₦airaland Forum

MatrixReloaded:
First of all, remove religion from the husband belief. Being a Jw doesn't imply when a woman is facing her repercussion of early humans.
She rupture around 3am and it never dawn to a man with medical background that the baby is lacking oxygen.
At that instance the woman should have been induced (force labor). "ANYWAY"
it baffles me how some people view c/s as a taboo when in reality is the best and safest way to save both mother and unborn child.
Don't be victim of religion misconceptions

iswr see all d blood d woman lost with no extra blood to replace it.... How many blood dey our body sef... Like 7 pint of blood Don waste already for ground.... How many come remain.... If u no want blood transfusion why not take d wife to d pastor to deliver her instead

Jehovahs-witnesses give birth through CS, I would advice u read through his narrative instead of jumping to conclusion. CS was never given to him as an option.

wonder233:
This is how people will keep losing their lives trying to uphold religious doctrines.
The long and short of this story is that they are Jehovah's Witnesses who didn't want blood transfusion and some other medical procedures in their fancy bucket list of doctrines.
They only concede in panic after the situation has degenerated, then turn around to blame the hospital.
Where I did my IT back then, we lost a colleague after her family initially rejected blood transfusion when she had an accident. By the time they agreed, her situation had gotten too bad and she died.

I stand corrected.

And BTW I didn’t assume that you didn’t. I asked if you did because I genuinely don’t know

mediclife1987:
Well you've chosen to listen to the deafening noise of irate Nigerians whenever we go on strike.

While pay is a part of our demands, adequate staffing and infrastructural overhaul tops the lists of our demands, as he who would demand a better pay must prove to his boss he deserves it, which can only be gotten when he has good tools and more colleagues to work and rub minds with.

Unfortunately Nigerians and the Nigerian government would gaslight you till you turn around and blame the doctors and you'll eventually wonder why your friend goes to the hospital and sees no doctor.

Doctors are tired of fighting cause no one would listen to them. Na to hustle and japa remain now, whoever wants to be Captain save Nigeria like poor Dr. Marcus can stay behind.

This should make me increase the tempo for my japa plans sef.

God has been saving me from stuffs like this since 2011, I shouldn't be testing God too much, cos that's what staying back in Nigeria looks like.

cococandy:
I stand corrected.

And BTW I didn’t assume that you didn’t. I asked if you did because I genuinely don’t know

It's okay. God help us all

CaCO3:
Jehovahs-witnesses give birth through CS, I would advice u read through his narrative instead of jumping to conclusion. CS was never given to him as an option.

Incase you don't know there was the part where he agreed to going ahead with the vaginal delivery when asked if he was willing to take the risks, despite the medical doctor listing them out to him which included: fetal distress, abruptio placenta etc which are all deadly complications that can happen in a vaginal delivery as opposed to a Caesarian section.

Are u a medical personel, if you are not then you are ignorant of medical procedures. And stop being bias, what happened to this man can happen to anyone due to delay in attending to cases of emergency. We just pray Nigeria should not happen to us. What happened has nothing to do with his religious leaning, it was purely due to Nigeria factor. Imagine a consultant working round d clock, no rest. Its a pity...

thatigboman:
no be only disciplinary action. CS without blood transfusion? How is that possible?
Seems u are a witness or u don't know those guys. People that will be taken to hospital emergency ward with broken bones and blood gushing out and still refuse blood transfusion. Why go to the hospital? They should take them to their kingdom hall for treatment

gaby:
Wow..speechless.

Such a huge baby.

So sorry for your loss. It seems from your detailed narrative that all of these could have been avoided.

At the heart of this painful story is the below from the grieving husband:

He recalled: "Early into the Pregnancy, we discussed with Dr Marcus that we were Jehovah's witnesses and we seek bloodless medical and surgical care which he was comfortable with. We also made a durable power of attorney document available 2 months prior to delivery.

The Doctor and hospital will try to latch onto this to explain away the "alleged" negligence.

This promises to be a very interesting case as the husband in question is very well learned in the field and also very detailed.

You made a very important point here. Religion actually caused the death of the man's family. Despite all his knowledge, he couldn't choose the right hospital and make good decisions fir the life of his family! The baby was 3.9kg, that was a big baby that should have been c.section!

You should be speaking to a lawyer, lots of folks don't seem to know their legal rights here in Africa, and sorry to say, it's a huge shame..

So sad indeed, brother please be strong.

The only binding legal document on method of document is the power of attorney he provided .

Keeping blood during CS is a pre requisite

They tried all they could to prevent CS as binding with a legal document provided by the husband .

Because they were not expecting CS all the team for surgery were not on ground .

