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Magodo Specialist Hospital releases Statement on How Mother of Two Died in its Facility

BellaNaija.com

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Magodo Specialist Hospital has responded to the tragic incident that occurred in their facility on April 30, 2017.

Chisom Anekwe passed on at the hospital during childbirth.

Following the incident, friends and family demanded that the hospital be investigated and that the federal government ensures that incidents like that do not occur again.

The hospital has said that it couldn’t comment on the matter at the time it occurred because the case was under investigation.

Read the statement signed by Samuel O Isong on behalf of the hospital:

We are deeply saddened by the death of Mrs Chisom Anekwe. We wish to express our sympathy to the family and friends on this unfortunate and tragic incident. We pray that God will comfort them and grant them the fortitude to bear this great loss. We are however compelled to address the postings on the social media which are untrue. The facts have been markedly falsified and distorted. It would appear that deliberate attempts were made to damage the image of the hospital and the integrity of the attending doctors and nurses based on false premises. It has become necessary to state the hospital’s account within the limits of professional ethics in order to give members of the public a balanced perspective. We wish to state that the case is presently under investigation by statutory bodies such as the Nigeria Medical Association (NMA), the Medical and Dental Council of Nigeria (MDCN) and the Lagos State Health Facilities Accreditation and Monitoring Authority (HEFAMA) and as such, the hospital would not want to do anything that would prejudice such investigations. It is also hoped that a post mortem examination would help to unravel the cause of this unfortunate incident.

Mrs Chisom Anekwe was a pleasant and gracious lady who was well liked by staff and other patients. We were delighted when she registered for antenatal care in Magodo Specialist Hospital for her third baby. She had had 2 previous successful deliveries in this hospital in 2012 and 2015 respectively. During the index pregnancy, she developed hypertension at a time when the baby was not yet matured for delivery. Hypertensive diseases (pre-eclampsia) are the leading cause of death associated with pregnancy worldwide. She was offered admission to control and monitor the blood pressure on 26 April 2017 but declined and went home. She later returned on 27 April 2017 because of headache and inability to sleep. She was placed on BP lowering drugs and was regularly seen by doctors and nurses including gynaecologists. At least 3 gynaecologists attended to her individually or jointly during her admission.

She remained stable until the early hours of 30 April 2017 when she complained of sudden severe abdominal pain. It emerged that she did not take the medication prescribed to reduce her blood pressure the previous evening. The nurses and doctors including a gynaecologist came to see and made a diagnosis of placental abruption, a condition in which the placenta is detached from the womb before the onset of labour. Placental abruption is a known complication of hypertension in pregnancy and in this condition, the patient would lose a lot of blood and the baby would suffer from nutrient and oxygen lack and is usually born dead. On assessment, the patient was in shock. Immediate steps were taken to resuscitate her with intravenous drips and oxygen while attempts were made to obtain blood for transfusion. The staff then prepared for emergency caesarean section to try and save the baby. The team including gynaecologist, anaesthetist and paediatrician were called and they attended. But before starting the operation, the doctors needed to confirm that the baby was still alive by listening to the heartbeat. Unfortunately, the baby’s heartbeat was not heard.

This necessitated a change of plan. They decided not to proceed with the operation because the baby was already dead and the operation could be dangerous for the mother in that situation. A further complication of placental abruption is disseminated intravascular coagulopathy (DIC) a condition where the blood fails to clot. This could lead to excessive and uncontrollable bleeding during a caesarean operation. This was explained to the husband who gave consent for labour to be induced. Labour was induced and she was monitored throughout. She then had a normal delivery of the baby and placenta following labour induction.

Resuscitation of the patient continued and she was given drips and blood transfusion to replace what she had lost. She was continually monitored by nurses, doctors and gynaecologists. She was never left on her own contrary to the postings on social media. There was initial improvement in her condition, which appeared to be stabilizing. But when it unexpectedly started to deteriorate, it was decided after consultation with the husband to transfer her to another hospital.

