Masa aku tengah nazak beranak aritu ada gak tergerak. Bukan tergerak.. rasa memang nak je.. suh doctor bedah... tak tahan betul sakit berjam-jam. Menggigil mata separuh je buka... separa sedar gitu. Dah belit oxygen sume. Laki pun dah lemau nunggu tepi katil... kering tekak duk doa selawat... Syukur Alhamdulillah.... keputusan doctor untuk usahakan bersalin normal tu adalah sangat tepat dan paling selamat untuk aku dan baby... ni aku share dari fb.. true story
Kalau satu hari nanti terpaksa bersalin cara caesarian pun.. mungkin sebab yang tak boleh elak. Mudah-mudahan selamat.. tawakal dan berserah. Pesanan buat para suami agar hargai ibu dan isteri. Jangan laju je nak langgar 'pantang'. "Alah..awak tu kan bersalin operate" no no no tau. Tak mau.
emm.. aku pon amek gak epidural ni. Better elakkan tapi dah sakit sangat amek je lah.
Well, this happened today.
Patient 'X' encountered some complications during a Caesarian Section and it started with her suffering from cardiac arrest 3x, hence CPR was commenced 3x throughout the surgery.
The OT was so busy with doctors running around trying to revive and save her.
Almost..
- 30 packed cells bags (red blood cells)
- 30 cryoprecipitate bags (blood components)
- 20 platelet bags
- 10 fresh frozen plasma bags (blood components)
and also 3 ampules/vials of NovoSeven (Factor 7 - one of the blood clotting/coagulation components, each ampule costs no less than rm5000)
Pam masuk atas, mengalir2 keluar kat bawah.
The 'SUPER FLUID INFUSER MACHINE' i called it, Level 1, was also hard at work. (this is only used in massive bleeding cases yang macam air paip je keluar)
All of these were transfused into one patient.
(The total amount might be more as we kept on calling the Blood Bank, asking for more blood to resuscitate her)
WOW, you said.
The surgeons had to re-operate her as her bleeding never stopped even after they have closed her up. She was in the OT for a total 7hours at least. When I passed the exit door of our OT, I saw her little boy waiting anxiously, peeking over the automatic sliding door every single time the OT Reception receives and sends out patients, wondering if it's his mum the nurses were pushing out.
It was so heartbreaking I had to walk quickly to the changing room sebab dah habuk masuk mata sikit.
The surgeons have issued 'DIL' (Danger in Life/Dangerously Ill Listed) in view of the severity of her condition.
I sure hope she survives.
Her two young kids and a newborn baby are waiting for her.
Patient 'X' is I would say, rather lucky that she was operated on in a hospital with adequate facilities and experienced obstetricians/anaesthetists.
Kalau kat district........I think you can fikir2 lah...nak CPR berapa minit sementara sampai tertiary centres before the patient becomes brain dead if the district hospital is unable to handle such complex case?
There are cases which the medical team managed to resuscitate the patients though but patient's quality of life might be reduced.
Our working diagnosis is Amniotic Fluid Embolism.
Ni maksud dia, air ketuban, sel fetus,rambut atau serpihan (debris?) masuk ke dalam saluran darah ibu yang mana si ibu akan terus mendapat kegagalan fungsi jantung and pernafasan (cardiorespiratory collapse...sorry unable to do a direct translation. any more senior O&G doctors can help me out here)
Yep, that's the kind of risk/sacrifice mothers all over the world have to face in delivering you.
To summarize, my dua kupang advices:
1. To young single mothers:
please, nak bersalin tu, is not without risks. Bukan suka2 main then oppps...Im having a babyyyyy. Then, no antenatal care at all, sampai2 hospital terus delivery. If you're lucky, then Alhamdulillah. But if you're not? Nothing is sadder than a mother-less child.
2. To mothers with pre-existing health conditions:
make sure you are well monitored throughout your pregnancy. It's for your own good. If you have chosen to deliver via Caesarian Section, do your homework and read on the risks involved and then, discuss it with your Obstetrician. The same goes if you have decided to delivery via normal delivery (SVD).
If you are weighing the idea of having a home birth, please, at least discuss with any medical personnel and get their input so you can make a better informed decision (rather than making one based on Facebook posts/'my friend told me that....')
Consider these:
a) Who will monitor your baby in your womb at home? Mana nak tau your baby is having difficulty inside?
b) If indeed your baby is facing difficulties and end up being born with poor APGAR Score (a score we use to assess the baby is OK or not, Low Apgar Score contohnya baby born blue, not crying, not active, lembik saja), who will attend to your baby? Give your baby adequate oxygen? Suction the excess fluid that the baby have swollen?
c) If you get postpartum haemorrhage (pendarahan selepas bersalin), how on earth will you get access to available screened blood for transfusion?
*Khas utk those championing home birth*
3. To boyfriends and husbands,
please, be considerate and mindful of the risks you are putting your wives in when you (both of you) have decided to have a child. See the Obstetricians together and go into the labor room with her, be with her through the excruciating pain. Be with your wife through each step of the way. When you finally get to hold your baby, don't forget to kiss your wife for she had just risked her life for that bundle of joy you're holding in your arms. The complications of delivery do not end the moment your baby is delivered. Remember this.
We have had a husband insisting on the wife to keep on trying to get a baby boy even after we told him that she could die in the process of labor due to her pre-existing health condition.
"Takpa doktor, kami nak cuba" the husband answered while the wife simply looked down to the floor.
Read more dear future parents.
Amniotic fluid embolism, even though is rare, it is not a joke.
Lastly,
Thank You dear Mothers, my Ibu especially.
You are a special bunch of Superheroes.
