Rome (AFP) -
Italian health authorities on Sunday ordered investigations after five women
died in childbirth in seven days, shocking a nation with one of the lowest
maternal mortality rates in the world.
The deaths
occurred across the country between December 25 and 31.
While all
appear to have explicable causes, their concentration over the holiday period
has raised questions over whether hospital staffing may have been a factor and
also over whether older mothers-to-be are being sufficiently monitored for
warning signs of potentially fatal conditions.
In the latest
case, Giovanna Lazzari, 29, already a mother of two who was eight months
pregnant, died on New Year's Eve in Brescia, northern Italy, a day after coming
to an emergency unit with a high fever and symptoms of gastroenteritis,
according to her partner Roberto Coppini.
As her
condition deteriorated, doctors attempted an emergency Cesarean but were unable
to save either the mother or the foetus.
"In a few
hours, I lost a baby and a unique mamma. Someone has to tell me what
happened," Coppini told reporters.
"Giovanna
sent me a text message during the night in which she told me she had very
strong pains but that the doctors were not paying any attention to her.
"She would
have been 30 on January 1. She was young and healthy."
Ezio Belleri,
the hospital's director general, said an initial review of Lazzari's treatment
had not found any indication of errors.
"The
doctors did everything that could be done," he said. "Up to now,
nothing indicates that any errors were made."
Belleri said
the cause of death had been septic shock brought on by haemorrhaging that was
likely the result of an unpredictably rapid spread of a very strong bacterial
infection.
Health minister
Beatrice Lorenzin has dispatched experts to establish what happened in Brescia
and three of the other four fatal cases. Their first report is due Monday.
"We have
to understand if the recommended procedures were followed or if there were
organisational deficiencies," Lorenzin said.
"The
priority is identifying any errors and preventing other tragedies."
In two of the
other cases, both of which resulted in still births, the mothers, aged 35 and
39, suffered cardiac arrest during labour, according to reports.
Anna Massignan,
a 34-year-old doctor from Lonigo, near Vicenza who died on Christmas Day,
succumbed after an emergency Cesarean eight months into her pregnancy,
reportedly following a fall at home. Her son was delivered alive but died
several hours later.
The one case
not being investigated concerned a 23-year-old from Foggia in southern Italy
who was approaching her due date and died suddenly at home. Doctors were able
to perform a post-mortem Cesarean and save her daughter.
- 'Obsolete
procedures' -
A leading
gynaecologist said some of the victims may have paid the price for inadequate
screening for the risk of thrombosis or heart problems emerging during the
latter stages of pregnancy.
"With
preventative checks we could save so many women in the delivery room,"
said Rosalba Paesano, Professor of Gynaecological Science at Rome's La Sapienza
university.
"But the
health ministry does not say they are required, in reality because they cost
too much. The procedures we have in place are obsolete," Paesano told La
Repubblica.
Consumer group
Codacons said it would be filing requests on Monday for prosecutors to look
into whether regional authorities and the health ministry had been negligent in
their instructions to hospitals regarding screening measures and preventative
treatment.
Antonio
Starita, medical director at Rome's San Camillo hospital, told La Stampa:
"The one figure that stands out is that 35 percent of pregnancies in Italy
involve women over 35 and, at this age, the maternal mortality risk
doubles."
Starita said blocks
on new hires in parts of the health system could be creating staff shortages,
particularly amongst midwives assigned to home visits who could pick up early
warning signs of problems in a pregnancy.
According to
World Bank figures, Italy has had an average of four maternal deaths in
pregnancy per 100,000 live births since 2004, one of the ten lowest mortality
rates in the world.
http://news.yahoo.com/italy-shock-over-spate-childbirth-deaths-
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