R jolad need to put out a statement and it will be balanced .

At the point dr gave him the option of cs when it was complicated ... the way he responded shows that he rejected it.

mediclife1987:
Dr. Marcus Mbakwe was among the best 10 graduating medical student in my set at the Obafemi Awolowo University in 2011.

I was among the best 50.

May God help him out of this, cos the Marcus I know is extremely competent to a fault.

I wonder what went wrong.

Hmmm

There's difference between learning in school, being the best and practicalising what you studied in the real world out there

mediclife1987:
Na to dey screen out JW comot my hospital if I get the chance oh.

Their wahala too much abeg

Don't screen people out - educate them.

It is high time JW opened a specialist hospital in Nigeria, religion has finished my people kpatapata.

Alot of private hospitals are not set up correctly especially in terms of staffing and lack alot of experience that government and specialists hospitals have.

Don't be decieved by the fancy buildings or facilities find out about the doctors and level of experience.

So sad! Both lives gone!

Condolences to the husband and family!

Newlymarried:

https://www.youtube.com/watch?v=1LfkN9bPfbw

So sad.

The Jehovah Witness part may have confused the hospital ab initio. Even at a weight of 3.5kg, the Caesarean section option should have been actively discussed long ago. That's already a big baby.

I'm of the opinion that private hospitals should charge well, so they can provide every service needed. The public expects a lot from our hospitals, and rightly so. I think that hospital needs more staff and a few more equipment.

Finally, it is completely normal for private hospitals to make use of medical officers to assist surgeries. Even as a House Officer, I assisted a Caesarean section with my Consultant in a Teaching Hospital. The only problem here is that the woman was already bad.

Finally finally, I advise doctors, if you have some knotty cases like this, do well to refer early to a Teaching Hospital to avoid unwarranted complications.

3.9kg..... That shd have been a C-section birth immediately! There was no point putting mother and baby thru all that inducing. So sad

Well, he has given his own account of the event that lead to his wife's death. What is very glaring in his narrative was the fact that, she had a complicated induction causing a rupture of her uterus.
This is a very serious medical emergency which should have been managed without wasting any time.
In this current dispensation, specialist Drs are not too many in the country and you shouldn't have expected a consultant to have all his time and attention alloted to your psn. This could explain why the Consultant wasn't on ground to monitor that labour.
My question now is, there was a midwife and a senior medical officer on duty and also, you as a patient relative is an experience nurse anaesthetist as you claimed to be , why didnt you all diagnose uterine rupture early before the consultant came? Probably you didn't trust the opinion and suggestion of that SMO because you felt he had nothing to offer.
Secondly, in a case of uterine rupture with all the glaring signs of which you mentioned a few in your narrative, for instance, you claimed her veins collapsed and she had a near syncope. These were tell tale signs of massive hyaemodynamic collapse which should have prompted any Dr or even a nurse to consider resuscitation with blood and fluid management even before the consultant arrival.
You are a JW. As you claimed, now did you approve the option of blood transfusion? Without it, the Dr truly wouldn't be able to save that woman no matter his level of expertise.

It's really a painful situation.
May RIP AMEN 🙏

Solidex:
Well, he has given his own account of the event that lead to his wife's death. What is very glaring in his narrative was the fact that, she had a complicated induction causing a rupture of her uterus.
This is a very serious medical emergency which should have been managed without wasting any time.
In this current dispensation, specialist Drs are not too many in the country and you shouldn't have expected a consultant to have all his time and attention alloted to your psn. This could explain why the Consultant wasn't on ground to monitor that labour.
My question now is, there was a midwife and a senior medical officer on duty and also, you as a patient relative is an experience nurse anaesthetist as you claimed to be , why didnt you all diagnose uterine rupture early before the consultant came? Probably you didn't trust the opinion and suggestion of that SMO because you felt he had nothing to offer.
Secondly, in a case of uterine rupture with all the glaring signs of which you mentioned a few in your narrative, for instance, you claimed her veins collapsed and she had a near syncope. These were tell tale signs of massive hyaemodynamic collapse which should have prompted any Dr or even a nurse to consider resuscitation with blood and fluid management even before the consultant arrival.
You are a JW. As you claimed, now did you approve the option of blood transfusion? Without it, the Dr truly wouldn't be able to save that woman no matter his level of expertise.

Jehova witness people don't approve of blood transfusion under any circumstance.

armyofone:
Don't screen people out - educate them.

educate jehova witness people in matters concerning blood transfusion? Goodluck to u

o123456789:
I know what killed both the mother and child because in 2021 I was also a victim of this kind of incident, but I was lucky only the baby died, at one hospital here in Benin City, Edo state.

