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51 Neonatal Encephalopa y NMH Annual Rep t | 2020 Neonatal Encephalopathy: Outborn (2) Case No. EGA BW (g) De- livery Method Delivery Method Indication Ap- gars 1, 5, 10, 20 mins PPV at 10 mins Min pH within 60 mins Max BE within 60 mins Seizures Y/N TH Grade of NE Summary of MRI brain Organ In- volvement Outcome Placental Histology Classification 1 39+0 2590 Sponta- neous vaginal ARM and Mec I noted. Baby deliv- ered while Mother was standing 5,6,6 No 7.12 -9.9 Yes Yes 3 Abnormal - global pattern of ischaemia/ infarction. CT documented several skull fractures Ventilated, Thrombo- cytopenia, SIADH, Ele- vated LFTs Retro-transfer to referring hospital D5. Died at 5.5 months of life. Coroner's Case No pla- centa in NMH. No indica- tors of HIE so classified as NE with seizures 2 39+3 2600 Oper- ative vaginal (For- ceps) IOL for mater- nal age and asymmetrical IUGR. PROM x 18 hours. Forceps delivery for NRCTG. Nuchal cord x 1 noted at delivery 7,7,10 No 7.2 -8.1 No No* 3 Abnormal - significant extra-axial (likely subarachnoid) and intraven- tricular haem- orrhage. Also global pattern of ischaemia/ infarction. Ventilated, Inotropes, Coagulopa- thy, Throm- bocytopenia, SIADH, Elevated LFTs Died D2 (Coro- ner's case) Umbilical artery throm- bosis with high grade FVM. NE Outborn *commenced in peripheral centre but discontinued by 2 hrs after discussion with Neonatal Transport Team