Coronial
VIChome

Finding into death of Baby M

Coroner

Coroner Phillip Byrne

Date of death

2019-05-27

Finding date

2020-10-08

Cause of death

SIDS Category 2

AI-generated summary

A neonate died of Sudden Infant Death Syndrome (SIDS) Category 2 overnight on 26-27 May 2019. The coroner found that the infant's parents provided excellent care and met all physical, emotional and developmental needs. The death occurred despite appropriate parenting and a loving family environment. SIDS Category 2 indicates sudden unexpected postnatal collapse in an infant with resuscitation attempted but unsuccessful. No clinical errors, systemic failures, or preventable factors were identified. This case highlights the tragic and unpredictable nature of SIDS despite optimal parental care and safe sleeping practices.

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Full text

And: "Throughout [Baby M's] short life, [Ms A} and her family provided [Baby M] with the very best start in life. [Baby M's} physical, emotional and developmental needs were fully met by a loving and caringfamily."

CONCLUSION

  1. I unreservedly accept the advice provided by Ms Phang in relation to the level of care provided to Baby M by Ms A and her family. It heightens the tragedy visited upon all concerned when Baby M died in this manner.

FINDING

  1. I formally find Baby M died at sometime overnight on 26 - 27 May 2019 due to SIDS Category 2.

DISTRIBUTION OF FINDING

  1. Pursuant to section 73 (1) (A) of the Coroners Act 2008 (Vic), I direct that this finding be published on the Coroners Court of Victoria website.

  2. I direct that a copy of this finding be provided to the following: • , Senior Next of Kin; •

• Ms Leng Phang, Managing Principal Solicitor, Legal Services, DHHS; and

• tive Senior Constable Benjamin Manning, Coroner's Investigator, Victoria Police.

� Si�aru � ,/"� 8 October 2020

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