₦airaland Forum

cococandy:
Sis You know it pains me to support a typical Nigerian man.But in this case, this man didn’t do anything wrong. The whole system is broken

They kept administering more and more medications to stimulate contractions when they weren’t adequately monitoring the patient and fetus.

The doctor wasn’t on ground when shit hit the fan even though this was his patient and it was a scheduled induction so he knew they would be there. When you induce labor you have to know that since it’s not natural labor, the cervix may refuse to cooperate at any time and you have to be there to make sure that mom and baby can get to the OR ASAP if needed. This man didn’t refuse surgery if necessary. Why blame him?

I was induced twice and in both cases my OB/GYN was available right there to make sure everything went well. They have a surgeon on hand in case something went wrong with my induction so they could operate immediately. Both the surgeon and the anesthesiologist came and talked to me prior to induction to let me know what they plan to do in case of an emergency. I agreed and we proceeded. If anything had gone wrong, I’d have been in the OR in less than 10 mins for rescue and resuscitation. That’s a system that has their emergency routine mastered and ready to go.

This doctor induced a patient knowing that induction has risks and was in another hospital while his patient was declining. No adequate monitoring for them to even know if the baby was in distress with all the unmeasured pitocin they were pumping into mom.

I know JW have a bad rap and Nigerian men are not it sometimes. But those weren’t the reason his wife died. The hospital failed them:

Honestly which hospital have you seen a consultant sitting down to monitor CONTINUOUSLY any labour.there are junior doctors, midwives or nurses who sit with the woman and report to the consultant. The hospital didn't fail them . The root cause of death is hemorrhage from ruptured uretus. This was always a risk when cs was rejected. Remember a power of attorney was even in place rejecting any blood or surgery.

cococandy:
Okay but that’s not the case here though is it?

Are you able to dissect your own bias now appropriately?

I’m asking you again. At what point did the hospital provide appropriate care to the wife and all that was left to save her was a blood transfusion which he then refused? Did that happen? No.

Since it didn’t happen, you’re simply saying just because he doesn’t believe in blood transfusions he deserved the death of his wife even though she died from mismanagement and not a lack of transfusion when needed.

How do you just judge solely on patients account. Wait and hear from the hospital. See patients will always lay blame. Once the consultant or doctor they know is not in the labour word they conclude that no one else is there. Whereas if you hear from the hospital later ,you will understand that there were other doctors and nurses always rotating their shifts to stay with her. Calm down there are both sides of the story.

It is only God that can console you... Please it is always good to register your antenatal in both general hospital and private. Cos most private hospitals ain't swift and efficient in their services... It is well wit you brother...

franchasofficia:
Exactly.


The root cause of the problem is the couple's religious belief.

The hospital was being careful with their religious belief.


C-section remains the safest for birthing. As soon as they noticed that she ruptured without contracting after hours, they should have went for c-section immediately.


But I am sure they were being careful because of the couple's religious belief.


How humans endanger their lives because of some odd religious beliefs and doctrines, sighs



This story hurts

You have said it all. They even had a power of attorney signed to reject bloods and surgery. So that means they were prepared for the risk .
The Man claimed to have medical knowledge, so didn't he know that rejecting surgery and blood for a woman in labour was endangering the lives of mother and child.

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

You have better chances talking to a wall than talking to these guys...

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

Check out the subsequent messages I posted.

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

He used his wife to play kalo kalo.

First ,seeing the weight of the baby at scan towards deliverey period ..3.9kg !!!!, shows that they will be challenge delivering via vagina ,especially if its narrow .. that's even an easy point to denote.

What if she was carrying multiple birth , will he have also opened his mouth and ask for CS ?


That power of attorney will be interesting to see if he can show us the content .

Where we wan start from,first of all RIP to your wife & kid... Nd now we heard cause of missing uterus nd placenta..... I Neva wan talk watin dey my mind,but if I find my family bloodline unless naw handiwork of nature dem go also find whosoever that's involved

mediclife1987:
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.

