The 99 days that Salvador permitted to be born, though the mother is in brain death – Observer t



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Going against the death of his mother at his mother, the decision was to keep the child close to her. For over 3 months, doctors, nurses, and family members have done everything they can to give birth.

She's pregnant for 18 weeks, Catarina Sequeira had a really strong assault on 20 December last year. She was at home and her friend was with her. It is he who asked for help when her sister began to have problems with breath and that she lost the senses. Taken to the Vila Nova de Gaia / Espinho Hospital Center, he did of emergency. Despite the struggles of the doctors, it wasn't long until he realized that there was little or nothing to do. The asthma program was so strong that the death of the brain at the age of 26 was six days later.

Last week's news came as it was known that he was at St John's Hospital before, that the child was due to be born. It was kept alive in the corpse of her mother.long enough, though it's too fast.

Delivery was for Friday. Due to respiratory problems Catarina Sequeira caused her to plan for this plan one day. Salvador was born this Thursday, March 28, with "breathing breathing difficulties," explained doctors, but "developing favorably." It was the result of 99 days of clinical care, always with a family presence, t who ensured that, for the second time in Portugal, a rare case in a pharmacy was re-broadcast worldwide.

Raise the question straight away. When, at Gaia Hospital, all the tests were done – with encouragement at various levels – Catherine Sequeira's brain death was announced, it was necessary to decide what to do, considering, at the time. there was more than four months.

Catarina Sequeira was taken to hospital in Gaia when she lost her own feelings after attacking the asthma attack.

But it was not a problem. Because of medical advances in trying to continue the pregnancy and avoiding ethical issues which prevented him, there was a consensus among all people to move to Salvador. Evidently, in their father's situation. Bruno, Catherine's companion, had been for five years and wanted the child, who was planned. In addition, other considerations were based on the controversy that the mother could make a similar decision if he decided this particular situation. Don Observer, Professor Filipe Almeida, president of the São João Hospital Health Ethics Committee, remembered that Catarina Sequeira had been rejecting the organs as a organ funeral, as it would be said that she would not have This was done by the Chief Inspector of Constabulary after his death at the time of his death. “Not only is your being available to give birth to a liver or heart or lungs, but also to have a child who survives, and no one has the right to interrupt This decision-making process from her mother did not match her, "he explained. t

This does not mean that there was no doubt on the way. The child's grandmother, Catriona's mother, had already been accepted in public. Herculia Guimarães, director of the Neonatology department, says this is normal in a case like this. “Someone might say, as Grandma said,“ It isn't worth being, it's better to finish it and they both die, ”she said. So the two hypotheses considered: moving forward or not proceeding.

The issue is not mutually exclusive, even in the medical world – especially as there are issues so rare. Expert opinions are shared between the right to life of children, their father to the fertility, and the mother's recognized lack of consent, for example. In this case, however, despite the fact that his grandmother no doubt had much to discuss. She changed her mind and the process was very quiet, according to Filipe Almeida. At medical, institutional and family level, "there has been no difficulty" t.

“Not only is your being available to give birth to a liver or heart or lungs, but also to have a child who survives, and no one has the right to interrupt This decision making process from her mother has been rejected by him, as she did against this.

Filipe Almeida, president of the São João Hospital Health Ethics Committee

That's right at hospital. Toughly determined for Gaia, the death of Catriona Sequeira was named there. The young woman was then held in intensive care, to establish necessary signs and to ensure she was safe and her child. And until he was able to move to the hospital of São João, which was more ready to follow these cases, that happened just over a month later, on 1 February. The clinical director of São João, Carlos Lima Alves, tells how the young wife has got into "technical dead" in the hospital unit. The challenge was to keep the body alive when the brain was already dead and provide the necessary support for childbirth. As this was the aim, the hospital also made a financial and financial commitment. "We will not ventilate any body. It is necessary to understand what can be done in the body of the possible body," Filipe Almeida explained, even if it were in the middle of the process, had to be broken. If there were any problems with the fetus. This validation was made: it was necessary to ensure that Salvador was kept as safe as possible within the mother to ensure survival.

It was a multidisciplinary medical team that went with Catarina Sequeira at the São João Hospital and this was presenting five experts in the journal conference that followed Salvador. Teresa Honorato, director of the Outreach Service, explained that it is a “good thing”, “the good life and the child”, as well as ensuring the family's will.

