Senior Reporter
sascha.wilson@guardian.co.tt
A Ste Madeleine couple is blaming medical negligence for the death of their baby at the San Fernando General Hospital.
Natalia Ramdhan, 21, and her boyfriend Moses Leopole, 27, claim that pethidine, an opioid pain reliever, which was administered during labour caused their baby to go into cardiac arrest, leading to his death. They are demanding answers and accountability from the hospital.
“I do believe that the medication they gave me caused my baby to die. I want justice for my baby,” said Ramdhan in an interview at the couple’s Ste Madeleine home.
They said while the pregnancy was a surprise it was “perfect” with no signs of trouble and everything was fine when Ramdhan visited the health centre just three days before she gave birth.
“In my heart, I was overjoyed because this is something I’ve always wanted for years now,” said Leopole.
On March 21, Ramdhan began experiencing contractions. She arrived at the hospital around 6.36 am and around 9 am, she was given medication intravenously, followed by another painkiller around 10.45 am, which she later learnt was pethidine.
Ramdhan said she began feeling drowsy and was drifting in and out of sleep.
"When he (the baby) came, he was crying and moving. They cut the cord, put him on my chest, and he was unresponsive for a moment. The midwife shook his back, and he started crying again," Ramdhan recalled.
Baby Khazriel was born at 1.18 pm and weighed 2.885 kilogrammes. He was taken away in an incubator.
Ramdhan was later told by a doctor that she lost a litre of blood and had suffered a torn cervix, requiring emergency surgery. She was handed a document to sign, though she could not read it due to blurred vision and she was trembling.
Meanwhile, Leopole and Ramdhan's mother Natasha Khan, who was seated near the delivery room, said they were not given any information about the baby until hours later. Leopole said he was only informed that his son had gone into cardiac arrest and had to be resuscitated when he got to the Neonatal Intensive Care Unit around 4 pm.
Admitting that it was very emotional seeing his baby hooked up to machines and in distress, he said, "When I reached to the incubator like he felt my presence and opened his eyes I told him yes son daddy's here. I tried to console him. Not long after he got home, his worst fears were realised when a doctor called around 8:30 pm to ask him to return to the hospital because his son had suffered another cardiac arrest, and they resuscitate him.
Recalling the final moments with his at NICU, he said, "I know he was a fighter from birth because I am a fighter, so I was trying to console him and telling him fight son fight, daddy is here, breath son breath with tears in my eyes."
Eventually, Ramdhan joined him.
The parents said a provisional death certificate listed his death as acute respiratory failure, pending further investigation.
"All I want is justice for my baby and for them to give me the right reasons for what caused my son to die,” lamented Leopole.
Meanwhile, Ramdhan's mother slammed the hospital staff for the lack of communication, professionalism and care shown to her them.
"Up to now after she did her surgery, no one has spoken to us. Up to now, I have no answers on what took place with my healthy grandson who had absolutely no complications. It was a perfect pregnancy," charged Khan.
During the autopsy, she said samples were taken for further testing, so they have not yet completed the paperwork for his funeral.
Complaining that they were told that it would take two months to get her daughter's medical files from the hospital, she said even they have to initiate legal action, they would not rest until they get answers and justice for her grandson's death.
In response, the South West Regional Health Authority (SWRHA) disputed the family's claims of negligence. "During our valued client's stay on the Labour Ward, the authority’s medical team provided the requisite and best level of care to support the mother’s health along with the safe delivery of the infant."
The authority added that the findings of the autopsy conducted on March 24, unearthed findings that appeared to be unrelated to the medical care administered to the infant and mother. However, it stated that a further review of the circumstances is currently underway and the SWRHA has counselled the family on the cause of the infant’s death and will provide necessary care and support.