The hospital staff's failure has been held responsible for the death of an infant. Deputy State Coroner has claimed that if baby Trinity Isabel Kison would have been subjected to antibiotics, she must have been alive.

Detailed reports have revealed that Trinity died after only 20 hours of birth. She was born premature. It was in 2008 that Trinity was born using a caesarean operation at Flinders Medical Centre.

However, her health started worsening just after her birth. She was found to be suffering from congenital pneumonia with a lung abnormality; as a result, after struggling for life for almost a day, she died of respiratory failure.

Reports prepared by coroner Mr. Schapel emphasized that there were many chances that the doctors and the staff didn't consider, as a way to avoid and prevent the risks linked with the death of the little baby.

He said, "If antibiotics were administered preventatively to Trinity's mother Kristen Giddings or to Trinity soon after her birth or in the next few hours, she could have survived". He added that the staff didn't consider ways which would have been undertaken as a treatment for the baby and helped her recover from the infection, she had contracted.