{"id":4305,"date":"2019-11-08T13:34:15","date_gmt":"2019-11-08T13:34:15","guid":{"rendered":"https:\/\/inmedblogs.us\/nicholascomninellis\/?p=4305"},"modified":"2019-11-17T14:16:39","modified_gmt":"2019-11-17T14:16:39","slug":"mysterious-maternal-death-in-haiti","status":"publish","type":"post","link":"https:\/\/inmedblogs.us\/nicholascomninellis\/2019\/11\/08\/mysterious-maternal-death-in-haiti\/","title":{"rendered":"Mysterious Maternal Death in Haiti"},"content":{"rendered":"<p><a href=\"https:\/\/inmedblogs.us\/nicholascomninellis\/wp-content\/uploads\/sites\/2\/2019\/11\/death-e1573997687562.jpg\"><img fetchpriority=\"high\" decoding=\"async\" class=\"alignleft size-full wp-image-4306\" src=\"https:\/\/inmedblogs.us\/nicholascomninellis\/wp-content\/uploads\/sites\/2\/2019\/11\/death-e1573997687562.jpg\" alt=\"\" width=\"530\" height=\"400\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<p>Picture yourself is this situation reported today from an INMED Graduate in Haiti: &#8220;A 30-year old woman, G7P6 without prenatal care, came to our clinic in labor. Her pain was greater and more constant than I&#8217;d expect. Normal vitals and fetal heart rate. Cervix was fully dilated and high. Then suddenly, the fetal heartbeat disappeared and she started pushing. Baby presented face up and with shoulder dystocia.&#8221;<\/p>\n<p>&nbsp;<\/p>\n<p>&#8220;With leg flexion and supra-pubic pressure baby delivered, but floppy, blue, and no heartbeat. I did resuscitation, but no response. Then the mother hemorrhaged. I massaged her uterus, gave oxytocin in her IV fluids, and assessed for tears but there was none.\u00a0 I did a manual placenta removal, but she was still hemorrhaging. <em>Couldn&#8217;t find an accepting hospital.<\/em> She passed away the next morning. What could we have done different and what could the causes be?&#8221;<\/p>\n<p>&nbsp;<\/p>\n<p>Sound frightening? Indeed, and yet most maternal death is preventable and treatable. For these reasons, maternal-newborn health is part of our core curriculum. What could have caused the death of this mother and baby? Most probably she suffered from placental abruption. Ultrasound and Cesarean delivery &#8211; unavailable at this clinic &#8211; may have prevented such outcomes. But I&#8217;m encouraged that this INMED grad recognized the emergency and responded with the best at hand.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; Picture yourself is this situation reported today from an INMED Graduate in Haiti: &#8220;A 30-year old woman, G7P6 without prenatal care, came to our clinic in labor. Her pain was greater and more constant than I&#8217;d expect. Normal vitals and fetal heart rate. Cervix was fully dilated and high. Then suddenly, the fetal heartbeat [&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":[33],"tags":[],"class_list":["post-4305","post","type-post","status-publish","format-standard","hentry","category-inmed-grads-in-action"],"_links":{"self":[{"href":"https:\/\/inmedblogs.us\/nicholascomninellis\/wp-json\/wp\/v2\/posts\/4305","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=4305"}],"version-history":[{"count":0,"href":"https:\/\/inmedblogs.us\/nicholascomninellis\/wp-json\/wp\/v2\/posts\/4305\/revisions"}],"wp:attachment":[{"href":"https:\/\/inmedblogs.us\/nicholascomninellis\/wp-json\/wp\/v2\/media?parent=4305"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/inmedblogs.us\/nicholascomninellis\/wp-json\/wp\/v2\/categories?post=4305"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/inmedblogs.us\/nicholascomninellis\/wp-json\/wp\/v2\/tags?post=4305"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}