helpee:
I know Rauf aregbesola hospital very well, it is a primary health centre. They don't handle any case more than normal uncomplicated delivery. I wonder how this educated man registered his wife in only a primary health centre. He should have at least registered her in another private hospital. You don't even present early..she got there after she must have been in labour overnight. Forget the labour started by 5 am story. Moreso, the nurses were persistent early enough in informing him they couldnt handle it but he should go to igando but rather he kept making trouble wasting precious time. There are several good private hospital at egbeda but he kept telling them a hospital couldn't be that big without a doctor. The nurses under pressure were forced to do what they could not do thereby wasting more time. By the time he agreed to go he was asking for referral note in emergency. That there was no doctor on duty was administrative....a health centre is primarily run by CHEWS under the supervision of a doctor who may not be available 24 hrs except corpers. so he went to health centre blaming the nurses who rightly told him it was beyond them. I am not saying our health system is not rotten but some people make trouble at the wrong time. You will save your wife first then come back to make trouble. RIP and my condolences

chiefmidwife:
So you want the nurses to kill themselves..hw much is government paying them
Even if the woman was saved by nurses tomorrow she will say it is Doctors
Nigerians don't respect nurses even if they kill themselves

successiam:
useless APC government

may all APC leaders die this way cos they fail to give Nigerians good health care

doctokwus:

Na wao!What happened to basic rubbing up contractions, and doing a basic VE to look for any possible lacerations and suturing b4 all these your packing and hysterectomy.
Classical "hyperphalooting" stuff when the basics have not been done.
Empathy from those on duty and doing the basics their training required cud have gone a long way.
They also appeared to have neglected the newborn while trying to now attend to the woman and the baby who most likely died from hypoxia too cud have been saved by basic suctioning and resuscitation.
Why not passing definitive judgement,its obvious that a lot that was supposed to have been done wasn't done, no matter what d final outcome wud have been.

bigsmoke2:
oxytocin , iv fluid and episioraphy if she had a tear would have kept this woman alive

zaragal:



wetin dis one dey talk?, which hospital is meant 2 b built 4 'normal delivery' wat is ''normal'' abt delivery. I hope u type dis poo wen its ur wife dat is involvd.

Sum comment sef ehn

ststyreal:
Ewoooooo! General hospitals in Lagos are nothing to write home about. May the souls of the faithful departed through the mercy of God, rest in peace, Amen. This is why I admire delta state governments in his Giant stride of free medical care for pregnant women . This situation can never happen in any general hospital in warri in particular. GOD BLESS UDUAGHAN AND GOD BLESS GOVERNOR IFEANYI OKOWA, for sustaining the projects. Take heart oga, it is well!

Uncleodi:


Yes oh! The two gentlemen u mentioned are Medical doctors. They were Commissioner for health at different times even without knowing that they will be governors someday
So they know what Maternal Mortality means. Delta health care system is very good.

bushdoc9919:
Takeaways with Bushdoc....loading....


Before I talk......RIP to the woman

I have a few questions for the case....

1.We do not know how long the woman was in labour before she got to the hospital. That is crucial. If she had been in labour for a prolonged period of time...something tells me that her condtion was a disaster waiting to happen.

Note that the water breaks when the cervix is fully dilated....meaning that by then the woman HAS been in labour for over ten hours. The man AND wife presented late to the hospital.....and something tells me that his wife did not go for ANC.

2.Why do we tell women to go for ANC?

Because disasters like this could happen?

We do not know the woman's ANC history at all. How long she attended clinic, whether she did ultrasound....so that we can catch any possible complications on time.

3.Yes the nurses sent her to Igando General....because this was an obstetric emergency....and I doubt a small clinic could handle post partum hemmorhage that bad.For that you need a specialist.....and that is why they sent them to Igando General. But our husband did not go...and vital time was wasted.

4.When she was taken there....there was no space. Husband made noise...they found a bed....but if she had lost lots of blood....the case was too late. She needed ICU plus transfusion of lots of blood And a hysterectomy. Am sure the lack of space hampered care....everyone is busy with lots of emergencies....and one more stretches the whole workload.

5.In my opinion, the woman died not because of nurse....but because of lack of adequate facilties, and lack of specialists.


NOW HERE IS WHAT SHOULD HAVE BEEN DONE.

1.Labour starts.

2.Woman is rushed to the nearest hospital by ambulance. LONG BEFORE THE WATER BREAKS.