The story on social media suggested that the patient fell into labour, called for help and nobody came. This is not true. The claim that the patient fell into labour was contradicted by the same social media post which alleged that labour was induced without the husband’s consent. The patient never fell into labour and when she developed placenta abruption, the doctors and nurses including the gynaecologist attended promptly. For most of the time, 2 gynaecologists jointly attended to her along with other doctors and nurses. The patient was monitored continually during the management of this severe emergency.

The decision not to proceed with caesarean section was taken in the patient’s overall best interest and according to standard medical practice. The theatre was prepared and the team of gynaecologist, anaesthetist, paediatrician and others assembled ready to do the operation. They did not proceed because of consideration of the patient’s overall best interest. Ironically, it would be financially more rewarding for the hospital to do caesarean section rather than offer vaginal delivery. We placed our patient’s interest above any potential financial gain.

The story also claimed that the “doctor sneaked out of the hospital”. This is untrue. Two gynaecologists were jointly attending to the patient and when her condition appeared to be stabilizing, one of them left with a plan to return after a short while. And when he was contacted that the patient’s condition was deteriorating, he immediately made his way back to the hospital and later proceeded to the hospital where the patient was referred to support the family. He left the referral hospital after he was physically assaulted by the patient’s husband.

We care very passionately about the health and lives of our patients. The hospital is well equipped and adequately staffed. The hospital is fully accredited by the relevant statutory authorities. We are very sorrowful about losing this patient. The death of any young person is regrettable and must be guarded against. We have handled many difficult cases successfully in the past and did our best in this situation. But we also are humble to recognize that doctors and nurses may care, it is God that heals and that despite human best effort, death may still occur.   We are greatly distressed and saddened by the death of this young woman who had been our patient for over 5 years and had her 2 babies successfully under our care. Our hearts and prayers are with the family. We pray that God in His infinite mercy will comfort them and grant them the grace and strength to bear this great loss. We pray that the almighty God will take care of the children and the family she has left behind.

 

46 Comments

  1. Gandalf the Grey

    May 25, 2017 at 10:40 pm

    This was well written by the hospital. May her soul rest in peace.

  2. mr. x

    May 25, 2017 at 10:57 pm

    well written or not! the dead cant speak! so sad she had to die…. i thought they say having babies in the general hospital is way better and safer compared to private hospital?

  3. okay

    May 25, 2017 at 11:37 pm

    Did not take the antibiotic prescribed to her the night before? except she tricked the nurses and didn’t swallow it, why didn’t anybody make sureee she took it that night if it was super important. I mean if she’s under critical care and all, shouldn’t the hospital’ medical staff pay close attention to every detail? (I don’t work in an hospital so please let me know if thats not how its done). You all are not gods, agreed; but at least take responsibility for the carelessness here and there so in the future, steps are not skipped or taken for granted. In all May her Soul and that of the baby rest in peace.

    • Shao

      May 26, 2017 at 5:11 am

      It was antihypertensives.
      No they don’t stand by a patient to make sure they swallow unless there was a previous history of not taking their meds or it was a psych unit.

      Remember that these hospitals are busy and never 1 on 1 nursing. Even here in the U.K. the nurses don’t stand by a young cognitively intact patient cos of time constraints. They put your meds on the table, interact adequately and move on to the next.

      As a medical professional I advice people to meet their doctors and nurses half way and take responsibility for their care as well.

      Now assuming the hospital isn’t falsifying and information oh!

      Now this was a very unfortunate even. May her gentle soul rest in peace.

    • Concerned

      May 26, 2017 at 6:05 am

      If a patient decides not to take a medication given to them , you can’t possibly force feed them the meds .my dear they have the right to refuse medications.there is absolutely nothing anyone can do at that moment

    • Blue

      May 26, 2017 at 6:27 am

      I am in Australia and I had pre-eclampsia and immediately I was told to come in for admission, I did without argument. Also when I was given drugs to lower my blood pressure, I took them without a nurse hovering around or monitoring me. If I had refused to go in for admission or refused to take my medication, maybe I and my baby will not be here today. Once you are passed a certain age and your situation has been explained to you, why do you still need a nurse or doctor to force you to take drugs that will actually help you???? Please let us stop being babies and learn to become responsible for our own selves. I am very upset that this happened. It may have been alleviated if only she had gone in for admission immediately she was asked and not waiting to get headaches the next day. And it might have turned out differently if she had taken her drugs. It is not okay to expect someone else to be responsible for our every move.

    • Someone

      May 27, 2017 at 12:12 am

      Antibiotics for hypertension? You said you work in a hospital?

    • Shao

      May 27, 2017 at 6:05 am

      Lol @ someone I think you just read and mixed 2 comments together. The initial commenter to whom we are all replying and who said antibiotics clearly indicated that he/she does not work in a hospital lol lol lol

  4. Lola

    May 25, 2017 at 11:39 pm

    From my perspective as a physician I can honestly say that there were some mistakes on how she was managed after reading their own side of the story.but who am I to judge? God knows best

    • nene

      May 26, 2017 at 10:05 am

      PLEASE TELL.!! This audience also learn from such please.

      I am a 40years old ttc so I will be glad to have details of these treatments so one is informed when in the situation.

    • dr. p

      May 26, 2017 at 4:59 pm

      thanks my sis. As a fellow physician, they basically composed their ”would-be standard of operating procedure”. why should a symptomatic pre-eclamptic woman that is in full term left for three days before any procedure? All BS……I don’t know personally but her story is so sad and reminds me of that of my grandpa. Malpractice of the highest order. Being sick in nigeria is ”life or death gamble”

    • LaLa

      May 27, 2017 at 8:37 am

      Clearly this lady was mismanaged! I hope the relatives don’t back down and get the services of a good lawyer and sue them for what its worth!!!

  5. Gbemo Oluleye

    May 26, 2017 at 12:22 am

    Dear Hospital Team,

    Why induce labour on a woman diagnosed with placenta abruption? She shouldn’t even be allowed to contract. She should have ben rushed to the theatre once an abruption diagnosis was made with extra blood ready to be transfused. This was a wrong judgement call. May God grant the family peace.

    • nneka

      May 26, 2017 at 8:31 am

      Please go back and read extensively on management of abruptio placenta and come back and correct this statement.

    • Dr J

      May 26, 2017 at 9:08 am

      The hospital made the right decision not to operate. One of the complications of placenta abruption is disseminated intravascular Coagulation (DIC), Cesaerian section is contraindicated when a patient has DIC because the in DIC the clotting factors are consumed. The patient would have bled to death on the operating table. Induction of labor was the appropriate thing to do. I feel for the lady and her family but this was a difficult case in my opinion. I really wish things turned out well.

    • What an ass

      May 26, 2017 at 9:19 am

      Vaginal delivery is the management of choice for abruptio worldwide, most certainly when the baby is already dead (look it up under emedicine or American college of obstetricians website). You can’t carry out CS when the baby is dead and the mother likely had DIC. Taking her into the OR would cause her to lose even more blood, oxytocin used to induce labour would help to stop or reduce bleeding due to contraction of uterine muscle. Cesarean section is also associated with atony which would further complicate her problem post operatively.

      Most times if the abruptio is severe enough to have killed the baby, the mother most likely already has Disseminated intravascular coagulation (DIC) in which coagulation factors begin to for clot in different parts of her body, resulting in thrombosis in end organs and further aggravated bleeding. In this case heparin should be given along with whole blood however that is no guarantee that the patient will live,

    • Professor X

      May 26, 2017 at 2:27 pm

      I had the same thought as well. There appears to have been a delay in getting her to the OR ASAP after she was diagnosed with placental abruption. If she taken immediately, perhaps mother & child will have suffered. No timeline was provided as to when the fetal heart sounds were re-checked and found to be gone, meaning the baby died. Most labor and delivery floors in US hospitals have operating rooms down the hall for emergent situations like this. Within minutes of an emergency, the patient would have been on the operating table. The motto for an emergent C-section is cut until you see the baby.

    • Oluchi

      May 26, 2017 at 7:17 pm

      We have a code. Placentae abruptio = vaginal delivery. Placenta previa= c/section. Induction was considered because of the dead fetus.
      Bleeding disorder (DIC) is a complication of abruption and if she had gone for C/section, she may bleed and still die.
      It was just unfortunate. May their souls rest in peace. Amen.

  6. anonymous

    May 26, 2017 at 1:25 am

    Physician!! Talk to ur fellow physician in private, and not bring them down in public!! What do u stand to gain by what u just posted??? No doctor is a God, even the best makes mistakes, learn from it and correct them in private..thank you

    • Ijay

      May 26, 2017 at 6:55 pm

      This is exactly the problem with Nigeria.
      People mess up and kill then they go into the call room and Talk in private…very lawless and disorganised nation.
      Next will be your relative.oloriburuku

  7. Darius

    May 26, 2017 at 2:22 am

    Are doctors required by the Hippocratic Oath to kill people wilfully? Or are Nigerian doctors just quacks? You go to them in peace, you come back dead, or if you are lucky enough, in pieces!

    Pls, let’s go back to herbs and native doctors. A native doctor will just chant incantations, pour libation and invoke the gods – and like magic, your sickness will be gone in a split second. Before the advent of western medicine, no be so we bin dey do am?

    • What an ass

      May 26, 2017 at 6:14 am

      Spoken like a truly ignorant fellow. This is why the masses need to be made aware of certain situations to look out for and stop expecting health providers to do 100% for them. Go read on pre eclampsia.
      Public awareness is very important, most 3rd world country citizens are totally ignorant in terms of health issues.
      If what the hospital wrote is true then that is standard practice, doctors are not obliged to sit and patients bedside to ensure they take their meds except in a psychiatry unit or absence of family especially in elderly patients who have history of non compliance.

      Hypertension developing in third trimester of pregnancy can be fatal, and if the patient does not meet the Doctor half way in terms of management and making sure they employ the needed lifestyle modifications, the end would mostly be bad.
      Once a patient with pre eclampsia develops placenta abruptio they rapidly become hypovolemic and go into shock. The best you can do in that case is fluid replacement and securing of airway until an acceptable blood pressure is reached before the patient can be taken to OR for ex lap.

    • Binam

      May 26, 2017 at 6:35 am

      Lol! Only after you bring yams and other soup ingredients.

    • Darius

      May 26, 2017 at 8:10 am

      @what an ass, you are a real ass! Only a sadist like you would actually read my comment and take it serious. I wrote this comment in jest. For your mind now you are trying to educate an ignorant fellow as a seasoned educationist that you are? Lolzzzzzzzzzzz….. mumu!

      My comment should remind anyone of a nollywood movie. @Binam, got the joke. Ewu meh! Ewuuuuuuu! Dummy! Dummy! Dummy! I can’t stop calling you a dummy.

    • What an ass

      May 26, 2017 at 9:23 am

      @Darius Was certainly right about you being ignorant, now I can add juvenile to the list. Wonder who gives these 5 year olds mobile phones. Making an idiot out of yourself online, boy bye.

    • Darius

      May 26, 2017 at 11:20 am

      @what an ass, I was right about you being an ass and a clueless dummy.

    • Oluchi

      May 26, 2017 at 7:25 pm

      If you don’t have reasonable thing to say, shut. Someone like you won’t go to the hospital on time, but only go when your case is complicated. Then blame it on the health sector. When was the last time a doctor treated you of malaria?

      Just shut up, Darius.

  8. C

    May 26, 2017 at 4:04 am

    I hope it’s investigated regardless cause there should be some accountability if not anywhere else at least our health care system. That’s a life health is biggest asset a human ask. They can investigate who stole eggs but not this.

  9. tonia

    May 26, 2017 at 7:14 am

    if God decided that something’s will happen no matter how careful they it will still happen.all pregnant women should be prayerful at all times.

    • Sakura

      May 26, 2017 at 8:42 am

      Rubbish @ Tonia, God’s will you say that a young mother of two dies while having a baby. God cannot be tempted by evil and God does not need to perpetuate evil to bring about his will. The death of a young mother birthing a child Is evil.
      We are all free agents and God doesn’t manipulate us, bad things happen not because God wills it but because we live in a world where there are influences seen and unseen that try to thwart God’s perfect Will which is pure unadulterated love and that all should be saved. God is Love, God is the giver of all things beautiful, perfect and good, remember that.
      It is perfectly ok not to understand why some things happen, we don’t have to try to explain everything. Sometimes all we can do is simply mourn.

    • Que

      May 26, 2017 at 8:55 am

      @Tonia, please leave God out of this for it is never His wish that negative things should happen to His people. Am so tired of peeps saying God willed it. Read your bible, it is very clearly written….I wish above all things that you will prosper and be in health even as your soul prospers…

  10. Tiwa

    May 26, 2017 at 7:17 am

    Although nurses and doctors are busy, but I was trained to stand by the patient and watch them take their medications before you leave or even attempt to sign for it – this I do diligently because my license is at stake. More so, not all patients who are AOx3 are compliant. Only God knows the full story – the dead cannot speak.

    • Abi

      May 26, 2017 at 8:42 am

      And if they refuse to take their medication after encouragement and education, you simply sign refused and inform the doctor who also educates the patient. This is the practice at my hospital in NY. Refusal of medication is then documented for future reference.

  11. oooooooops

    May 26, 2017 at 9:48 am

    May her soul rest in peace, i’ve have 2 children and know that the process of childbirth is very delicate, doctors need to be extra careful. My last baby’s hand was broken during childbirth (the wrong hand was xrayed) but her consistent cries and my insistance to check the 2nd hand and they saw it was broken,she had a cast from 3 days old to about 3 weeks. Her other hand had erbs palsy which was the fault of the doctor. All this happened in a ‘big well known expensive private hospital’…tooo many things happened sha but i was just glad to be out with my son alive.

  12. God punish you

    May 26, 2017 at 10:10 am

    God punish you people

    Y’all should wait till judgement day.

    Talking to us as if we are babies or we dont visit hospitals. You all are crap

    1.Most hospitals are under staffed
    2. Most hospitals lay off old, experienced doctors to hire new graduates
    3. You have to wait for hours on the queue to see a doctor, whether you are dying or not, it doesnt concern them
    4. They will give you low quality drugs if it is being paid for by an HMO
    5. The attitude of the workers are off-putting

    if i start sef, you people should know that we all avoid your places. Nothing is encouraging in your hospitals. we only come when it is unavoidable

    You can eat your drugs and injection by yourself

  13. MsMedic

    May 26, 2017 at 11:43 am

    This hurts to read.

    Honestly millions of women worldwide have pre-eclampsia. They are watched like a hawk and in my very few short years as a current general trainee I’ve never seen one die. It’s a common pregnancy problem but can be very well controlled. It’s definitely not a license for death. If it was that severe she should have probably been on a magnesium drip (or some sort of IV antihypertensive medicine) – more so than a couple of pills that she did or didn’t take

    I want OB Gyns out there to comment – how often have you seen pre eclampsia and how aggressively do you manage it? How often have you seen it lead to DIC and death? It should be so closely watched and managed. For this reason I would say the hospital failed

    I also hope for the family of this woman to speak out again. Some of the hospital’s statements might be wrong. How can one say there were 2 gynecologist while the husband says there were 0? Was one of the 2 a brand new trainee, or someone new to the job? Who is lying?! If things were managed right why would the family try to leave a perfectly good hospital? What really went on?

    Overall, so sorry for this loss

  14. EseDeeva

    May 26, 2017 at 12:42 pm

    The truth is that has most pregnant women in Nigeria know how to argue with doctors until the situation gets out of hand. May God help us all and may her gentle soul RIP. Hypertension in pregnancy kills, let us be wise, take medications instead of saying God forbid.

    • Tee

      May 26, 2017 at 1:26 pm

      Of all the foolish statements I’ve read here, yours is the winner!

