Mothering.com death toll continues to rise

There has been yet another death of a healthy, full term baby on Mothering.com. This one happened at a birth center. It was caused by a rare complication, but it didn’t have to happen.

The mother claims:

I don’t ever want anyone to fear a VBAC, or to fear going over their due date, or to fear having their baby in a birthing center because of our situation. Those things had nothing to do with what happened to our little angel, and there isn’t anything that could have been done to prevent it either.

Not exactly. Had the mother had an elective repeat C-section at term, the baby would definitely be alive today. Had the mother had continuous electronic fetal monitoring, the baby would almost certainly be alive today. Had the mother given birth in a hospital, the baby would likely be alive today.

As in the case with all out of hospital births, including birth centers not located at hospitals, the mother gambled with her baby’s life. Unfortunately, she lost … or rather the baby lost.

The baby died during labor of a rare, generally unpredictable complication:

At about 7 am, the midwife came and we listened to his heartbeat again, and again it was perfect, before, during and after a contraction. I was only 4 cm dilated, so I decided to start moving and swaying to some music, using the birthing ball and walking a little to help dilation along. I did this for about an hour. While I was sitting on the birthing ball I felt [him] kick a couple of times … I didn’t know then that it was the last time I would feel him move.

An hour later my midwife checked my dilation again and I was 5-6 cm, we listened for the heartbeat on the doppler and we couldn’t find it. We tried to stay calm and went straight to the hospital, hoping that they would confirm with ultrasound that he was fine and was just so low in the pelvis that we couldn’t get his heartbeat on the doppler at that point, but sadly, they confirmed what we quietly feared. He didn’t have a heartbeat. Sometime in that hour, he had passed away.

What happened?

The pathology reports came back … and we found out that he had what is called an Umbilical Cord Torsion. It is very rare, and is when the umbilical cord twists in on itself and forms a kink. It essencially cut off all blood supply and oxygen to him immediately and there was nothing that could have been done to prevent it…

Umbilical cord torsion happens when the cord becomes so twisted upon itself that the blood vessels within are kinked, closing off the blood flow to the baby. Imagine twisting a short length of garden hose over and over again. At first, the twists make no difference to water flow, but if you twist it enough times, the flow can be cut off completely.

This is a rare complication and can cause stillbirth at any point in pregnancy. As long as the cord is not twisted completely closed, the baby can survive, but as I explained in Trust Placentas?:

… During contractions, blood flow to the uterus (and therefore the placenta) is cut off. During each contraction, the baby is, in essence, holding its breath. Most babies tolerate this pretty well, because between contractions the placenta is providing so much oxygen that the baby has a reserve to draw upon during the contractions.

A partial torsion of the cord can dramatically reduce oxygen reserve. A baby with a partial torsion may be fine until labor begins, but without an adequate oxygen reserve, the baby may die during labor.

This tragedy sheds light on the nature of risk during pregnancy. The baby was alive at 38, 39, 40 and even 41 weeks. An elective repeat C-section at any point during those weeks would have prevented the baby’s death. It would have been another one of those “unnecessareans” that are bemoaned by NCB and homebirth advocates.

That does not mean that the mother should have had an elective repeat C-section, merely C-sections are less risky for babies than vaginal birth.

The baby was alive at 7 AM. Had the baby been monitored with continuous electronic fetal monitoring, it may or may not have showed a pattern of increasing fetal distress prior to complete closure for the cord vessels. It certainly would have shown the bradycardia that occurred in the wake of complete closure of the cord vessels, and there may have been time to deliver a live, healthy baby by emergency C-section.

That does not mean that every woman should have continuous electronic fetal monitoring during labor. It does mean, though, that in the absence of continuous electronic fetal monitoring, rare acute events like these can kill a baby without anyone knowing about it.

Of course, had there been continuous or even more frequent intermittent monitoring during labor that showed the bradycardia, the fact that the mother was at a birth center, far from an operating room, means that the baby probably would have died anyway.

That doesn’t mean that no one should give birth in a birth center, but it does mean that when a woman chooses a birth center, she is implicitly gambling that there will be no acute life threatening events in labor. If one does occur, the baby will die long before the mother can be transferred to the hospital.

This baby did not have to die. The mother and the providers gambled that the baby had no rare conditions, that nothing more than intermittent monitoring would be necessary, and that there was plenty of time to transfer to a hospital in case of emergency. The odds were in their favor, but they lost anyway.