Can you share it pls?

This is sad.
Firstly is this the same hospital your first born was delivered?

Not all that glitter is gold.
I have two kids and my wifes deliveries were all "snap of the finger" and the hospital is what you will call physically "quack".my MIL insisted that's the birth place she wanted for her daughter. The matron has a clean track record of successes.
I was skeptical during my first born but the snap process delivery is an experience you won't get from all the big sky scrapper hospitals I wanted my children to be birth in.
Experience matters in child birth and it's not always big hospitals.
Take heart brother!....

dapotemi:
Did what OP put up there shows that the woman died because she did not ACCEPT blood transfusion? Be honest with your response, hence, you may look like a .........

Mr man u are not in the profession.so u bn emotional is expected.Did u see the plenty of blood on the floor in that picture.Even without reading what the op presented the first question I will ask seeing that volume of blood on the floor in a woman on labor will be if the person was transfused with blood and also if she survived it.In medical practice once there is blood loss and quantity is much u need as a matter of urgency replace the blood which they already said they don't want and also sign a document.I understand the fact you are not in the profession or may be u don't work even in a hospital environment.
There are even situations where the hospital management as a matter of emergency obtain a legal document from the court of law and transfuse such a patient just to save the life.
I think they call it power of attorney.
It is a heart breaking situation for the patient caregiver as well as the said hospital because a life has been lost.

Newlymarried:

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

So.many errors and bad behavior of doctors, nurses and mentron de do very bad them fill say them be God
Don't care if you are dying
Them plenty for Warri
Bros take it to the next level

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.

Exactly.
I'm a Edo boy.
When my mother in law took me to a "joint" (Cause I won't call the place a hospital, mere looking at it).
The woman in charge works with Ubth ( tho retired) but she runs her private delivery services in a rented apartment.
I fought the decision for weeks but bra... If I'll have more kids, they will never smell a regular hospital.
These woman's deliveries ( with God's will tho) are snap of the finger.
My second child was the fastest, immediately my wife made the first attempt to push, I picked up my phone to call my spiritual leader to join me in prayers b4 the call rang out, I heard my baby boy crying in the labour room.
My jaws dropped, we barely spent 10 hrs in that place both arrival and discharging of mother and baby.

Reading this OP story and seeing all this big big medical terms and medical positions he's calling, I was just shaking my head...... all QUACKS!, ALL NA PACKAGING, MAJORITY KNOW NADA

... If you see my kids, you won't believe they are nigerians lol, dem different

A woman of such physique could never push out a baby of that size, I maybe wrong


But that's a big baby!
Knowing the weight and size and you also being a medical practitioner, should have opted for option C from the beginning to avoid stories like this.

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

You no dey hear word It is possible..I did it twice!!! Do I need to pluck your ear to put words into it!! Lol

dapotemi:
You no dey hear word It is possible..I did it twice!!! Do I need to pluck your ear to put words into it!! Lol

Did you get blood on standby ?

If you didn't, the hospital should be sued for quackery.

You were lucky.

Newlymarried:
https://punchng.com/nurse-accuses-lagos-hospital-of-negligence-over-wife-sons-death/

Very sorry for your loss bro. Am sure there where a lot of red flags when as a nurse your self who is experienced in medical line.one would expect that you would have transferred your wife immediately to a better facility.just maybe your wife and your bouncing baby boy would have been alive today.delay is dangerous. Exactly what I would do if I where you.RIP to the dead

Juoflife1:
When the water breaks and she's not contracting, she should have been sectioned, not induced. A baby in the womb without water is already stressed

If the foetus is viable, there are no signs of maternal infection or foetal distress, feto-maternal vital signs (PR, HR, BP, RR, SPO2, T°) are reassuring AND THE PATIENT HAS AN ADEQUATE PELVIS, then I see nothing wrong with attempting an induction first

In the event of poor progress, foetal distress or failed induction then the patient cam be sectioned.

