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Friday, December 2, 2016

I am sorry I can't save your baby

Assalammualaikum.
Okay so now I am almost at the end of my 3rd posting; Obstetrics and Gynaecology.

Obstetrics is when women pregnant more than 23 weeks are concerned, while Gynaecology deals with all women (physical) women-health problems, and if their pregnancy is less than 23 weeks old.

Get it?

You know in the movies and dramas where when a woman lost her pregnancy in an accident or something, the doctor will come up to her and say, "I am sorry we lost your baby" - in a solemn, empathic, guilty face?

I am very sorry to say it doesn't happen like that in real life.

Most women I met during my Gynaecology posting are women who have just had a miscarriage.
The foetus they carried just died - like that. Gone.

Most of the time, these women might be pregnant for 8 - 10 weeks (that is 2 months you know) and then they had a PV bleed and when we scanned, there is no foetal heart. The foetus died.
And we simply say, "The foetus doesn't make it" or in Malay, "Baby ni tak jadi"
And we take it scientifically - the sperm and ovum met, fertilised and divided. But the mitosis that happened may have gone wrong, the chromosomes that resulted is not compatible with life and the cells degenerate. That is the most common cause of miscarriages.

But to the woman, the thing that have died are not just cells.
The thing they carried in them were their babies - who they might have been very excited about. Who they might have imagined what gender could it be, how to call the babies, how should the babies call them - Mama? Papa? Daddy ummi abi?

To avoid having to deal with their emotions, I noticed that we tend to shut our emotions away from it. And by "we", I meant doctors.
What do I do if this woman in front of me broke into tears?
I have like 3 other women waiting outside the door, that might have had a miscarriage as well.
Can I afford to tackle this woman's tears? And all the women after this?

So I noticed that what "we" usually do is to say - "the baby doesn't make it"
And let the woman's family deal with her emotions - usually her husband is outside the door as well. We will call the husband in and explain.
We give them an appointment date - to rescan and the foetal heart is still absent, offer her a treatment - to remove the dead cells surgically or medically.

It's all so scientific.
There is no emotion.
But if i were to put emotions in dealing with all my patients - won't it be too tiring for me?
I will be sharing emotions with 20 sad women a day - everyday.


I am sorry your baby died, there is nothing I can do to save the baby, I know this is hard for you but you have to accept this, you can try again.


-Because life is a test-

*This was originally written on 8th Dec 2015. The time when I lost access to this blog, hence I created another blog.


-AkMaR-
http://nur-akmar.blogspot.com




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