![]() Extra sutures and diathermy and extra time and patience were needed to stop the bleeding. That was consistent with a bleeding disorder. Closure was difficult because of considerable bleeding of the uterus and the abdominal wall layers. A bleeding disorder was a more likely problem as there was also considerable extra bleeding of the abdominal wall layers with incision. There was no evidence of uterine rupture at surgery. There was no reason to suspect a uterine rupture as Lydia had had no previous uterine surgery, had no pain and was not in labour. My thought was there may have been either a uterine rupture or Lydia had a bleeding disorder. That was an unusual and concerning finding. When I catheterised Lydia before starting the operation I was very surprised as there was considerable blood in her urine. When Lydia was moved from the trolley onto the operating table so I could do the Caesarean section I noted that the amniotic fluid draining was clear in colour. The baby was a girl with a birth weight of 3385 grams. There is no reason to suspect the baby will have any long-term problems. Because of Lydia’s husband bringing Lydia to hospital so promptly, the quick delivery and excellent newborn resuscitation by the medical and nursing staff, the baby has done well. The results were consistent with the baby having experienced a severe but brief episode of lack of oxygen (called ‘asphyxia’). Umbilical artery and vein blood were collected for analysis at delivery. What a relief! The baby was admitted to the Special Care nursery for monitoring. The baby was intubated and given expert cardiopulmonary resuscitation (CPR) The heart started beating, the colour of the baby improved and soon the baby was moving and then crying. The baby had no heartbeat detected when checked on the neonatal resuscitation in the operating theatre immediately after delivery. The operation was done under a general anaesthetist because there was no time to give Lydia a spinal block. ![]() I arranged an urgent Caesarean section and went to the hospital as quickly as possible. That meant if we did not deliver the baby very soon it would die in the womb. The midwife who phoned me at home described the foetal heart rate pattern to me as being ‘preterminal’. There was a very abnormal foetal heart rate pattern. The foetal monitor was put on her abdomen. Soon after Lydia arrived in the Birth Unit she ruptured her membranes spontaneously. ![]() Even so, because she had fainted, her husband Igor took her to the hospital for a check. She was in no pain and had no vaginal bleeding. I saw her at 39 weeks and 0 days for a routine check and there were no concerns.ĭuring the early evening of the next day Lydia fainted at home whilst sitting on the couch.
0 Comments
Leave a Reply. |
Details
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |