Baby dies, Mother struggled in Childbirth

This is Nadine again...

The last post was from Ashley but I think it was cut off...will see if she can try again and finish.

I am writing to report for Dr. Hinshaw. He has been very busy in the hospital, delivering babies, doing c-sections, D $ C's etc. The ultrasound works great! Thank you! He was also able to set up and teach the colposcope and it works great too! He has trained Sr. Vincentina and will train the others. He is working with an intern also...Dr. Charles. I think it has been a bit of adjustment in the "theatre" operating room without anesthesia and they have been using ketamine.

The other night a mother arrived after pushing unsuccessfully at home for many hours with a village midwife. Upon arrival she was fully dilated with feet coming through wrapped up in the umbilical cord and head stuck. Dr. Hinshaw and Dr. Patient took her to the "theatre" and did a c-section emergently. The babies heartrate was low but after taking out the heartrate came back up, baby was suctioned, given dextrose IV. The only oxygen available was by Nasal cannula with a mask to go over. This was new to Dr. Hinshaw. The baby was retracting but stabilized on the oxygen, was transferred to the "special care unit". When Dr. Hinshaw did rounds in the am, he found the baby had died in the night. It was hard...and easy to second guess..."what if there was a ventilator here? What if they had ET tubes available?" And of course..."What if the mother had come in earlier and not depeneded on an untrained midwife?" God only knows...? This child was the mother's 8th baby. She is being treated for a uterine infection due to the ruptured membranes and prolonged delivery and doing well.

Meanwhile, Leigh, Ashley, Jackson, Bosco and I went out to Wipolo village, Sr. Mary Rose's family home, and had a wonderful time. Stay tuned...more later.

Nadine