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Gynaec's error in judgment kills newborn

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Joined: 18 July 2010

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Posted: 18 July 2010 at 5:41am | IP Logged
Hospital admits as much but says couple was informed that it was a high-risk pregnancy; father vehemently denies the claim

Bangalore Mirror Bureau
Posted On Sunday, July 18, 2010 at 01:33:28 AM

A couple spent only 23 hours and five minutes with their newborn daughter, Manah. They blame her death on an error of judgment on the part of the gynaecologist at Columbia Asia Hospital.

Madhiya Tarannum (28), HR manager at Tesco and wife of IBM Sales Manager Manzar (31), was admitted to the hospital in Hebbal on June 18 at 7 am, three weeks before her due date. Madhiya's case report reveals that her gynaecologist, Dr Chitralekha, had planned for conservative management of the pregnancy and to deliver the baby in 48 hours if all went well.
Soon after, the CTG tracings (recording of the foetal heartbeat) began showing variability. The baby was delivered after 82 hours."The doctor made an error in reading the CTG and delayed delivery till June 21," alleges Manzar.

Bowring and Lady Curzon Hospitals, Bangalore, which studied Madhiya's case reports issued by Columbia Asia Hospital, state: "...if Dr Chitralekha, the gynaecologist who handled the pregnancy, had delivered the baby as soon as the CTG tracings started showing variability, the chances of survival of the baby would have been better."

What happened to Manah?
Manzar, who was present in the labour room, says, "My baby girl weighing 2 kg was delivered at 4.31 pm. But the baby did not cry. She was not breathing and did not have a heartbeat. The attending paediatrician was not able to do much. Then, Dr.Saleem, a senior pediatrician was called in. He revived Manah's heartbeat. Since the Hebbal unit did not have the facilities, Manah was transferred to their neo-natal ICU in Yeshwanthpur. She had five cardiac arrests and multiple organ failure.

An independent internal enquiry conducted by the hospital (a copy of which is with Bangalore Mirror) acknowledges that the doctor made an error in judgment.

When contacted, Dr Nandakumar Jairam, chairman, Columbia Asia Hospitals, admitted that there was an and the baby could have been delivered earlier. I understand the parents' pain but I would only say that throughout the world, in the best of hands, there can be such errors. It is not an act of willful negligence."

Dr Jairam says it was a high-risk pregnancy and Dr Chitralekha had told the couple so.  But Manzar denies this. Till the very end, the doctor said everything was normal, he said.

Visual confessions
A video recording of the meeting where Manzar confronted the hospital authorities has Jeremy D'Souza, GM, CAH, saying Dr Chitralekha does around 70 to 100 deliveries a month against an average of 40 by other doctors.

Dr Chandrika, incharge of Quality Control, says, "She has to slow down because handling too many cases can cause distractions."

Dr Chikananjappa, President of the Karnataka Medical Council, says, there are no rules as to how many deliveries a doctor should undertake. It all depends on the capability of the doctor. But,too many cases can cause fatigue and lead to error in judgment."

Link -> http://www.bangaloremirror.com/article/10/2010071820100718013328883900aa03/Gynaec%E2%80%99s-error-in-judgment-kills-newborn.html?pageno=1

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