When gambling, you should never bet the mortgage money, because no matter how good the odds, you still might lose. If you shouldn’t bet the mortgage money, should you bet something infinitely more precious, the life of your baby? At a minimum, you ought to consider that no matter how good the odds, you still might lose.

88 Responses to “Mothering.com death toll continues to rise”

  1. J Collins MD
    March 11, 2014 at 10:27 pm #

    Hi , Umbilical cord torsion is not rare . 10% of newborns have it. Torsion is a very common cause of death in mammals especially foals (horses). Torsion can be visualized by ultrasound . A stillborn case of torsion has been described in Voque magazine. Umbilical cord accidents is an important topic and recent NICHD data puts the problem at 10% of all still births . For a current discussion of UCA see “Silent Risk” on Amazon . Regards
    J H Collins MD , MSCR

Trackbacks/Pingbacks

  1. visit website - July 24, 2021

    visit website

    […]The info talked about inside the article are a few of the ideal out there […]

  2. Find out more - July 24, 2021

    Find out more

    […]although websites we backlink to beneath are considerably not associated to ours, we really feel they’re essentially really worth a go by means of, so have a look[…]

  3. laser hair removal cost - July 24, 2021

    laser hair removal cost

    […]Here is an excellent Weblog You may Find Fascinating that we Encourage You[…]

  4. tueran - July 24, 2021

    tueran

    […]one of our visitors just lately proposed the following website[…]

  5. sex toys for men - July 23, 2021

    sex toys for men

    […]the time to read or pay a visit to the content or web pages we have linked to below the[…]

  6. sex toy reviews - July 23, 2021

    sex toy reviews

    […]usually posts some really intriguing stuff like this. If you are new to this site[…]

  7. lowes shed - July 21, 2021

    lowes shed

    […]although sites we backlink to below are considerably not related to ours, we feel they are in fact really worth a go by, so have a look[…]

  8. insulated shed - July 21, 2021

    insulated shed

  9. how to lose belly fat in a week - July 18, 2021

    how to lose belly fat in a week

    […]we came across a cool web site that you just may appreciate. Take a look in case you want[…]

  10. alligator meat online - July 16, 2021

    alligator meat online

    […]the time to study or stop by the content or websites we’ve linked to below the[…]

  11. cheap 100 round drum for ar 15 - July 16, 2021

    cheap 100 round drum for ar 15

    […]one of our visitors recently proposed the following website[…]

  12. Stairmaster - July 16, 2021

    Stairmaster

    […]the time to study or visit the content material or web sites we have linked to below the[…]

  13. Running Machine - July 16, 2021

    Running Machine

    […]check beneath, are some absolutely unrelated websites to ours, even so, they may be most trustworthy sources that we use[…]

  14. Thc Oil Carts - July 14, 2021

    Thc Oil Carts

    https://theclearconcerntrate.com/ The Clear classic oil is mixed with CBD isolate and our preparatory flavorings for the best taste and consistency on the market today.

  15. chinese cave geckos for sale - July 14, 2021

    chinese cave geckos for sale

    […]just beneath, are various completely not associated web sites to ours, on the other hand, they are surely really worth going over[…]

  16. Sig Romeo - July 14, 2021

    Sig Romeo

    […]one of our visitors a short while ago suggested the following website[…]

  17. Sig Mpx - July 14, 2021

    Sig Mpx

    […]that will be the end of this article. Right here you will find some websites that we consider you will appreciate, just click the hyperlinks over[…]

  18. Cheap Gaming Chairs - July 14, 2021

    Cheap Gaming Chairs

    […]Here are a few of the web pages we advocate for our visitors[…]

  19. canadian pharmacy - July 13, 2021

    canadian pharmacy

  20. pharmacy in canada - July 13, 2021

    pharmacy in canada

    […]always a huge fan of linking to bloggers that I love but really don’t get quite a bit of link love from[…]

  21. Roofing Company - July 13, 2021

    Roofing Company

  22. grup escort - July 13, 2021

    grup escort

    […]we came across a cool web site that you could appreciate. Take a search if you want[…]

  23. istanbul eskortlar - July 13, 2021

    istanbul eskortlar

  24. MILF Porn - July 12, 2021

    MILF Porn

    […]below you will discover the link to some web-sites that we consider you need to visit[…]

  25. MUT - July 9, 2021

    MUT

    […]always a significant fan of linking to bloggers that I appreciate but do not get a great deal of link like from[…]

