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A Western Australian mother waited three agonising years to learn why her newborn son Asha died at King Edward Memorial Hospital in 2020, due to severe backlogs at the coroner's office. The baby suffered catastrophic oxygen loss after an 11-minute delay in calling a code blue during delivery. Coronial reports taking over a year to release have increased by 30%, with the overall backlog now exceeding 1,000 cases despite calls for increased government funding.

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