Delivery complications

[Occie3]

Please, I want to know how a qualified obstetrician would approach a case as this.

Patient x water broke with a gush of blood and fluid and patient was rushed to the ER and was found stable with all vitals of mother and fetus normal and was admitted. Placenta complications was ruled out. Bleeding stopped after a few minutes. Labor didn't progress well so was augmented.

Fetal monitors picked signs of fetal distress but oxytocin was reduced and oxygen given. In the last hours of labor, patient had the urge to push and was fully dilated but doctor was unavailable. Patient waited for about 60 minutes on oxygen. Finally, the nurse decides can't wait anymore for doctor and patient pushes many times but fails because patient needed an episiotomy. Finally, doctor arrives after an additional 60 minutes and delivers baby after giving an episiotomy.

After 17 hours of labor, baby was delivered with very low apgar scores and diagnosed with HIE- moderate and meconium aspiration.

Pregnancy was uneventful and healthy. Placenta was found intact and not the cause of initial bleeding.

Please, suggest steps or approaches that should have been used during this delivery to prevent the birth complications?

[Kirstie_MHModerator]

This is a patient-to-patient support forum, and isn't a good place to seek professional consultation.

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[Enacamel123]

You're asking a pregnancy forum. I think this question should be to another doctor for a professional answer. You'd get a better second opinion. I'm having my 5th baby but I know I'm not qualified to answer this.