  26. MURANG'A UNIVERSITY - July 9, 2021

    MURANG’A UNIVERSITY

    […]very handful of internet sites that transpire to become detailed beneath, from our point of view are undoubtedly nicely really worth checking out[…]

  27. Restaurant - July 8, 2021

    Restaurant

    […]Here is an excellent Blog You may Locate Interesting that we Encourage You[…]

  28. Obligasi - July 8, 2021

    Obligasi

    […]just beneath, are various totally not associated web-sites to ours, nonetheless, they are surely really worth going over[…]

  29. Glock Guns for sale - July 8, 2021

    Glock Guns for sale

  30. moving company - July 7, 2021

    moving company

    […]just beneath, are several entirely not connected web sites to ours, nonetheless, they are certainly worth going over[…]

  31. moving company Kelowna - July 7, 2021

    moving company Kelowna

    […]one of our visitors a short while ago suggested the following website[…]

  32. Ruger Rifles - July 6, 2021

    Ruger Rifles

    […]Here is a superb Blog You may Uncover Fascinating that we Encourage You[…]

  33. thc vape carts for sale florida - July 6, 2021

    thc vape carts for sale florida

    […]please go to the internet sites we adhere to, such as this one particular, because it represents our picks from the web[…]

  34. buy guns online - July 6, 2021

    buy guns online

    […]one of our visitors lately encouraged the following website[…]

  35. order guns online - July 6, 2021

    order guns online

    […]Every after in a although we choose blogs that we study. Listed below are the latest sites that we select […]

  36. Ruger Ammo and Magazines for sale. - July 6, 2021

    Ruger Ammo and Magazines for sale.

  37. guns for sale - July 6, 2021

    guns for sale

  38. buy magic mushrooms - July 6, 2021

    buy magic mushrooms

  39. buy tiktok followers - July 6, 2021

    buy tiktok followers

  40. buy weed - July 5, 2021

    buy weed

    […]please stop by the web-sites we adhere to, such as this 1, because it represents our picks through the web[…]

  41. weed - July 5, 2021

    weed

  42. buy weed - July 5, 2021

    buy weed

    […]The details talked about inside the article are a number of the top out there […]

  43. weed near me - July 5, 2021

    weed near me

    […]here are some links to web sites that we link to for the reason that we believe they may be worth visiting[…]

  44. buy weed online - July 5, 2021

    buy weed online

    […]the time to read or go to the material or web sites we’ve linked to below the[…]

  45. buy weed online - July 5, 2021

    buy weed online

    […]we came across a cool site that you simply may possibly get pleasure from. Take a search in the event you want[…]

  46. WEED FOR SALE ONLINE - July 4, 2021

    WEED FOR SALE ONLINE

    […]Here is an excellent Weblog You may Come across Interesting that we Encourage You[…]

  47. rechargeable penis ring - July 3, 2021

    rechargeable penis ring

    […]although websites we backlink to below are considerably not associated to ours, we really feel they may be basically really worth a go by means of, so possess a look[…]

  48. sasha grey - July 3, 2021

    sasha grey

    […]very few web sites that occur to be detailed below, from our point of view are undoubtedly very well really worth checking out[…]

  49. bullet vibrator - July 3, 2021

    bullet vibrator

  50. bachelor's degree - July 1, 2021

    bachelor’s degree

  51. where to buy weed - June 29, 2021

    where to buy weed

    […]below you will come across the link to some web sites that we feel you’ll want to visit[…]

  52. best cbd gummies for sleep - June 29, 2021

    best cbd gummies for sleep

    […]Sites of interest we’ve a link to[…]

  53. buy delta 8 online - June 29, 2021

    buy delta 8 online

    […]one of our guests lately suggested the following website[…]

  54. Marijuana Gummies - June 29, 2021

    Marijuana Gummies

    […]the time to read or pay a visit to the material or websites we have linked to below the[…]

  55. pegging with a strap on - June 27, 2021

    pegging with a strap on

    […]Every the moment inside a whilst we select blogs that we study. Listed beneath would be the most current sites that we pick […]

  56. Factory License Delhi - June 26, 2021

    Factory License Delhi

    […]although websites we backlink to below are considerably not connected to ours, we feel they are really worth a go by way of, so possess a look[…]

  57. adam and eve online - June 22, 2021

    adam and eve online

  58. best delta 8 thc gummies - June 22, 2021

    best delta 8 thc gummies

    […]here are some hyperlinks to web-sites that we link to since we believe they are worth visiting[…]