From the story, her uterus was contracting against a cervix that was not fully dilated and the baby was a bit on the big side.

An unfortunate incident, but more stringent monitoring could have prevented this.

thatigboman:
CS without blood donation? Is it jehova that will perform the CS?

Stop spreading misinformation, JW allow C/S except if the individual decline by her own free will.

Do your own research.

cococandy:
Thank you!

They just heard Jehovah’s Witness and all their bias let them avoid comprehending the case

It's so alarming.

This is murder, they left the woman to bleed to death. Quack Naigerian hospitals.

drsibz66:
Honestly which hospital have you seen a consultant sitting down to monitor CONTINUOUSLY any labour.there are junior doctors, midwives or nurses who sit with the woman and report to the consultant. The hospital didn't fail them . The root cause of death is hemorrhage from ruptured uretus. This was always a risk when cs was rejected. Remember a power of attorney was even in place rejecting any blood or surgery.

1)If he’s too highly placed to sit and monitor a laboring woman, He shouldn’t be two hours away when he’s needed. Or a similarly skilled individual such as himself should be available. It wasn’t just labor. It was induced labor. Which he initiated and should have been responsible for.

2) The patient didn’t reject surgery. Pls I’m not going to engage with you if you’re going to be a liar or flat out lack comprehension.

3) Yes the root cause of death was a ruptured uterus due to unsupervised administration of a highly stimulating uterine contracting medication called pitocin. Very irresponsible of this doctor. He caused this sentinel event. He’s responsible

AK481:
Did you get blood on standby ?

If you didn't, the hospital should be sued for quackery.

You were lucky.

Lucky you mean!!! When there are substitute!!! You should research more.

1Sharon:
Can you share it pls?

Here...

mediclife1987:
Here...

Well well well. cheers.

drsibz66:
Don say what you don't know. Have you heard the hospitals account. What killed the woman is ruptured uretus and hemorrhage. Cs would have avoided this but he refused, blood transfusion would have given her a chance to live but was also refused. Delivery is a complex procedure , no one can fully predict the eventual outcome but the life savers to reduced death were refused by the man.

Are you saying what you know? Didn't you see in the chat when he agreed to CS?The only thing he refused was a blood transfusion. Her PCV was clearly Ok and she wouldn't have needed a transfusion during CS. Do you think all surgery requires a transfusion.
If she was properly monitored why would she have a ruptured uterus?

ozo13:
Mr man u are not in the profession.so u bn emotional is expected.Did u see the plenty of blood on the floor in that picture.Even without reading what the op presented the first question I will ask seeing that volume of blood on the floor in a woman on labor will be if the person was transfused with blood and also if she survived it.In medical practice once there is blood loss and quantity is much u need as a matter of urgency replace the blood which they already said they don't want and also sign a document.I understand the fact you are not in the profession or may be u don't work even in a hospital environment.
There are even situations where the hospital management as a matter of emergency obtain a legal document from the court of law and transfuse such a patient just to save the life.
I think they call it power of attorney.
It is a heart breaking situation for the patient caregiver as well as the said hospital because a life has been lost.

That blood loss is as a result of a ruptured uterus. There wouldn't have been need for such if there was proper monitoring.

ceeceeuwa:
That blood loss is as a result of a ruptured uterus. There wouldn't have been need for such if there was proper monitoring.

it may be in few situation but most of the bleeding like that usually are due to complex cervical laceration or uterine laceration.Ruptured uterus usually will not bring that amount of blood to the exterior.
In most uterine rupture, it opens up directly into the peritoneal cavity (abdominal cavity and the bleeding will be internal into the peritoneum(let me say abdomen in this case).
Also the baby(fetus) will find it difficult to come out through the birth canal (because that rupture doesn't allow the womb to sustain the pressure needed to make the baby to naturally come out through the birth canal).
So in most cases of ruptured uterus only a caesarean section will be the only route for the baby to come out.
So we can say from the husband point of view as he didn't mention CS was done to deliver the baby the woman likely didn't have ruptured uterus but likely a serious laceration.
A panel should be set up to look into the matter to ascertain if there was actually any form of negligence in the case and how it can be prevented going forward.
Issue of Jehovah witness as regards blood transfusion is complex especially when it involve a high risk delivery where a baby is 3.9kg.
May God give the family the fortitude to bear the loss.

