Posts Tagged ‘hypotension’

Patient Discrimination

Part 2 of Giving Birth On Lying-In Centers

I told my sister, my niece to accompany the house guest and I will follow them to Pasay General Hospital. When I got there, the patient (house guest) is already inside OB Emergency Room (2nd floor), no companions are allowed inside. There’s a small window so that attending nurse can call on patient’s companion in case they need to tell something.

The nurse was monitoring the patient’s blood pressure, they’ve will asked us to buy gloves, syringe and medicine. During the “interview” (on the small window), the nurse asked us why we bring the patient there. I told her what is true, the lying in center brought us and recommended their hospital… and explained the patient’s condition (hypotension). She said, we’re not Pasay residents and the patient didn’t deliver the baby to their hospital. She also said that the midwife should have stayed to monitor the patient’s condition and they not supposed to transfer the patient with unstable blood pressure. Am I supposed to know what the medical team’s SOP? I thought, this is an emergency situation.

The doctor came after 10 minutes, she said “the patient’s blood pressure is stable at 90/70″ and we could transfer the patient to PGH (Philippine General Hospital) or Paranaque Community Hospital. Why? Because we’re NOT Pasay residents. I asked her if we could transfer the patient to Ospital ng Maynila, she said “bahala ho kayo basta community hospital or PGH” and she handed me the patient’s records. She’s a doctor by profession.

At that point, I felt bad. Pasay General Hospital gave me the impression that the hospital is for Pasay residents only. So if we have emergency situation within Pasay, we cannot count on them, better go to PGH or OM or anywhere but not Pasay General Hospital not unless you live in Pasay.

During that time, I was thinking that if something bad happened to our patient, Pasay General Hospital will also be liable. We stayed there for almost an hour, rode a cab and transferred to Ospital ng Maynila.

What am I supposed to feel? Nagaksaya lang kami ng oras para ipagtabuyan lang. (We wasted our time and they drive us away) Correct me if I’m wrong to my translation.

pregnancy

Giving Birth At Lying-in Centers

This was the first time that I haven’t updated my blog for almost a week because I have had a flu. Two nights ago, I feel better and ready to blog but something came up at home. I didn’t sleep the whole night and tired. Reason? We have to accompany our pregnant house guest to a nearby lying-in center because her water bag broke. Her baby is supposedly due on Sept 29 (tomorrow) it was 3 days earlier. For those who didn’t know, lying in centers are for normal deliveries, most often, midwife help mothers to gave birth. Midwife studied and pass the board passers to earn their license and practice their profession.

A baby girl was born at 1:30 am, October 26, 2008. My sister caught the baby when they arrived at the lying in center (lobby). OMG! I didn’t know that my sister can do that, she pulled down the underwear because she already saw the head of the baby. The mother was still standing when the baby came, my sister caught the baby.

The mother’s blood pressure was not stable, it dropped to 60/40. The midwives told us that we need to rushed the mother to Pasay General Hospital because they don’t have “facilities” for her present condition. My niece told me that a midwife told them something like this, “mawawalan ho kami ng lisensiya, wala kami gamit dito“. I told them that we could bring the patient to Ospital Ng Maynila since the travel time from our place to Pasay General Hospital and Ospital Ng Maynila is almost the same but they insisted to bring the patient to Pasay because “time is running out”. For the record, the only thing they did was to check on the patient’s blood pressure.

Around 3:00 am, the ambulance brought the patient, my sister and niece to Pasay General Hospital accompanied by 2 lying-in midwives. Blood pressure during the travel according to my niece as she heard was 40/10. The midwives didn’t even bother to accompany them to OB Emergency Room and told my sister “makiusap na lang kayo” and they left.

pregnancy