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Woman dies a few hours after giving birth

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Topic: Woman dies a few hours after giving birth
Posted By: Maya
Subject: Woman dies a few hours after giving birth
Date Posted: 03 February 2008 at 1:10pm
Health authorities have launched a major investigation after a pregnant woman bled to death after giving birth to her first baby.

Renee Wendy Bayliss, 33, died within hours of childbirth at Auckland City Hospital last week after medical staff were unable to stem excessive bleeding from the delivery of her daughter. Baby Allix survived, but an urgent inquiry has been launched by Auckland District Health Board to pinpoint the chain of events which led to the death.

Kay Hyman, general manager of National Women's Hospital, said her thoughts were with Renee's husband and family, but it was too soon to say what caused the tragedy.

Sources told the Herald on Sunday that part of the focus of the inquiry would be on whether staff were too slow to diagnose her complications and whether a theatre where Renee was taken was properly prepared for emergency surgery.

Hyman confirmed the "chain of circumstances" leading to Renee's death would be examined but said staff reacted to the bleeding quickly.

She rejected suggestions there was not enough blood for transfusions needed to save her.

"If somebody dies of a postpartum haemorrhage, which is obviously excessive bleeding, people may think it's because blood wasn't available," she said. "For someone who's haemorrhaging, people assume you can just replace the lost blood, but there are many factors."

Hyman said the public regarded childbirth as risk free because of the infrequency of death.

"This is a tragedy. When it does occur it is devastating for the family, obviously, and the staff, too."

Renee's family told the Herald on Sunday, through funeral director Martin Williams, that they were too emotional to speak publicly.

Her police officer husband, Nick Blackley, family and friends farewelled her on Friday when tearful police officers formed a guard of honour as her coffin was carried into All Saints Chapel in Auckland.

Nick Blackley was too upset to speak at the funeral but Wendy Bayliss, Renee's mother, paid tribute to her fun-loving daughter who would have been a dedicated mother to Allix.

Renee had always wanted to be a mum, she said, and her pregnancy had strengthened the bond between.

"I'm just so glad her wish came true and that she got to spend some time with her beautiful daughter."


Service celebrant Julia Cameron said the family wanted to celebrate Renee's short life, but grief and love were mixed with anger, as there were unanswered questions over her death.

"How did this happen in a modern society where women no longer die in childbirth?" Cameron asked.

She was described as "Nick's babe", a cherished soulmate, a beautiful mummy to baby Allix, a loved only daughter, sister, aunt and granddaughter.

"A wonderful, unique young woman, loved by all, may your spirit be set free," was written on the funeral service card.

A number of new or expectant mums with their children were among the mourners, friends from the Parnell Birthing Group where Nick and Renee attended antenatal classes.

Renee had been an inpatient at the hospital since New Year with high blood pressure, a symptom of pre-eclampsia, a common condition during pregnancy.

Hyman declined to confirm if Renee suffered from pre-eclampsia, but said it was a common complication with a small risk of danger.

"Renee had complications with pregnancy - she was with us as an inpatient before delivery."

One source said that the hospital staff should have been prepared for everything given Renee's complications during pregnancy, and questioned whether a caesarian delivery would have saved her.

Hyman declined to comment on whether a caesarian would have prevented the death other than to say: "There are risks with childbirth, which increase with complications, and those risks and benefits need to be weighed up for the course of action taken."

Health and Disability Commissioner Ron Paterson said although rare, maternal deaths were now carefully monitored through the Perinatal and Maternal Mortality Review Committee which was set up in 2005 to review the deaths of newborn babies and mothers.

The committee would review the death of Renee and is understood to be investigating the deaths of 12 women during pregnancy, or soon after child-birth, in 2006.

A report is due soon. However, up to half of those deaths were caused indirectly, such as a pregnant mother being killed in a car accident. But a report from the UN World Health Organization, UN Population Fund, the World Bank and the UN Children's Fund shows that New Zealand had a rate of nine maternal deaths per 100,000 live births in 2005 (a total of five fatalities), more than double the Australian rate of four per 100,000.