  59. cellphone repair near me - June 22, 2021

    cellphone repair near me

  60. best delta 8 THC vape cartridges - June 22, 2021

    best delta 8 THC vape cartridges

    […]Wonderful story, reckoned we could combine a number of unrelated data, nevertheless actually really worth taking a look, whoa did one find out about Mid East has got additional problerms at the same time […]

  61. buy Instagram likes - June 21, 2021

    buy Instagram likes

    […]below you will come across the link to some web-sites that we believe you’ll want to visit[…]

  62. best delta 8 - June 21, 2021

    best delta 8

    […]Wonderful story, reckoned we could combine several unrelated information, nevertheless really worth taking a look, whoa did one learn about Mid East has got far more problerms as well […]

  63. kratom for sale - June 21, 2021

    kratom for sale

  64. buy real Instagram likes - June 21, 2021

    buy real Instagram likes

    […]The information mentioned within the article are a number of the top offered […]

  65. kratom capsules - June 21, 2021

    kratom capsules

    […]Every once in a when we choose blogs that we read. Listed beneath are the newest web pages that we pick […]

  66. buy kratom online - June 21, 2021

    buy kratom online

    […]although internet sites we backlink to below are considerably not connected to ours, we really feel they’re essentially really worth a go via, so possess a look[…]

  67. MASALA MACHINE - June 17, 2021

    MASALA MACHINE

    […]the time to study or go to the content material or websites we’ve linked to below the[…]

  68. software review - June 16, 2021

    software review

    […]one of our guests lately advised the following website[…]

  69. Hmi Programmierung Tia Portal - June 16, 2021

    Hmi Programmierung Tia Portal

    […]the time to read or stop by the content or web pages we have linked to below the[…]

  70. Buy Weed Online - June 16, 2021

    Buy Weed Online

    […]just beneath, are various entirely not related web sites to ours, however, they’re certainly really worth going over[…]

  71. PARROTS FOR SALE - June 16, 2021

    PARROTS FOR SALE

    […]that could be the finish of this article. Right here you will uncover some internet sites that we assume you will enjoy, just click the links over[…]

  72. GOLDEN RETRIEVER PUPPIES FOR SALE - June 16, 2021

    GOLDEN RETRIEVER PUPPIES FOR SALE

  73. Weed Wax - June 15, 2021

    Weed Wax

    […]The facts talked about inside the post are a number of the most effective readily available […]

  74. fresh pork belly for sale - June 15, 2021

    fresh pork belly for sale

  75. g-spot vibrator - June 15, 2021

    g-spot vibrator

  76. buy pinball machines online - June 15, 2021

    buy pinball machines online

  77. Google - June 13, 2021

    Google

    Here is a good Weblog You might Find Intriguing that we encourage you to visit.

  78. Google - June 2, 2021

    Google

  79. Ecolab Cleaning Products - February 16, 2013

    Ecolab Cleaning Products…

    […]Here is a good Blog You may Locate Intriguing that we Encourage You[…]…

  80. hair loss - February 16, 2013

    Title…

    […]very couple of internet websites that come about to become comprehensive beneath, from our point of view are undoubtedly well worth checking out[…]…

  81. 2013 business ideas for women - February 16, 2013

    Title…

    […]Here are a number of the web pages we advise for our visitors[…]…

  82. homeowner insurance quotes florida - February 16, 2013

    Title…

    […]here are some links to websites that we link to for the reason that we believe they’re really worth visiting[…]…

  83. attorney andrew ling - February 16, 2013

    attorney andrew ling…

    […]very couple of web sites that happen to be detailed beneath, from our point of view are undoubtedly effectively really worth checking out[…]…

  84. gaming marketplace - February 15, 2013

    Title…

    […]please go to the web sites we adhere to, such as this one, as it represents our picks through the web[…]…

  85. serverpronto discount - February 15, 2013

    serverpronto discount…

    […]check below, are some entirely unrelated web sites to ours, however, they are most trustworthy sources that we use[…]…

  86. Small Business Web Design - February 15, 2013

    Small Business Web Design…

    Thanks for some other great article. Where else may just anyone get that kind of information in such an ideal approach of writing? I have a presentation next week, and I’m at the search for such information….

  87. walmart online gift card - February 15, 2013

    walmart online gift card…

    Youre so cool! I dont suppose Ive read something like this before. So good to find anyone with some unique thoughts on this subject. realy thank you for beginning this up. this website is one thing that’s wanted on the internet, somebody with somewhat…

Leave a Reply

You must be logged in to post a comment.