One of the ladies who regularly attended antenatal care at
NJH came in labour today morning. She was quite a complicated case. RnD was 30
years old. This was her fourth pregnancy. Only couple of months back, she had
lost her only son to malignancy at the tender age of 4 years. She had 2 daughters.
During her antenatal check-ups, she used to insist that she
have a normal delivery although her second delivery was through a Cesarian
section. We had mentioned to her about the possibility of a Cesarian section.
When RnD arrived today morning, she had already been in
labour at her home for almost 12 hours. She was dilated about 8 centimeters and
a uneventful vaginal delivery appeared on the offing. However, I was a bit
doubtful about the rotation of the head. I gave the option for a Cesarian
section to the relatives. However, they were quite vehement about not going for
a Cesarian section. I managed to convince them that the maximum we could wait
was 3 hours.
Unfortunately, things did not progress as all of us wanted.
She got fully dilated but there was a poor descent of the head. I had to take a
call for a Cesarian section. To my surprise, the relatives were quite vociferous
in opposing the surgery. Later, I found out that the baby had passed meconium .
. . thick pea soup colored meconium.
I reviewed things with the relatives. They did not want
anything to do with a Cesarian section. After a lot of haggling, they agreed.
It was only in the middle of the haggling that it struck me that most probably
the relatives knew that RnD was expecting a girl baby. I mentioned it to few of
my colleagues. They also agreed.
Then after I had talked with the relatives, I came to the
Labour Room and found to my dismay that the patient was arguing with the nurses
for having to undergo a Cesarian. One of the nurses scooped up a blob of
meconium and showed it to the lady and told that the baby was eating this
stuff. She agreed.
We had the baby out in about 10 minutes. There was meconium
aspiration. The theatre team did a good job at resuscitation. However, the
process of labour had done the damage. A second stage Cesarian is many a time
an obstetrician’s nightmare. There were tears of the lower uterine segment
which extended to the pelvic region. It was very much similar to the Cesarian Ihad in the morning, but tougher.
Post surgery, I went to talk the relatives to tell about the
sick baby and the difficult surgery RnD had to undergo. The family was distraught.
They very well knew it was a girl. The husband confessed that they had found
out that this pregnancy carried a girl fetus. I gave them the option of taking
her to a higher centre to ensure that she did not develop Meconium Aspiration
Syndrome. I could not believe my ears when they told that they did not mind
even if the child died.
I wondered how many more Indira Gandhis, Pratibha Patils, PT
Ushas, Sania Mirzas, Sainas, Kalpana Chawlas etc we need to see before we
realise how precious our little girls and sisters are for each one of us.
As I sign off this post, one more story which could end up
true . . .
I just had a lady in her fourth pregnancy nearing 8 months
of pregnancy who has walked into Labour Room complaining of lost fetal
movements. The ultrasound has confirmed a fetal death. As I announced it the
family members I was quite taken aback by the shock and the disbelief that
enveloped them. The grief was much more than what I usually witness.
I
suspect that the lost baby is a male. They must have known earlier. The first three children are girls.
I shall let you know tomorrow. I’ve induced labour for her .
. .
Jeevan, what a sad state of affairs. The culture we work in needs such redemption. We will pray that the Lord works in people's minds to bring about change so that they will realize that all men and women are created in the image of God.
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