ozo13:
it may be in few situation but most of the bleeding like that usually are due to complex cervical laceration or uterine laceration.Ruptured uterus usually will not bring that amount of blood to the exterior.
In most uterine rupture, it opens up directly into the peritoneal cavity (abdominal cavity and the bleeding will be internal into the peritoneum(let me say abdomen in this case).
Also the baby(fetus) will find it difficult to come out through the birth canal (because that rupture doesn't allow the womb to sustain the pressure needed to make the baby to naturally come out through the birth canal).
So in most cases of ruptured uterus only a caesarean section will be the only route for the baby to come out.
So we can say from the husband point of view as he didn't mention CS was done to deliver the baby the woman likely didn't have ruptured uterus but likely a serious laceration.
A panel should be set up to look into the matter to ascertain if there was actually any form of negligence in the case and how it can be prevented going forward.
Issue of Jehovah witness as regards blood transfusion is complex especially when it involve a high risk delivery where a baby is 3.9kg.
May God give the family the fortitude to bear the loss.

It is so unfortunate!

JuanDeDios:
Please I have a question. No vex.

Can someone avoid all this trouble by opting for an elective CS from the get go - whether primi or multi?

Yes, one can opt for an elective CS from the beginning based on request

ceeceeuwa:
Are you saying what you know? Didn't you see in the chat when he agreed to CS?The only thing he refused was a blood transfusion. Her PCV was clearly Ok and she wouldn't have needed a transfusion during CS. Do you think all surgery requires a transfusion.
If she was properly monitored why would she have a ruptured uterus?

You are nor a doctor and you lack basic knowledge of medicine. Who told you patients that are properly monitored don't rupture uterus, even normal labour can rupture a uterus though rare so shot up.

If you read what was posted at the very beginning of the story you will see where the Jw got a documented letter of attorney rejecting blood or surgery. Is cs not surgery. He only later agreed to surgery when he sensed the threat to life and by then otilo.

cococandy:
1)If he’s too highly placed to sit and monitor a laboring woman, He shouldn’t be two hours away when he’s needed. Or a similarly skilled individual such as himself should be available. It wasn’t just labor. It was induced labor. Which he initiated and should have been responsible for.

2) The patient didn’t reject surgery. Pls I’m not going to engage with you if you’re going to be a liar or flat out lack comprehension.

3) Yes the root cause of death was a ruptured uterus due to unsupervised administration of a highly stimulating uterine contracting medication called pitocin. Very irresponsible of this doctor. He caused this sentinel event. He’s responsible

So what ever the patient say is final. So we can all conclude and judge the doctor as guity from just patients account... sorry I am not that stupid and I don't think like that.

The man got a documented letter of attorney where he stated he didn't want bloods or surgery. It there in the write up by the man himself. Is cs not surgery. So rejecting cs and bloods in the first place has already altered the proven line of management for the doctor . For this patient with a 3.9 kg EFW . Removing the option of cs and bloods was already a disaster waiting to happen. The woman had a 10% chance of surviving svd. Svd normally na 60/ 40 in Nigeria hospitals.

In a Nigeria setting with poor power supply,poor man power, lack of basic equipments ie ctg , advance uss etc ,let's assume you have any medically clinical experience not knowledge. If you take away the option of cs, blood transfusion from a delivery you are then expecting the doctor to perform a miracle . I know you won't understand but what I am saying is in nigeria you don't further limit you chances to live by your self knowing well that maternal and child mortality is highest in this part of the world. It's like you saying as a billionaire you want to cycle without escorts from let's say edo state to kano.. tell me what are you chances of been kidnapped.