Monday, October 24, 2016

The woman who died in childbirth in Catania, the inspectors of the minister: “No connection with conscientious objection” – The Republic

The final report will be ready in a month, but already now inspectors sent by the minister Beatrice Lorenzin have a certainty: “From the documents examined and from the numerous testimonies collected by the staff do not highlight elements relating to the topic of conscientious objection”. Puts it in black and white Francesco Enrichens, coordinator of the task force, ministerial, sent on 21 October at the Cannizzaro hospital of Catania to shed light on the death of Valentina Milluzzo, the 32-year-old catania, passed away October 16, after their aborted spontaneously, the twins, in the fifth month of a pr egnancy obtained by medically assisted procreation. To point the finger were the relatives, who have reported delays in care due to the refusal of one of the doctors of the department to act promptly, before the death of the first fetus, because a conscientious objector.

In the three pages which have been written by the inspectors is “the talk of the event abortifacient started spontaneously, unstoppable, the treaty regime of emergency”. Inspectors reconstruct the chronicle of the tragedy, from admission to death. Valentina Milluffo he was hospitalized from September 29 (the 17essima week of pregnancy for threatened miscarriage. “The patient – the law – was the proper treatment”. The situation degenerates on 15 October with a peak febrile to 39 degrees celsius. The are administered antipyretics and antibiotics. According to the inspectors, “the first of the clinical assessments and the monitoring of vital parameters do not show any anomalous data, if not – at about 16 – initial lowering of blood pressure”. Here are some more tests that highlight “a framework for septic and a coagulopathy consumption, with a progressive anemizzazione and progressive decrease in the pressure values 221;. Are alerted anesthesiologists, and one reads in the report – the condition of woman “are communicated to the relatives present with timeliness.

At 23,20, in the delivery room, Valentina Milluffo ejects the first fetus. Dead. The 24 begins the stimulation with oxytocin to accelerate the expulsion of the second fetus, which happens to 1.40. “Is involved in a second anesthesiologist turn – write the inspectors – and you move the woman to the operating room for the procedures of the afterbirth, surgical and revision of uterine cavity under anaesthesia, that you complete at 2.10″. But the woman is serious, it continues to lose blood and you need to dab the uterus, and administer medications.

“The general terms and conditions – law – tend to be worsening”. The lady is ducted and can breathe artificially. It is transferred in an intensive care unit where, at 13.45, “despite the highest level of care and a transient improvement of the general conditions”, and dies. “The family” reads in the report – have always been informed and supported by the entire team of obstetricians and anesthesiologists”. A circumstance noted by the inspectors that, however, is in contrast with the testimony of the relatives who complain of defects in the communication.

moreover, it is precisely this aspect recurs in the final recommendations that the inspectors make to the hospital. The task force highlights the necessity of a careful evaluation of the procedures aimed to work in a multidisciplinary team, the redefinition of the mode of communication between the team with the definition of the levels of ‘alert’, the timely checking of the modes of communication with users, the implementation of the operational protocols and synthetic, aimed at the early identification of risk situations, definition of the relationship between the obstetrician and nursing staff, in order to guarantee an optimal balance between workload and the specificities of the activities of a midwife”.

inspectors reveal that something in the organization does not work. Among the measures suggested, “the precise definition of the mode of activation of the pathways, organizational and healthcare emergency urgency”.

Now the word passes to the prosecutor, that

has been put under investigation, all 12 of the doctors of the department, and prepared for tomorrow the autopsy on the mother and the small bodies of children. The prosecutor wants to turn the spotlight especially on the days before the death, to see if there have been malpractices that have had care of the woman in the two weeks of hospitalization.

Topics:
catania
province of Catania
dead woman
childbirth
pregnancy
ministry of health
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