Hospital explains why women amputate arms after giving birth in RJ: ‘Irreversible thrombosis’
01/20/2023 – 2:10 p.m
The Hospital da Mulher Intermédica de Jacarepaguá, positioned in the western zone of Rio de Janeiro, defined this Friday (20) what occurred in the case of the 24-year-old lady who was admitted to the ward to provide birth to her third baby and has an amputee left hand and wrist. According to the well being facility, which belongs to the NotreDame Intermédica group, it occurred because of “irreversible thrombosis”.
In the memo despatched to It is, the hospital mentioned they’ve reached out to the lady and her legal professional to offer any clarifications requested. According to the establishment, the affected person already had a number of pregnancies, a few of which even had issues and gestational diabetes.
As a end result, she suffered a hemorrhage often called “uterine inversion,” which is accountable for “60 % of maternal deaths in the postpartum interval,” the hospital mentioned. At that point, she acquired an intravenous drug in her left arm. However, the realm started to swell and switch purple.
So the lady needed to be transferred in a rush to the Surgical Intensive Care Center (CTI) of the Hospital da Mulher Intermédica de São Gonçalo, positioned in the japanese space of Baixada Fluminense (RJ). The ward’s medical group discovered “the primary indicators of ischemia secondary to hemorrhagic shock,” the hospital mentioned.
Doctors tried to avoid wasting the lady’s left arm, but it surely required amputation of the arm and wrist.
However, the well being unit mentioned it suspended the administration of the Hospital da Mulher Intermédica Jacarepaguá to make sure transparency throughout investigations into the case.
The forty first Civil Police Department (Tanque) and the Regional Medical Council of the State of Rio de Janeiro (CREMERJ) additionally launched their very own investigations.
Read the hospital’s full announcement:
“The hospital says they’ve contacted the affected person and her lawyer to offer all of the clarifications requested, however suggested that they won’t be accessible till subsequent week. In abstract, he acknowledged that the investigation, carried out with the help of an unbiased specialist skilled, discovered the next: 1) The affected person had a historical past of a number of being pregnant, together with some issues, which elevated the chance of postpartum hemorrhage, in addition to gestational diabetes. 2) The birth went with out issues, the child was born alive and wholesome. 3) The affected person had a major sample of postpartum hemorrhage progressing to extreme hemorrhagic shock secondary to uterine atony and uterine inversion. This situation is accountable for 60% of maternal deaths in the postpartum interval: 45% of those deaths happen in the primary 24 hours. Postpartum hemorrhage is accountable for 25% of all maternal deaths worldwide, in accordance with the medical literature. 4) Immediate measures taken in the hospital make sure the affected person’s life help. 5) The left arm was handled instantly after the primary indicators of ischemia secondary to hemorrhagic shock as indicated in the medical report. 6) All measures and choices taken are primarily to avoid wasting the affected person’s life till higher circumstances for switch to a extra complicated hospital. 7) The affected person was assisted by all crucial docs, specialists and sources in an try to avoid wasting her left arm. However, because of the irreversible deterioration of the situation with venous thrombosis of muscular and subcutaneous veins, amputation of the limb needed to be determined for the sake of the affected person’s life.
The hospital recollects that it has launched the administration of the unit for the sake of transparency of the investigations and reaffirms its dedication to proceed to cooperate and supply the required help to the affected person. The different complaints submitted now may even be investigated with standards and rigour.