Funny how you (as usual) ignore what you dont like in the report, including this:<quoted text>
The invstigative report on Savita's Death is here: http://cdn.thejournal.ie/media/2013/06/savita... Had the infection been treated when localized, it's unlikely Savita would have ended up w/ sepsis and septic shock.
We considered that the patients condition involved prolonged rupture of membranes, which
is associated with increasing risk of infection with the progress of time. In this case, the
patients condition was rare and serious. There was a lack of recognition of the gravity of the
situation and of the increasing risk to the mother which led to passive approaches and delays
in aggressive treatment.
This appears to have been either due to the way the law was interpreted in dealing with the
case or the lack of appreciation of the increasing risk to the mother and the earlier need for
delivery of the fetus.
When the patient and her husband enquired about the possibility of having a termination, this
was not offered or considered possible by the clinical team until the afternoon of the 24th of
October due to their assessment of the legal context in which their clinical professional
judgement was to be exercised.
Delaying adequate treatment including expediting delivery in a clinical situation where there
is prolonged rupture of the membranes and increasing risk to the mother can, on occasion,
The investigation team is aware that clinical circumstances can and have arisen in Ireland
where a termination of pregnancy is an appropriate and necessary clinical step in the
medical treatment and care of a patient.
What you DID post, included (key causal agent #2) the FAILURE of the option of abortion. Their recommendation for that is as follows:
There is immediate and urgent requirement for a clear statement of the legal context in which
clinical professional judgement can be exercised in the best medical welfare interests of
patients. There is a parallel immediate requirement for clear and precise national clinical
guidelines to meaningfully assist the clinical professionals who have the responsibility, often
in circumstance of rapid deterioration or emergency, as to how to exercise their clinical
professional judgement in a particular case. We recommend that the clinical professional
community, health and social care regulators, and the Oireachtas consider the law including
any necessary constitutional change and related administrative, legal and clinical guidelines
in relation to the management of inevitable miscarriage in the early second trimester of a
pregnancy including with prolonged rupture of membranes and where the risk to the mother
increases with time from the time that membranes were ruptured including the risk of
infection. These guidelines should include good practice guidelines in relation to expediting
delivery for clinical reasons including medical and surgical termination based on available
expertise and feasibility consistent with the law.We recognise that such guidelines must be consistent with applicable law and that the
guidance so urged may require legal change."
Pay attention to that last two sentences No Relevance. "These guidelines should include good practice guidelines in relation to expediting
delivery for clinical reasons including medical and surgical termination. We recognise that such guidelines must be consistent with applicable law and that the
guidance so urged may require legal change.