On Qatar Airways Flight QR76

More on Jackie Nanyonjo and what was done to her.

Jackie was a fighter for herself and for others: a lesbian who escaped from anti-gay persecution and a brutal forced marriage, and a member of the Movement for Justice. In Britain she had been able for the first time to live and love openly as a lesbian; she was much-loved by a wide circle of friends who kept in touch with her after she was deported and who miss her deeply.

I suppose I should say trigger warning at this point. What happened to her is not comfortable reading. [Read more…]

It can and does happen here

I’ve said this before, but it needs saying often. People don’t realize that it’s not just Ireland. It can happen here too, and it does. The National Women’s Law Center did a report on it two years ago.

A serious but little known problem is putting women’s health and lives at risk: because of their religious beliefs, certain health care providers do not give appropriate treatment to women experiencing serious pregnancy complications. A recent study by Ibis Reproductive Health entitled “Assessing hospital polices & practices regarding ectopic pregnancy & miscarriage management”  [1]  adds to the growing evidence that the Ethical and Religious Directives for Catholic Health Care Services have been applied to deny women experiencing both ectopic pregnancies and miscarriages the treatment and information to which they are legally entitled.

Like Savita, you see. Not just Ireland, you see. [Read more…]

Usually in an attempt to make trouble

Paul Krugman thinks it’s not particularly reasonable to make comments on the internet while pretending to be Paul Krugman.

I do think that it’s kind of curious that I’ve had repeated incidents in which people pretend to be me, usually in an attempt to make trouble. Is my real output so hard to criticize that people looking for a way to discredit me have to make stuff up?

And for that matter doesn’t making stuff up kind of defeat the purpose?

 

Wednesday at the inquest

Fergal Bowers reporting for RTE, again.

The consulting obstetrician said there were system failures.

Dr Katherine Astbury said Mrs Halappanavar’s clinical signs were not checked every four hours after her membranes ruptured, which was a breach of hospital policy.

She told the inquest that when Mrs Halappanavar requested a termination from her on the morning of 23 October, she outlined the legal position to her.

She said that Mrs Halappanavar had told her she was finding it very upsetting and difficult given that the ultimate outcome would be that her baby would not survive.

Dr Astbury told her “in this country it is not legal to terminate a pregnancy on the grounds of poor prognosis for a foetus”. [Read more…]

Left untreated, the outcome is maternal death

Dr Jen Gunter has weighed in; I was hoping she would. She was informative and passionate about it last fall.

Savita Halappanavar was admitted at on a Sunday to Galway hospital at 17 weeks into her pregnancy with ruptured membranes, a dilated cervix, and an elevated white blood cell count (a marker of infection). It is clear that her diagnosis was chorioamnionitis, an infection of the fetal membranes. When left untreated the bacteria of chorioamnionitis march across the umbilical cord into both the maternal and fetal circulation. Left untreated, the outcome is maternal death.

Just walking through the door with ruptured membranes at 17 weeks Ms. Halappanavar baseline risk of chorioamnionitis was 30-40%. Her presentation should not have posed a diagnostic dilemma, not even for an intern. She was a perfect set up. [Read more…]

Tuesday at the inquest

Fergal Bowers reports for RTE.

A midwife who was working on the ward where Savita Halappanavar was being treated has given evidence at the inquest into her death.

Miriam Dunleavy told the Coroner’s Court in Galway that entries were put into Mrs Halappanavar’s medical notes by the hospital’s internal investigation.

Coroner Dr Ciaran McLoughlin raised questions as to the appropriateness of this.

Yes that does sound slightly inappropriate.

Dr Katherine Astbury also testified.

In a detailed chronological account of the treatment she provided, Dr Astbury said that she had requested an ultrasound on Monday 22 October after Mrs Halappanavar’s membranes ruptured.

On the following day when she asked for medication to assist a miscarriage, she said she told Mrs Halappanavar that the Irish legal position did not allow her to carry out a termination at that time, as there was no risk to her life or health. [Read more…]

No threat to Savita’s life

And there’s RTE’s account.

Praveen Halappanavar said they asked for a termination three times over two days.

The inquest has been told that the evidence from Dr Astbury will be that there was only one discussion about a termination of pregnancy and it was on Tuesday 23 October.

Dr Astbury says a termination was not warranted at that time, as there was no threat to Savita’s life and so no reason to consider an abortion.

According to Dr Jennifer Gunter (an OB-GYN) that’s bullshit; there was a threat to Savita’s life. [Read more…]