The reasons are as follows:
1. Never induce labour due to ruptured membrane, because after the ruptured membrane the baby will adapt to the new environment inside the mother's womb, and original labour will come on its own in 2 to 3 days after the outflow of water from the mother.

2. Avoid overly large babies by shunning any thing cold drink even if it is cold water, and also avoid sweet mouth (too much sugar).

3. Eat light food only, once you notice labour.

4. Always deliver at local birth attendants place, the rate of safe delivery from these traditional midwives are 99.9 percent over herein Benin City Edo state. Their services are amazing.

If the above listed items were followed, then the delivery would have been successful.

Number 4 caused the death of my best friend and baby March 16th this year, developed so much apathy for them local birth attendants since that sad incident.

AK481:
The only binding legal document on method of document is the power of attorney he provided .

Keeping blood during CS is a pre requisite

They tried all they could to prevent CS as binding with a legal document provided by the husband .

Because they were not expecting CS all the team for surgery were not on ground .

R jolad need to put out a statement and it will be balanced .

At the point dr gave him the option of cs when it was complicated ... the way he responded shows that he rejected it.

I said same thing last night, some people wanted to eat me raw

There are too three issues here that are quiet conflicting.
One, is the perceived negligence in the part of the consultant, which could be excusable because by the virtue of the paucity of specialist in the country now, he might not have had all the time needed to monitor that labour. That's why he employed the services of a senior medical officer and a midwife.
Secondly is the perceived failure to diagnose a complication as serious as a ruptured uterus early by the senior medical officer, the midwife and even the husband as a trained nurse anaesthetist combine. This is very sad and the painful part is, you spoke as if you even knew better than the Drs and midwife put together, yet you couldn't diagnose your wife's complication and seek early intervention. So, it's either he had distracted them with his i-too- know attitude and caused them to miss that diagnosis or they practically didn't know.

Thirdly, what was the intervention after they found out she was loosing blood? He mentioned JW. Now, did he give approval for transfusion ? In my knowledge and experience as a Dr., ruptured uterus requires massive blood transfusion before and even during the surgical intervention for a patient to survive. I as an SMO have operated not lesss than 30 cases of uterine rupture and I never lost anyone. There were cases that received over 7 pints of blood concurrently as the surgery is going on.
So, a relation is a JW, how on earth would you expect her to have survived without transfusion.
If I were the consultant, I wouldn't have even touched that woman if you didn't approve blood transfusion.

gaby:
Wow..speechless.

Such a huge baby.

So sorry for your loss. It seems from your detailed narrative that all of these could have been avoided.

At the heart of this painful story is the below from the grieving husband:

He recalled: "Early into the Pregnancy, we discussed with Dr Marcus that we were Jehovah's witnesses and we seek bloodless medical and surgical care which he was comfortable with. We also made a durable power of attorney document available 2 months prior to delivery.

The Doctor and hospital will try to latch onto this to explain away the "alleged" negligence.

This promises to be a very interesting case as the husband in question is very well learned in the field and also very detailed.

They literally counselled them for surgery but they refuse
When patients gives statement ,they jump things intentionally to favour them,Dr Marcus did c/s for another patient while he is still in there facility but seems the husband did not consent

Babangidapikin:
Take heart ...the Doctor probably under staff trying to do his best . It is a different thing if it is a planned surgery then other personnel would be on ground.

You are very correct,itz almost largely impossible for an anaesthesiologist to be on ground everytime
A medical officer was with his wife throughout

ChelseaDr:
Lagusta my man, longest time,

I think the hospital had the option of referral to another facility at antenatal booking when they (the hospital) knew about their client'' religious inclinination but they chose to take full responsibility.

Haven taken full responsibility one would have expected them to be more proactive and have early recourse to prompt intervention, especially when they had such a client in labour.

With respect to the ultrasound foetal weight estimation of 3.9kg, it may not be a straight forward case to rush for emergency caesarwan section, more so because we were not told the birth weight of the first child.

Even though we are more inclined towards safe obstetric practices, some people will still go ahead and induce a 3.9kg foetus especially if the woman had delivered 3.9kg or more in the past.

Every pregnancy should however, be treated differently

Reporting the case to MDCN is good but he should be ready to prove there was negligence and that such negligence resulted to the harm done to him and his family.

A woman is not supposed to lose her life while giving life to another being, it is even more heart breaking to lose both mother and baby at same time. So sad

My brother!!!

You are spot on actually...

This is quite a sad story indeed.....

