Serena Williams self advocates, blood clots found

  1. Serena Williams gave birth, then 'Everything went bad' - CNN
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  2. Visit elizabethgrad09 profile page

    About elizabethgrad09, BSN, RN

    Joined: Dec '09; Posts: 45; Likes: 40
    from AZ , US
    Specialty: 7 year(s) of experience

    7 Comments

  3. by   Lil Nel
    I read the article on this topic today, in the NY Times.

    NPR has also been doing an occasional series on the number of women who die shortly after giving birth in the United States. One new mother they focused on was a NICU nurse. Another worked for the CDC.

    When the statistics are presented to you, and you hear the women's stories, it is very sobering. Something is seriously wrong with post-partum care in this country. These are preventable deaths.

    Both patients and healthcare providers need better education. Ms. Williams was fortunate in that she is familiar with the signs and symptoms of PE. She wasn't going to be denied proper medical care, and could advocate for herself. Not everybody can do that, even when they are highly trained nurses.
  4. by   elizabethgrad09
    When I posted this, I was thinking of a nurse that I work with who a while back was doing something physical and felt something happen (I'm keeping the details vague for her privacy). Because of her medical history and symptoms, she suspected she might have a GI bleed. She was admitted to the hospital, kept herself NPO, and despite initial resistance, was able to get the correct procedure ordered and performed. So the problem is not just in post partum.
  5. by   Lil Nel
    No, it isn't just a post-partum problem. But the United States has a high number of post-partum deaths. And they are largely preventable. But the overall problem is a crappy healthcare system.

    I recently took care of a GI bleed patient, and begged and pleaded to get her transferred out to the large teaching hospital as her condition was worsening, and nothing other than blood transfusions was being done for her. After one and half-days of begging to get her OUT of the tiny rural hospital that obviously wasn't equipped to care for her, the patient was transferred to the larger facility.

    Why does it take begging and pleading by nurses to get the right thing done? The patient couldn't advocate for herself because she could no longer speak coherently.
  6. by   nursej22
    My daughter had shortness of breath after the birth of her second child and was told she was anxious and should take her xanax. She persisted, and got a CT to rule out a PE. Turns out she had aspiration pneumonia. It wasn't until after that she told me she had vomited awaiting her c-section, and no one was close to help her clear her mouth. And the anesthesiologist left a huge bruise on her back after her epidural or spinal.
    She recovered slowly, what with a 2 year old and newborn to care for.
  7. by   toomuchbaloney
    What states have the highest rates of unwanted pregnancies? Which states have the poorest outcomes for pregnancy?
  8. by   Lil Nel
    Quote from toomuchbaloney
    What states have the highest rates of unwanted pregnancies? Which states have the poorest outcomes for pregnancy?
    I don't know the answers to either one of those questions.

    But I do know that NPR reports have centered around a lack of patient education, as in, providers aren't educating women on the signs and symptoms of something being wrong, and then providers not taking the complaints of women seriously (like in the case of nursej's daughter).
  9. by   MelissaB91
    After my second was born, I experienced a ton of bleeding while still in the hospital. I reported it to my provider and was told it was normal, even though it seemed really excessive to me. I went through two shifts like that and when my night nurse came in and palpated my tummy, she had immediate concern. I credit her with saving my life....ended up having emergency surgery and blood transfusions. The next day my doctor told me that I had something retained in my uterus and that a person can easily "bleed out" in that situation. It was disturbing, because when I initially reported it, no one checked anything and just told me all was normal and I just over rode that gut feeling that told me it was not normal. I am so thankful for that night nurse who came in and took over. It is one of the reasons I want to be a nurse.

    In my current job (not nursing), I see so many people who cannot advocate for themselves because of ignorance and/or culture that medical providers are above questioning. And I don't mean ignorant as stupid, I mean they just don't know even what to ask. As a consumer, education is so important.
    Last edit by MelissaB91 on Jan 24 : Reason: clarification

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