Aftershock (2022)
Director, Producer: Paula Eiselt and Tonya Lewis
Director, Producer: Paula Eiselt and Tonya Lewis
In the 70s, active labour management was the craze in the Obstetrics circle, especially amongst the countries that looked at the UK as their point of reference. This kind of treatment was first tried out at the Royal Dublin Hospital, promising short labours, lower caesarean section rates and safer outcomes. It soon became the golden standard of managing parturient mothers in most labour rooms.
There had been debates on whether Dublin's figures and definition of labour were only agreeable to some. Many argued that the system tends to over-medicalise something quite natural that people have been doing for aeons. Medical intervention tends to involve surgical intervention, it is alleged. Unfortunately, with eyes constantly scrutinising for clues to stir dirt when a medical outcome is not to their liking, medical practitioners tend to practice defensive medicine. Better be safe than be bogged by handling complications, a battery of legal suits and the threat of being struck off the register.
An often overlooked and unmentioned fact about Dublin's 'active management' is that mothers had a named midwife with them, i.e. a midwife who sees her during pregnancy and through her labour. Labouring mothers are at ease with a familiar face besides their partner. It is said to allay anxiety and generally gives a feeling of achievement. This is why many opt, in the West, at least, for homebirths or at birthing centres.
This documentary is about two maternal deaths which occurred within a short span of time within a locality. In October 2019, a 30-year-old, Shamony Gibson, died two weeks after her delivery of pulmonary embolism. The family allege that her initial symptom of breathlessness during pregnancy and after delivery was trivialised. In the second case, in April 2020, Amber Rose Isaac had to be induced for worsening liver functions and low platelet (HELLP syndrome). She had to undergo an emergency Caesarean Section. Unfortunately, she died on the operating table with extensive haemorrhage. The family was unhappy that the staff were late detecting her medical condition.
The widowers of Gibson and Rose Isaac form a strong bond and rally to highlight their plight through rallies. They seek systemic change in the medical system and legislation to ensure proper care.
[PS. One thing often overlooked is that the population is marred with the problem of obesity. Obesity carries high morbidity in any medical condition or intervention. Pregnancy, when the body is in a hypercoagulable state, brings forth even more danger. No medical practitioner worth his salt will ever talk about this to a plus-sized patient for fear of being accused of body shaming.]
[PSS. As medical services become more expensive, compounded by the fear-mongering drive of the pharmaceutical and allied industries. In this increasingly litigious climate, when over-investigation is necessary, medical services are at risk of being exclusive to the rich. The WHO's cry for primary medical attention as a human right remains, at best, can be only given at the bare minimum. Restricting expensive treatment to the deservingly ill but can ill afford is the bitter pill to swallow. Sadly the patients who need the therapy most are those not financially able to pay. The bow has to break somewhere]