PREGNANCY RISKS

* Pre-eclampsia affects 5 per cent of first-time mothers

* Obesity raises the risk level of pre-eclampsia by 2-3 times

* Symptoms include high blood pressure and protein in urine

* Leads to liver problems, renal failure and strokes in extreme cases

* Globally 70,000 women die each year from pre-eclampsia

* 1 in 10 pregnancies produce growth-restricted babies.

The most common of the dangerous pregnancy complications, pre-eclampsia is a disorder that occurs only during pregnancy and the postpartum period, affecting both mother and the unborn baby.

Affecting at least 5 per cent of all pregnancies, it is a rapidly progressive condition characterised by high blood pressure and the presence of protein in the urine.

Swelling, sudden weight gain, headaches and changes in vision are important symptoms; however, some women with rapidly advancing disease report few symptoms.

Apart from abortion, caesarian section, or labour induction - and therefore delivery of the placenta - there is no known cure.

Typically, pre-eclampsia occurs after 20 weeks gestation, but also as late as six weeks after birth. Proper prenatal care is essential to diagnose and manage it.

Pre-eclampsia, pregnancy-induced hypertension (PIH) and toxemia are closely related conditions. The former two are a leading global cause of maternal and infant illness and death.

MATERNAL DEATHS
National maternal deaths - the death of a woman while pregnant or within six weeks of birth. However, there is no research into whether the cause of death was directly related to pregnancy or childbirth, or an indirect cause, such as a car accident.

1993: 6

1994: 4

1995: 2

1996: 4

1997: 2

1998: 1

1999: 3

2000: 2

2001: 0

2002: 4

2003: 3

2004: 1

2005: 5

Source: http://www.nzherald.co.nz/section/1/story.cfm?c_id=1&objectid=10490320 - http://www.nzherald.co.nz/section/1/story.cfm?c_id=1&objectid=10490320

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Maya Grace (28/02/03)
(02/01/06)
The Gremlins:Sienna Marie & Mercedes Kailah (14/10/06)
Lil miss:Chiara Louise Chloe (09/07/08)
Her ladyship:Rosalia Sophie Anais (18/06/12)



Replies:
Posted By: AliaDawn
Date Posted: 03 February 2008 at 1:28pm
First thought - OMG that is so sad... nearly cried while reading it.

Second thought - I hope this doesn't encourage more people to have un-necessary optional c-sections... sometimes people will read a horror story like this, and forget that the alternative comes with risks too

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Posted By: Kels
Date Posted: 03 February 2008 at 1:57pm



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http://lilypie.com">
Busy mum to Miss 15yrs, Miss 10yrs and Master 4yrs


Posted By: NikkiB
Date Posted: 03 February 2008 at 1:59pm
OMG, so so sad....I couldn't even imagine that happening to someone I know and love....


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A very lucky mummy to two gorgeous boys:
RB 3/10/2008
JB 29/12/2009


Posted By: mummy_becks
Date Posted: 03 February 2008 at 2:10pm

Originally posted by AliaDawn AliaDawn wrote:

First thought - OMG that is so sad... nearly cried while reading it.

Second thought - I hope this doesn't encourage more people to have un-necessary optional c-sections... sometimes people will read a horror story like this, and forget that the alternative comes with risks too

I have to agree, as a pre eclampsia mum I am so glad I had great care while pregnant and they got on top of it quickly and was under specialist care.

You have to feel for the little girl as she will never get to know her mummy



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I was a puree feeder, forward facing, cot sleeping, pram pushing kind of Mum... and my kids survived!


Posted By: caliandjack
Date Posted: 03 February 2008 at 2:25pm
This is an awful tragedy and my heart goes out to her family.

I have to disagree with the service celebrant though, I think modern medicine gives women a false sense that pregnancy is risk free.
Pregnancy and child birth is still one of the most dangerous things a woman can go through. As shown by the statistics women still die from child birth.

I will be interested to see the results of the inquiry regarding her medical care and if anything could have been done to prevent her death.



