneumoniae. The maternal high vaginal swab taken one week before delivery …
Tate Spencer-Koch: intrapartum hypoxia due to shoulder dystocia; Jahli Hobbs: in…
Three neonates died following complications during planned homebirths attended by midwife Lisa Barrett. Tate Spencer-Koch (4790g, macrosomic) died from intrapartum hypoxia caused by shoulder dystocia; delivery was obstru…
Jessica: disseminated intravascular coagulation following haemorrhage (subgaleal…
Two neonates died from complications of subgaleal haemorrhage following ventouse extraction. Jessica Stemmer (7 hours old) died from disseminated intravascular coagulation after subgaleal haemorrhage. Thomas Mahar (8 day…
Female·intra-partum hypoxic event secondary to shoulder dystocia with prolonged foetal …
Tate Spencer-Koch was delivered via homebirth at 5:40am after her head crowned at 5:20am with shoulder dystocia causing entrapment in the birth canal for approximately 20 minutes. During this period, the foetus remained …
0y · Female·Group B Streptococcus infection
A 7-hour-old neonate died from early-onset Group B Streptococcus (GBS) infection contracted during labour. The mother's GBS screening test at 35-37 weeks gestation was reported negative, and no antibiotic prophylaxis was…
0y · Male·hypoxic ischaemic encephalopathy
Riley Krol, a 11-day-old male infant, died from hypoxic ischaemic encephalopathy following emergency caesarean section delivery on 1 March 2005. After artificial rupture of membranes during labour induction, the foetus d…
Female·hypoxic-ischaemic encephalopathy due to intrapartum hypoxia due to delayed deliv…
A 54-hour-old neonate died of 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 decelerat…
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 · Male·Hypoxic Ischaemic Encephalopathy (no legal death of person found; coroner declin…
A full-term infant, Matthew Anthony McPhail, was delivered at 9.55 pm on 9 July 2000 at Naracoorte Health Service with no signs of life (Apgar 0). CTG monitoring during labour showed concerning fetal bradycardia episodes…
30y · Female·respiratory failure related to bronchopneumonia following cerebral anoxia due to…
A 30-year-old woman with a previous caesarean section attempted a trial of vaginal delivery. She received Syntocinon augmentation at 6:45 AM without prior cervical assessment and epidural analgesia at 7:35 AM. No vaginal…
0y · Male·hypoxic-ischaemic encephalopathy due to prolonged fetal bradycardia
Jayden Tyler Trimboli, aged 6 days, died from hypoxic-ischaemic encephalopathy caused by a prolonged fetal bradycardia episode between 11:10pm and 11:50pm on 18 September 1998. The critical failure was that the cardiotoc…
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