      “The truth is that has most pregnant women in Nigeria know how to argue with doctors until the situation gets out of hand”

      Just imagine that absolute nonsense! Even John and his woman hating gang cannot come up with such drivel.

    • Indigo

      May 26, 2017 at 6:58 pm

      To be honest with you EseDeeva is not wrong.
      Even I personally when I.was told I had pre-eclampsia I argued with the doctor and told him to simply give me something to lower my bp then when he wasn’t looking I sneaked out and ran home. Fortunately for me when I told my husband he bundled me back to the hospital to be operated on . Now am a crusader for pregnant women encouraging them to listen to their doctors and that CS is not bad.

  15. Annie

    May 26, 2017 at 3:37 pm

    Same question i just raised.

  16. So sorry

    May 26, 2017 at 4:04 pm

    I was diagnosed with preeclampsia when I was 30 weeks pregnant… there were IV fluids and lots of pills so I can understand that IF she didn’t take her drugs, she might have been worried as to the effects of the drugs on her baby. I was too!

    I remember the night before my baby was born (exactly 31 weeks), I had been in the hospital for almost a week and I had the same throbbing headache that landed me in the hospital in the first place, but I didn’t want to tell the nurses… the next morning while monitoring my baby, they discovered she wasn’t responding as she should and I was operated on. I still had to take high blood pressure reducing drugs for weeks after the delivery and my baby was in the NICU for 6 weeks, but we are alive and well.
    If you’re pregnant and desire a “Hebrew” woman type of birth story, it’s great, but please don’t feel like you’re any less a woman of faith if you ever need drugs, etc (pls not speaking concerning this Mum but to women who were like me- wanting “perfect” pregnancy and birth stories)
    I feel so very sad for this young Mother. God keep her children and husband; may they never lack because of her absence.

  17. Akadile

    May 26, 2017 at 7:39 pm

    Dr suffer when such happen after due care taken. My only worry is the decision to omit obvious life saving surgical intervention.

  18. Nadia

    May 26, 2017 at 10:34 pm

    This is wrong under no circumstance is a hospital allowed to realease patient information even a dead patient ,

  19. Uche

    May 27, 2017 at 8:05 am

    The way people talk about Dr’s in Nigeria is not fair sha. If u want one on one care talk to yr government to employ more hands. There r so many young gynecologist to be employed in Nigeria. If u tell a patient she needs to be admitted for monitoring she was out rightly refuse and curse u dat u don’t know wat u a doing or she is very busy. I’d u say cs, aaaah! Abomination in her lineage. But wen she develops complications they want die Dr 2 b a magician. Whatever d case may be this could been prevented if she listened. Instead she develop 2 major causes of maternal mortality ( aph and imminent enclampsia) am sure she went to her pastor to pray for her but refused proper mgt by her physicians. Now they r looking for litigation money.

  20. Bello

    May 27, 2017 at 7:29 pm

    Ovbiously people saying the patient was mismanaged are not obstetricians and as such have poor knowledge in the management of a patient with pre-eclampsia.Albinitio she was adequately counseled on the need to remain admitted but declined and only presented back with complications such as abruptio placentae,possibly HELLP syndrome and then DIC.Delivery the baby via the most expedient route was also key before complications set in.Because antihypertensives will transiently reduce the blood pressure but definitive treatment is to remove the baby and the placental and the then MGSO4 prior to delivery by any means.Patient and patient relative should learn from this and obey instructions from their doctors/nurses and other health professionals.In any case may her soul rest in peace.
    God knows best.

  21. AnAtheistinNigeria

    June 7, 2017 at 10:31 am

    “Immediate steps were taken to resuscitate her with intravenous drips and oxygen while attempts were made to obtain blood for transfusion.” The above statement is a red herring for me. They were looking for blood for transfusion! My advice to fellow Nigerians, try your best to patronise hospitals that have enough blood in store for emergency transfusion just in case. Most of us can afford such hospitals, we just have our priorities wrong most times. I hope for Justice for Chisom. Amen.

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