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[/url]

Angel June 2012


Posted By: my4beauties
Date Posted: 03 February 2008 at 2:32pm
Wow - this is so close to home for me. I had a postpartum haemorrhage a few hours after having Jett. It was the scariest & most painful thing ever! Thoughts of leaving my children behind, especially just having had my 3rd baby & not being able to see him grow up, made me feel sick with worry & all I could think about was not being around for them. I can imagine this woman having these thoughts too, before passing away. Terribly sad!!! My heart goes out to her little girl & husband!

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My babies:

R (9),G (7), J (5)

http://lilypie.com" rel="nofollow">


Posted By: Paws
Date Posted: 03 February 2008 at 2:58pm
Originally posted by fleury fleury wrote:


I have to disagree with the service celebrant though, I think modern medicine gives women a false sense that pregnancy is risk free.
Pregnancy and child birth is still one of the most dangerous things a woman can go through. As shown by the statistics women still die from child birth.



I agree!! It is a terrible tragedy, my heart totally goes out to the family...but things do still go wrong and deaths do still happen, before anyone even has a chance to respond, no matter how well prepared they are.

I remember one Christmas a few years back, a woman in our church was giving birth to her third child...should have been straight forward. She suffered what I think is called an amniotic aneurysm, bottom line was, they saved her but she was left brain damaged. She has defied the odds and improved beyond what the doctors said she would but it is prood that things can go wrong and no one is necessarily to blame.

I also hope this doesn't lead to unneccessary c-sections. Modern medicine may have reduced the risk in child-birth, but it can't elminate it.

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http://lilypie.com">


Posted By: gemsmum
Date Posted: 03 February 2008 at 3:20pm
I remember during my nursing training one of my tutors saying that childbirth is one of the most dangerous times in a young women's life. So, so sad...my heart goes out to that family and to the little girl.



Posted By: Mummy2three
Date Posted: 03 February 2008 at 4:07pm
Oh my gosh!! That is so so sad Poor lil baby and family


Posted By: meow
Date Posted: 03 February 2008 at 7:24pm
That is really sad

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http://lilypie.com">
http://lilypie.com">


Posted By: mum2paris
Date Posted: 03 February 2008 at 7:42pm
That is so sad, it really annooys me how the media always trys to implicate that someone is to blame, and it seriously doesn't help things, it does just try and lay blame sometimes, truth is like anything else, there's only so much people can do, usually PPH's happen very quickly and suddenly and it's not always a matter of being just replacing the blood as they said, It's so sad, but unfortunately no matter how safe they try and make it there will always be a certain number of people who have things happen beyond their or medical peep's control that cannot always be predicted.

I really feel for her partner and her baby.

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Janine and her 2 cool chicks, Paris & Ayja



Posted By: Maya
Date Posted: 03 February 2008 at 7:43pm
It will be interesting to see what comes out of the investigation. I actually think our maternal death rates are pretty low given the number of babies born here each year.
So sad for the family tho

I agree with Alia Dawn, I hope it doesn't raise the elective c-sect rate, not only coz of the increased risks that poses but also because it would mean women may miss out on the opportunity to experience a normal birth without good reason to.

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Maya Grace (28/02/03)
(02/01/06)
The Gremlins:Sienna Marie & Mercedes Kailah (14/10/06)
Lil miss:Chiara Louise Chloe (09/07/08)
Her ladyship:Rosalia Sophie Anais (18/06/12)


Posted By: busymum
Date Posted: 03 February 2008 at 8:51pm
c/s aren't without risks either
That is really sad but the bit that got me was... Ms Hyman at a hospital lol

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Posted By: emachan
Date Posted: 03 February 2008 at 9:07pm
that is so sad - at a time thats meant to be so special,

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http://lilypie.com" rel="nofollow">

DD#1 Sept 08
DD#2 Oct 09


Posted By: Bubbaloo
Date Posted: 03 February 2008 at 9:13pm
Thats so sad.

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Was danni-chick



Mum to James

My Angel 28/07/08


Posted By: Maya
Date Posted: 03 February 2008 at 9:14pm
LMAO Busymum, I didn't even notice that!

