Please help(7 Posts)
Please help, need some information. Our baby passed away at birth and I believe and have strong information suggesting it could of been from errors. We have had a 2 hour meeting with the hospital and I received the tracings and documentation from the hospital, I'm not an expert but there are variable decelerations and at one point the nurse has a note in the watch child program (which they use to monitor the baby), so she called the dr who was on call and this is what the notes say "having variable, some not associated with contractions. Most recent variable was 3-4 minutes to return to baseline and presently tachy x 3 minutes." I went and reviewed the tracing at the time she mentions and it goes from 150 to 120 to 90 to 60 then 120 to 90, 120 to 90 then back up to baseline after this span lasted for 4 minutes, it only went to 60 briefly and I guess I'm just wondering if this would of been dangerous as at our 2 hour meeting the specialist said she reviewed the tracing and she saw no problems but once I reviewed it and seen the nurses note and noticed decels through the night and where it hit 60 a couple of times in the night I just wanted to get some information from someone more knowledgeable. Also I received a report from one of the main specialists who seemed to be one of the more senior people there who called the shots, in his report he references the exact same thing as the nurse, he said that "variables on tracings, tracings not picking up contractions but seems that some variables are not associated with contractions. One variable took longer to return to baseline (30-45 seconds) advised to continue to monitor if continues to call me again." - but the nurse said it took 3-4 minutes to return to baseline so someone passed the information on to him that it took 30-45 seconds to return to baseline so there is a huge discrepancy here. This happend about 20 hours after her water broke, she was 38 weeks and 2 days. (She was induced earlier on through the night then after 3 hours stopped because lack of staff then stared it again with epidural) the heart rate dipped more through the night but at 7:05am they checked her and she was at 7cm dialated she went back to the computer typed her info in then shift change came at 7:30 where the new nurse came in early and they talked 15-25 minutes (they thought I was asleep when they were talking and they didn't think my fiancée heard her because of the drugs) they talked about how they didn't have the required training on the new program, it was like being thrown to the wolves and wasn't fair working with patients and how one of them put a complaint to the union head, before the new nurse took over she said the delivery would be interesting. When the other nurse left I said what do you mean the delivery will be interesting and she said she has worked here for 12 years but she has been out for a year and there is some new technology and will take her awhile to get use too. Then she signs in and goes and checks her and there is a bunch of blood gushing out and the heart beat plummets (so they went 45 minutes without physically checking her and when we had the 2 hour meeting they said they went to check the patient every 15 minutes so they missed at least 2 checks when the nurses were getting ready for shift change and talking and when I checked the tracing it's just all over the place. I'm just looking for information if it is normal for the heart to drop to 60, 3 or 4 different times briefly through the night or this could be normal and if you have any advice on how I should proceed. Also I was wondering if anyone could tell me what it means when the say some variables are not associated with contractions? I also taped this meeting and in this meeting they were saying they have to do 15 minute checks and she said "I don't think, I don't think, I don't think that it would of made a difference because of a, I don't think because I'm, I don't think it would have changed." Then I say "I don't know but there's a chance it might of changed though right?" And she says yes on the tape and I have many discrepancies in here as well.
I'm not a medical expert so can't comment on the I formation but so sorry you are going through this
This is so sad, I am so very sorry. I am not medically qualified but hopefully someone will be.
Do you have a friend who is a doctor you could discuss it with?
I am so sorry this has happened to you, I can't even to begin to imagine the pain that you are going through.
I'm speaking only from my own experience of labour, my babies had to have their hearts monitored through out the labours and every time I had a contraction their heart rate would drop but then quickly accelerate back to normal after the contraction had finished, which is normal and nothing to worry about. From what you have written I would understand it as your babies heart rate was slowing but not during a contraction.
I'm sure that there will be more knowledgeable people who know a lot more than me. And I also think that you need to someone with medical expertise to look at all the evidence you have from an independent point of view.
I hope you find the answers that you need.
Should also have said someone looking at it independently will be able to answer all of your questions and explain things, which is something that you obviously, understandably, need.
I am so sorry for the loss of your baby.
Was the meeting a debrief or was it the result of instigating a complaint? I ask because when I complained about aspects of my mum's care, one of the first things they did was have an independent specialist look at her notes and answer specific questions. I think the questions you ask here need to be answered by an independent specialist - maybe write them down in a formal letter and state that this is what you want. Did you have an abruption?
If I was you, I would also be seeking legal advice. HCPs can rely too much on technology, and specifically in obstetrics, CTGs are not infallible and should not solely be relied upon when assessing a laboring woman/baby.
I hope you get some answers op.
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