3.Active management of labour starts with every change noted on a PARTOGRAM

4.Based on the changes....labour can be terminated medically or surgically (CS).

5.Post partum haemorrhage can be stopped by active measures.


The problem started long before the woman went into labour....and was prolonged by the fact that there was no adequately trained staff, and no adequately equipped hospitals.(Government .....una don hear? especially the APC governor of this state).....and poor health education.We also need more specialists....especially obstetricians.

If you are a woman reading this

1.Register for ANC as soon as you are pregnant.

2.Go to hospital when labour starts...do not wait for water to break.

3.Make sure there is an obstetrician on standby.

ernesty20:
Buhari

ernesty20:
Buhari

Uncleodi:


We are Hippocrates Brothers,we don't wash our linen outside. Forget Basis, this in not a 4thMB Obgyn exam..cus he wouldn't have passed if he didn't know the management of PPH.

helpee:
when we advise you, you won't hear. By the way, I am a doctor. Nigeria is so rotten so you need to understand how the system works for your own safety. Just this last week, we had a woman that was dying...she had bled so much and within a short period, we gave her 8 pints of blood without the husband depositing anything yet it is a private hospital. she went into a failure and we had to defribrillate her. But I will never forget something...the husband was so calm that he made our job so easy. By making trouble with the health people taking care if your family, you put them under pressure and as human beings they will make wrong choices. So, for your information, health centres are built to take normal uncomplicated delivery. This is nigeria and not UK. The idea is that rather than allow women patronise all these traditional birth homes and churches, let them deliver in a place close to them, cheap enough but at least they will be able to spot complications faster than traditional homes and direct them to secondary centres. Secondly, by making so much trouble, he put the workers under so much pressure they started attempting to do something just to please him while his wife was dying.

helpee:
I know Rauf aregbesola hospital very well, it is a primary health centre. They don't handle any case more than normal uncomplicated delivery. I wonder how this educated man registered his wife in only a primary health centre. He should have at least registered her in another private hospital. You don't even present early..she got there after she must have been in labour overnight. Forget the labour started by 5 am story. Moreso, the nurses were persistent early enough in informing him they couldnt handle it but he should go to igando but rather he kept making trouble wasting precious time. There are several good private hospital at egbeda but he kept telling them a hospital couldn't be that big without a doctor. The nurses under pressure were forced to do what they could not do thereby wasting more time. By the time he agreed to go he was asking for referral note in emergency. That there was no doctor on duty was administrative....a health centre is primarily run by CHEWS under the supervision of a doctor who may not be available 24 hrs except corpers. so he went to health centre blaming the nurses who rightly told him it was beyond them. I am not saying our health system is not rotten but some people make trouble at the wrong time. You will save your wife first then come back to make trouble. RIP and my condolences

zaragal:



wetin dis one dey talk?, which hospital is meant 2 b built 4 'normal delivery' wat is ''normal'' abt delivery. I hope u type dis poo wen its ur wife dat is involvd.

Sum comment sef ehn

STENON:
I stopped reading this post immediately I read that the hospital was a Government Hospital in Osun state.

Can any good things( e.g. Education, Health) come frm Osun State?

doctokwus:

I am not washing any linen of anyone outside.Rather,d way he made d case look hopeless was creating a wrong impression of lack of empathy for d lives lost.
As I said,d outcome might have been d same,but there was a wide gap in d chain of management that isn't properly accounted for.Professionally those met may not have done much to change d outcome,but d issue here is that they refused to do anything!From standard,maybe outcome changing mgt of mother and child,to referral,if only to protect themselves.That ain't good enough!!
As for d person I quoted,on a good day, I am sure he wud do very well faced with such odds.

Uncleodi:


We are Hippocrates Brothers,we don't wash our linen outside. Forget Basis, this in not a 4thMB Obgyn exam..cus he wouldn't have passed if he didn't know the management of PPH.

VickyRotex:

Please where did you see Osun State?
It happened in Lagos!

ernesty20:
Buhari

piagetskinner:
Chai... All these unreliable public hospitals sef # sometimes it's better to make use of private hospitals



See how they've made this poor man become a widower overnight due to their ineptitude # something he never bargained for... It is well.

Wishing all pregnant mothers safe delivery

McCarlito:
Nigerian nurses and their I Don't Care Attitudes when their licences are withdrawn from them(If it is possible in Nigeria) now the will start blaming the devil....
See the cruel treatment melted out to a newborn and sending him/her back after barely spending 20mins on earth....














May the soul of both the woman and newborn rest in peace.....