Raising funds for Priscilla for such a tragic incident.On Sunday July 16th at about 6:15am Priscilla Adom who was 36 weeks and 4 days of gestation woke up to excruciating contraction pain accompanied by heavy bleeding with clots. She immediately called for her mother whom she was living with and facetimed a good friend of hers Kim, that is a Labor and Delivery nurse who immediately noted that she was having classic signs of a Placenta Abruption- the premature separation of the placenta before the delivery of a baby and told her to immediately make her way to the hospital. It is important to note that Priscilla also has a history of chronic hypertension prior to her pregnancy which qualifies her as a high risk obstetric patient due to her increased risk of preeclampsia however, her prenatal care providers in Albany (where she resided for the majority of her pregnancy) had not put her on any regimen, not even an aspirin which is standard for people at risk for pre-eclampsia. She would mention that they always tell her “Baby looks good, you’re doing ok.” And on a few isolated occasions just say “watch your blood pressure its getting a bit high” but with no follow up education or check in. Priscilla also had survived a car accident and hyperemesis all the way through most of her second trimester. Priscilla was rushed to Montefiore Hospital Albert Einstein Campus accompanied by her mother, sister, and her friend Shelly and met by Kim there as well. Upon arrival she was kept in the emergency department for 10 minutes even after explaining to them the need to go up to the labor and delivery unit due to the heavy bleeding and being preterm. Upon transfer to the labor and delivery triage, an ultrasound was performed and whispers of staff mentioning there was no heartbeat but not outright mentioned. Her Blood pressure was in the 200/100s on arrival which is considered severe range and she was diagnosed with superimposed preeclampsia which was the likely cause of her abruption. After IVs where placed and labs were collected, she received a labetalol push which is meant to correct elevated blood pressure and she was transferred into a delivery room not an OR which was shocking but Doctors said they wanted to stabilize her blood pressure and induce her for delivery being that she was only 1cm. She was started on magnesium sulfate for seizure precautions, and the resident doctors and attending again tried to perform another ultrasound at bedside. Again, without outright clarifying what was happening there were whispers exchanged, only a contraction monitor was placed, and most of the team departed from the room with just her primary nurse and the floor’s charge nurse remaining. At this point Pricilla’s mother and Kim are the bedside and Priscilla is still actively bleeding. A doctor comes back into the room and says “when the blood pressure becomes really high it can cause a condition called preeclampsia, which can cause the placenta to separate early and cause heavy bleeding which is happening in priscilla’s case. Another complication can be fetal death.” She ends there and as she attempts to leave Kim asks, “Are you confirming that the baby has died?” At which she says “Oh, I thought someone already discussed this with you.” Then leaves no remorse shown. The consents are obtained the induction process is initiated. Her boyfriend also arrives at the hospital and the news is broken to him. At 12:02pm Priscilla’s blood pressure severely drops, and the OB team comes and mentioned her blood levels severely dropped, she needs blood and to go to the OR for an emergency c-section. Currently, her sister Tracy, and mother are with her and call Kim back to the room for clarification of what was happening. The attending provider and resident say that Priscilla is now in DIC which occurs when severe loss of blood takes place and the blood begins to abnormally clot with in the blood vessels using up all remain clotting factors in her body and result in more bleeding in other areas. Kim reexplains the severity to Priscilla and family and she is consented by the OB team for the procedure. She received red blood cells, plasma and cryo (additional clotting factors) at bedside and was then rushed to the OR where a massive transfusion protocol was performed meaning she received multiple transfusions of various blood products. Baby Z was delivered stillborn via c-section and his father held him while they tried to complete the surgery. At about 4pm they updated us and let us know the closed her uterus, but she was still leaking blood from the incision site, so she was taken to interventional radiology to save her uterus, where they were able to repair the damaged blood vessels which took about 5 more hours. Priscilla was finally stabilized and transferred to ICU where she stayed for 1 week. Priscilla lost her son and narrowly escaped her death due to all the complications she went through. There is also some medical negligence which needs to be addressed legally with her prenatal care team. As Priscilla’s family and close friends, we are now asking for your help financially as she now must start the process of preparing funeral arrangements as well as pay for the medical bills incurred during her stay. We please ask you for your help with anything you can. No amount is too big or too small. Black maternal morbidity and mortality has been a constant problem here in the United States and while we are very grateful to still have Priscilla with us, but she has a long road to recovery not just physically but mentally and emotionally following such a traumatic experience. We thank you in advance for everything! -Adom Family
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