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Re: My case list...TAH in 18yrFrom: fseddon@interlog.comFri May 29 22:34:21 1998
>I wonder what a home delivery would be like in situations like this. As a midwife providing care for women at home I can respond. You would have had a telephone call to alert you to the problem and allow time for the operating room and anesthesia to be prepared. We would tranport via ambulance. The woman would have been treated with IV crytalloids, oxytocin, IM ergometrine,O2 by FM 100 FIO2. Bimanual compression would be performed by the midwife until the uterus contracted or until transfer to your care. We know this can happen and the women are informed of this and the resources available. However most recently in Ontario, women have died in HOSPITAL from substandard care. As happens in the UK- see their triennial Maternal Mortality Reports.
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