In a message dated 10/14/2004 5:13:18 PM Eastern Daylight Time,
[log in to unmask] writes:
Arly, I have no idea what is going on with this mom but I am ASTONISHED her
MD has not had her run, not walk in to be seen ASAP! I
Dear Friends:
This post about the mother with a terrible situation (breast lumps,
discoloration and large area of rash) reminds me of a mother I saw last week. She
hemorrhaged after the delivery; she doesn't know why. (Traumatic delivery,
baby poorly positioned, vacuumed out, episiotomy with extensive tear) 2 days
after she got home, she woke up at 3 AM in a puddle of blood. She called the
MD, who prescribed percocet and methergine for 2 days. When I saw her, on the
3rd day, I couldn't palpate her uterus. (She hadn't gotten the medicine yet,
due to a lack of transportation and having to rely on family to fill the
prescription.) She emptied her bladder and I tried again, and was able to get it
to firm up some with massage. (She isn't breastfeeding, not interested.) I
called her that night and she reported that she was having intermittent heavy
bleeding again. I called the MD, whose response was that she should take the
methergine and if that didn't work, to call again.
I argued with him a bit. I asked if the bleeding was the uterus or some
result of the extensive tearing; he said that giving methergine was the first
line of action. I strongly advised the mother to go to the ER, but as her
doctor wasn't concerned, neither was she.
So much for hemorrhage.
Gives me chills.
warmly,
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE
Maternal-Child Adjunct Faculty Union Institute and University
Film Reviews Editor, Journal of Human Lactation
Support the WHO Code and the Mother-Friendly Childbirth Initiative
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