{"id":4174,"date":"2019-07-09T19:01:43","date_gmt":"2019-07-09T19:01:43","guid":{"rendered":"https:\/\/inmedblogs.us\/nicholascomninellis\/?p=4174"},"modified":"2019-07-09T19:02:29","modified_gmt":"2019-07-09T19:02:29","slug":"not-so-complicated-obstetrics-angola-day-6","status":"publish","type":"post","link":"https:\/\/inmedblogs.us\/nicholascomninellis\/2019\/07\/09\/not-so-complicated-obstetrics-angola-day-6\/","title":{"rendered":"Not-So-Complicated Obstetrics &#8211; Angola Day 6"},"content":{"rendered":"\n<figure class=\"wp-block-image\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1004\" height=\"928\" src=\"https:\/\/inmedblogs.us\/nicholascomninellis\/wp-content\/uploads\/sites\/2\/2019\/07\/retained.jpg\" alt=\"\" class=\"wp-image-4175\" srcset=\"https:\/\/inmedblogs.us\/nicholascomninellis\/wp-content\/uploads\/sites\/2\/2019\/07\/retained.jpg 1004w, https:\/\/inmedblogs.us\/nicholascomninellis\/wp-content\/uploads\/sites\/2\/2019\/07\/retained-300x277.jpg 300w, https:\/\/inmedblogs.us\/nicholascomninellis\/wp-content\/uploads\/sites\/2\/2019\/07\/retained-768x710.jpg 768w\" sizes=\"(max-width: 1004px) 100vw, 1004px\" \/><figcaption>&#8220;<\/figcaption><\/figure>\n\n\n\n<p>&#8220;The baby delivered four hours ago, but the afterbirth is stuck!&#8221; explained our nurse midwife. She was frazzled and fatigued, being on her feet with this delivery for the entire night. At 5:00am, the new mother spiked a fever and began bleeding from her uterus. <\/p>\n\n\n<p>&nbsp;<\/p>\n\n\n<p>When I arrived, a quick exam revealed her placenta was still attached to the inside of her uterus. <em>Retained placenta<\/em> is a well-known risk of pregnancy. If it continues, women develop bleeding and infection leading to sepsis. With treatment, this a not-so-complicated obstetrics. But without treatment, death is commonplace. <\/p>\n\n\n<p>&nbsp;<\/p>\n\n\n<p>With a bit of anesthesia, I placed my entire hand into the vagina, and then up through the cervix into the cavity of her uterus. Unlike the rough, firm texture of the uterine muscle, a placenta feels like jelly. I encompassed the slushy placenta in my grip, and slowly extracted it with one pull. The midwife sighed with relief, and the mother gave a shout of joy.<\/p>\n\n\n<p>&nbsp;<\/p>\n\n\n<p>Labor pregnancy continues to needlessly kill some 100,000 women each year, almost entirely in poor communities. One of our highest priorities at <a rel=\"noreferrer noopener\" aria-label=\"INMED (opens in a new tab)\" href=\"https:\/\/inmed.us\" target=\"_blank\">INMED<\/a> and at <a rel=\"noreferrer noopener\" aria-label=\"CEML (opens in a new tab)\" href=\"https:\/\/www.ceml.org\" target=\"_blank\">CEML<\/a> is to training healthcare personnel with basic obstetric skills such that <em>no woman dies from not-so-complicated obstetrics<\/em>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&#8220;The baby delivered four hours ago, but the afterbirth is stuck!&#8221; explained our nurse midwife. She was frazzled and fatigued, being on her feet with this delivery for the entire night. At 5:00am, the new mother spiked a fever and began bleeding from her uterus. &nbsp; When I arrived, a quick exam revealed her placenta [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[48],"tags":[],"class_list":["post-4174","post","type-post","status-publish","format-standard","hentry","category-2019-angola"],"_links":{"self":[{"href":"https:\/\/inmedblogs.us\/nicholascomninellis\/wp-json\/wp\/v2\/posts\/4174","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/inmedblogs.us\/nicholascomninellis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/inmedblogs.us\/nicholascomninellis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/inmedblogs.us\/nicholascomninellis\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/inmedblogs.us\/nicholascomninellis\/wp-json\/wp\/v2\/comments?post=4174"}],"version-history":[{"count":0,"href":"https:\/\/inmedblogs.us\/nicholascomninellis\/wp-json\/wp\/v2\/posts\/4174\/revisions"}],"wp:attachment":[{"href":"https:\/\/inmedblogs.us\/nicholascomninellis\/wp-json\/wp\/v2\/media?parent=4174"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/inmedblogs.us\/nicholascomninellis\/wp-json\/wp\/v2\/categories?post=4174"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/inmedblogs.us\/nicholascomninellis\/wp-json\/wp\/v2\/tags?post=4174"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}