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Re: Alana's Surprise stillbirthFrom: Alana A. Millman (midwife2be@lvcm.com)Fri Oct 27 14:23:01 2000
At 07:16 AM 10/27/00 -0500, RModugno@aol.com wrote: > Ah, but Alana, us "in hospital wonks" would say that this "surprise" >stillbirth may have been averted if she had had continuous EFM! Yes, I can't argue with the fact that it is *possible* this baby *might* have lived if she had continuous EFM. Somewhere deep inside, I believe things happen for a reason. However, I also know that is certainly far from clinical, so I tend to keep those thoughts to myself rather than elaborate.
>To you, a "surprise stillbirth" usually means bad luck, to us it usually Well, I don't know if I would label it bad luck. I'm sure it is common knowledge that often, in many states of the U.S., to midwives it means arrest and sometimes prison. Regardless of being CNM's or CPM's or any other affiliation or training they have. I knew that I would eventually encounter death, but I did not know it would be so early on in my career. I hope to find that birth to be one of the most shocking and unbelievable things I ever have to witness. I pray to never see anything like it again. It still hurts to think about but I will share briefly. I was in attendance for 24 hours, she was 40 +2days. She was a single woman, G2 and this was a VBAC. She was examined and found to be in normal health both before and after the birth. Second stage was 3 1/2 hours FHR was checked frequently w/ a dopplar and was WNL, it was in the 160's during crowning and the scalp was pink. Perineum stretched for approx. 2 minutes after last FHR check. Fluid was clear throughout labor until after the head was delivered when there was fresh mec. Birth of the head was followed by shoulders without delay. The baby had no heart beat and never attempted to take a breath after birth. NNR began in less than 90 seconds. Cord was around the body once and if I remember right, appeared flat at birth. It is not certain but is thought that the cord may have been across the baby's arm/shoulder/back and compressed, the baby's lungs sounded fluid filled. I keep contemplating, how can a baby go from ok to that bad in 2 minutes or less and we can't resuscitate her? I believe we did everything within our abilities and in retrospect I would not change the management of this labor. The unfortunate experience will enhance my attention to detail and the seriousness with which I approach my work but will not change where I choose to attend well informed, low risk women. Try not to slay me with your responses. Alana Millman Wife to J.P. Mom to Victoria (transport and c/s 12/95) Mom to Elizabeth (home VBAC 09/98) and mom to four in heaven Apprentice midwife Las Vegas, Nevada
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