I meant that c-sects posed an increased risk, there are more risks to a c-sect than a vaginal delivery if there are no other risk factors (such as pre-eclampsia, small pelvis. prematurity, poor presentation etc).

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Maya Grace (28/02/03)
(02/01/06)
The Gremlins:Sienna Marie & Mercedes Kailah (14/10/06)
Lil miss:Chiara Louise Chloe (09/07/08)
Her ladyship:Rosalia Sophie Anais (18/06/12)


Posted By: yummymummy
Date Posted: 03 February 2008 at 9:17pm
So so sad. I really feel for the family and the little newborn left without a mum

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http://lilypie.com">      http://lilypie.com">


Posted By: mummytobesep08
Date Posted: 04 February 2008 at 2:43pm
oh my god thats so horrible! I can't think of anything more awful


Posted By: Neeks
Date Posted: 06 February 2008 at 11:08am
omg that's terrible!!



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Posted By: Rachael21
Date Posted: 06 February 2008 at 9:39pm
So sad and imagine the poor dad having to deal with that and a wee newborn. Its pretty scary too, since it really could happen to anyone.


Posted By: Alisa
Date Posted: 08 February 2008 at 11:49pm
OMG my heart goes out to the wee girl who will never know her Mama and the husband !! That poor man, he was given the greatest gift but lost his wife/friend/soul mate. its sooooo sad..... I hate how the media need to get involved, leave the family to deal with it in their own way and be allowed to grieve in private !

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http://www.bump-and-beyond.com/">


Posted By: caitlynsmygirl
Date Posted: 10 February 2008 at 3:17pm
Thats truly awful, her poor family , her poor husband.



Posted By: jack_&_charli
Date Posted: 11 February 2008 at 12:16pm
Originally posted by AliaDawn AliaDawn wrote:

First thought - OMG that is so sad... nearly cried while reading it.

Second thought - I hope this doesn't encourage more people to have un-necessary optional c-sections... sometimes people will read a horror story like this, and forget that the alternative comes with risks too


i lost an extreme amount of blood during my c/s with charli...have since learned how bad it actually was and this is why DH doesn't want anymore kids. c/s aren't easy or safe so i hope it does't put people off either

how utterly heartbreaking for the family and little allix

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http://lilypie.com">


Posted By: caitlynsmygirl
Date Posted: 11 February 2008 at 12:38pm
Originally posted by RachandJack RachandJack wrote:

So sad and imagine the poor dad having to deal with that and a wee newborn. Its pretty scary too, since it really could happen to anyone.


very scary,my friends husband had to cope with the same thing when his wife (my friend) died 3 weeks after birth, due to a blood clot that was a result (somehow, i dont know all the ins and outs ) of her labour, she was only 23 and its scary it can happen to anyone,even people who are seemingly not at risk.

Have to ad though that despite her husband becoming a widower and single dad at 27, he is doing a fantatic job with their daughter, whos now 8 months and crawling :-), she is very special to the family , just as im sure baby Allix will be, im sure her mum will live on in her,and her mum may have only known her a brief while but i bet she loved her daughter long before that, and besides,no matter how brief, love lasts forever


Posted By: ElfsMum
Date Posted: 11 February 2008 at 12:49pm
that is very sad:( I'm glad i didnt read that before my birth...:( having to have emergency c-section and having bubs have Apgar of 3...(then 10) and having been in hospital for PE.:(!!!!! scary. I must admit i thought c-section easy option..boy was i proved VERY wrong:(

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Mum to two amazing boys!


Posted By: caitlynsmygirl
Date Posted: 11 February 2008 at 9:22pm
it would have been a horrible thing to read before giving birth Kawww! i agree!

I have to say , when i did hear about it, i was worried that it might be someone on here


Posted By: alexbabe
Date Posted: 12 February 2008 at 12:33pm


Posted By: popcorn
Date Posted: 17 February 2008 at 10:09pm
that was dreadful, so sad for everyone especially the little bubba, makes you appreciate all we have



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