Ok, am watching last night's installment of "Call the Midwife" see:
, and one of the patients is a young mother to be who is new to the area but is more middle class (posh) the what we've seen so far.
As her storyline develops we learn she has "headaches" and other complaints of "not feeling well", but neither her OB/GYN nor anyone else seems that concerned. After a really bad headache and *really* feeling out of sorts she goes to the local free NHS OB/GYN/Mother Baby clinic set up by the midwives and nuns. The intake nurse sort of brushes the woman off with " I need to take down some information..."and so forth while all the time the patient just wants to see a doctor. Told to wait being surrounded by "docklands" mothers and their babies/children get to be too much especially after being told off and almost attacked by one, so she leaves.
About several days later the woman calls her husband at work requesting he come home at once and take her to their normal doctor. During the drive she starts saying things like she cannot remember this or that and soon goes into eclampsia having seizures and lapses into coma. Long story short the infant is lost and the woman is simply kept comfortable in hospital (on a ward but behind a glass walled section) and basically allowed to slowly die.
Now one has seen the midwives in this show constantly testing urine for protein (using a bunsen burner and test tubes) so am wondering why her normal OB didn't notice anything was wrong. Also when did some of the preventive and or treatment options we have for pre and Eclampsia take from in North America and UK? The voice over in the program states at that time nothing could be done for the woman nor her child (born at 27 weeks), and according from what (limited) research one has done so far nurses of the period state pretty much women were put into a darkened room and waited for nature to take it's course.
In the 60s we were giving IV MgSO4 for pre eclampsia and felt we were really on the cutting edge since many other hospitals were still giving it IM. Five grams in each buttock. A kind doctor would add a little lidocaine in each shot because it really hurt. In a text book from the turn go the century (not the most recent turn, the one before that), I read about the treatment of an eclamptic woman with MgSO4. They used it orally, because at that time the treatment was to get rid of the "toxins" causing toxemia by purging the patient with emetics and laxatives. Oral Epsom Salts is a laxative.
i love that show. It's worth watching on Netflicks if you haven't caught it on PBS.
Last edit by NurseNora on May 13, '14
: Reason: Misspellings