I just pray God grants him lots of strength at this time

Gosh!! Losing both mother and baby all at once

thatigboman:
no be only disciplinary action. CS without blood transfusion? How is that possible?
Seems u are a witness or u don't know those guys. People that will be taken to hospital emergency ward with broken bones and blood gushing out and still refuse blood transfusion. Why go to the hospital? They should take them to their kingdom hall for treatment

Yes it's possible, there are blood substitutes everywhere, although expensive....

The fact that they are JW is a risk on its own.

It's just a very sad tale actually

seborrhic:
Unfortunate series of events,but what I find troubling and suspicious in his narrative of events is this:if your wife was not contracting after rupture of the membranes,what the hospital did was what any other standard facility would do,they started with cytotec,at the lowest dose recommended,repeated when there was still no noticeable contraction,then scaled up to oxytocin.
The one issue I found with the Hospital management is that they would have exhausted the full 4 dose regimen of cytotec before starting with oxytocin.
The problem with dealing with men like this that feel they know it all from what they read is that you must play everything by the book,if not they would use one issue as being the cause of a mishap.
All these things he mentioned, paediatrician being present,physician,using infusion pump,partograph,CTG monitor,etc,even in advanced countries they are not as it's made out to be where all these personnel and instruments would be available.
I bet if he had been told from the onset that his wife needed to be sectioned,he would have blatantly refused and told them to exhaust every other means.
But here he is finding fault with every step taken.
It's sad he has lost both wife and child,but finding fault with every step is just ridiculous.
His wife came by 11am with no issues,was he expecting the consultant to be on ground monitoring an expected uneventful labour?
Let the hospital say it's own side of the story.
Mishaps happen all over the world and there is no where every case is done by the book.
It's sad and may God grant him the fortitude to bear the loss.

You just said it all,he knows little about the event of things in nigeria now,his wife even had a medical officer on ground with the wife
They counselled him for c/s,I guessed he refused

Fragility6:
Nigeria doctors are just useless. 2024 and we still have high failure rate in delivering via CS. Only this year alone,i have heard of multiple failed CS that ended the life of two wonderful women delivering for the first time.

Do you know wat people feel about c/s in this part of the country ,some people see it as a taboo ,until it becomes an emergency, people consent to c/s freely in advance world

o123456789:
Only if you know what risk in involved in blood transfusion. I will always avoid blood transfusion because most times the hospitals we have in Nigeria don't have the capacity to detect the component(s) of blood that is needed by a patient, so they will just give the patient the whole blood including plasma, platelets, white and red blood, which is dangerous. At many occasions the blood of the patient don't even match with the new blood.

You ll only consider those risks when your life is not threatened. By the time your living depends on blood transfusion, would understand why people agrees to taking blood.

You may have points with your submission but RJolad has history of medical negligence, 'no be today'. That's why it is important to do due diligence when choosing a private hospital and not relying on fine building or one person's bias or opinion. I can relate with this because back then when I was in Lagos I almost lost someone to this same kind of negligence, especially from the junior doctors who are always the ones on the ground. Our saving grace then was the man himself just happened to by chance be around that time before he started shouting and everybody started running helter-skelter and by God's grace the woman's life and the baby were saved. But despite that the agony the woman went through for the next 3 months of delivery can not really be described as a result of the earlier negligence.

It was after that incident I started hearing other stories. This incident happened almost 10 years ago but to date, you will continue to hear one story or the other about them. People go to quack doctors and deliver safely, even at home unaided but when you go to a hospital that promises premium care, then you expect premium care at all costs because you are paying for the premium, not general care.

seborrhic:
Unfortunate series of events,but what I find troubling and suspicious in his narrative of events is this:if your wife was not contracting after rupture of the membranes,what the hospital did was what any other standard facility would do,they started with cytotec,at the lowest dose recommended,repeated when there was still no noticeable contraction,then scaled up to oxytocin.
The one issue I found with the Hospital management is that they would have exhausted the full 4 dose regimen of cytotec before starting with oxytocin.
The problem with dealing with men like this that feel they know it all from what they read is that you must play everything by the book,if not they would use one issue as being the cause of a mishap.
All these things he mentioned, paediatrician being present,physician,using infusion pump,partograph,CTG monitor,etc,even in advanced countries they are not as it's made out to be where all these personnel and instruments would be available.
I bet if he had been told from the onset that his wife needed to be sectioned,he would have blatantly refused and told them to exhaust every other means.
But here he is finding fault with every step taken.
It's sad he has lost both wife and child,but finding fault with every step is just ridiculous.
His wife came by 11am with no issues,was he expecting the consultant to be on ground monitoring an expected uneventful labour?
Let the hospital say it's own side of the story.
Mishaps happen all over the world and there is no where every case is done by the book.
It's sad and may God grant him the fortitude to bear the loss.