Review of Four Neonatal Deaths at Adelaide Women’s and Children’s Hospital

Between 16 September and 16 October 2020, three babies with major congenital cardiac problems and one baby with severe infection died at the Women’s and Children’s Hospital in South Australia. Subsequently, concerns were raised by clinicians at the hospital that the COVID-19 pandemic outbreak in Victoria and lack of local paediatric cardiac surgical services had contributed to poor neonatal outcomes.

SA Health, Chief Medical Officer, Dr Michael Cusack, commissioned an independent review into the treatment and care provided to each of the four babies at the Women’s and Children’s Hospital, which included a septic baby who was transferred from the Lyell McEwin Hospital. The review was undertaken by the Australian Commission on Safety and Quality in Health Care (the Commission) and has considered all aspects of the care that the four babies received, whether there were any common themes and if the COVID-19 pandemic influenced the outcomes.

Review of Four Neonatal Deaths at Adelaide Women’s and Children’s Hospital (PDF 343KB)