This case was true, new and different. It was therefore necessary to describe professionals as to different strengths to respond to the particular characteristics of the mother and the child's situation. The hospital did intensive care to go with the young wife and make sure the organization was meeting all the circumstances it could have for successful delivery, such as balance and membership capacity. At the same time, midwife's patients tried to make sure that every care was left in the child's development and development. In recent weeks, the ethics committee has also been involved. Then came the neonatology service.

"The challenge," said Teresa Honrado, who frustrated him, not to face the problem in this hospital, that the medical team was at its highest level to maintain the balance of Catarina Sequeira's body. This happened, for example, by eating the mother – and, therefore, the child. Birthr Marina Moucho states that there is “real care”. For example, “food must be correct” and count all the calories. "It is always very good to be fair", besides.

In the last few weeks Catherine has left her with “customary parameters”, in analytical terms, according to St John's Neonatology service director. There was no disease on the way, and the child grew with a good spread of blood. the place. Indeed, in order to ensure that the important sustainable features are maintained, the young woman also cured it, but without prejudice to Salvador. "The mother's drugs don't make the stability change over the arch, explains Hercule Guimarães to the Observer. "In principle, we don't expect any kind of reversion," he said. In other words, there is no indication that Salvador has a long run because of the unusual circumstances which have been held voluntarily and allowed to be born.

People who think that medical care is not made may only be liked by stethoscopes, evidence, doses or clinical decisions. On the way to Salvador's birth, there was love, love and emotion – even through mother's womb and in work which was shared in part by the family and friends of Catarina Sequeira.

Filipe Almeida, from the São João Hospital Ethics Committee, describes that "The father is the crucial reflective comment on this son"but not to neglect the duty of other members of the family to settle such as grandparents. "This child has no mother, but his father, who is now taking full time," comes to a decision.

Bruno took up that post. Not only was the admission and participation of the mother in the whole of the 56 days of hospitalization t [no São João]“The clinical director of the hospital said, because he also gave the instructions for care that differed. I went out every day to see Catherine and a “party in the womb” or speak to the child as it is important that the bond is created even when the child is still inside. his mother.

Observer Marina Moucho, one of the medical team members, tells the Observer that by meeting the conditions created to give the best response to his gesture, connect with the family t . In those days, as well as other implements, he was They turned to music to hear the baby, but was turned on television to hear voices, and they managed to hear their own sounds at the sound of doctors.. "They like to hear the sound themselves," he says.

The father, Bruno, was not only "connecting and taking part in all the work during the 56 days of mother being taken to hospital. T [no São João]"he published the hospital's clinical director because he also gave the instructions that make the difference. Every day he went to see Catarina and" he made small parties in the womb "or spoke a boy called the boy.

It is very difficult to handle – even the doctors and nurses who will be with them. How will a family who are broken between deep sadness lose one of their battlefields and thrive their childhood successes befriended by the dead mother of the brain?

The Catarina and Salvador family were closely monitored in the 56 days they spent in hospital at São João, and psychological and emotional support contracts were confirmed, in particular, for the child's father, assessed by doctors. is the most relevant.

In situations that are not easy or repeatable, as doctors think, the hospital held weekly meetings with the family to provide help and assistance not only in clinical settings, but also in reflection and decision-making. As well as her lover, Bruno, her brother, Antonio, the other brothers and her mother were nearby at Catarina Sequeira.

In the future, the São João Hospital promises to stand carefully and support the support necessary, but the medical team are sure Bruno will know how to work and who to choose within the family and the social network to give the child the best conditions. able.

Salvador was born at 4:30 on Thursday, 28 March, with 1 pound and 700 grams, 40 centimeters and a lot of hair. Caesarean went well and without difficulty. Bruno, his uncle and his uncle, Antonio, were born. When it was born it was not simple: Salvador had very real problems with breathing and needed support to give him wind. Despite this, doctors sayis getting well and the weight it was born with is very good, including the reduced time given.

The delivery was issued out to Friday, but problems have arisen in the health conditions of Catarina Sequeira, which have never been proven to date, as it has always been stable. According to the doctor responsible for the poor care of his young wife, it was difficult to go against "breathing decline" which would maintain oxygen levels and clinicians began to encounter problems with she took his pregnant wife inside. Marina Moucho will tell the viewer that, If the mother is getting oxygen well, the childand that this gave much thought to the day of a baby's birth. The problems began when Catarina Sequeira started to "decrease in the lungs" Wednesday. For one day, the child was not justified in suffering.

He'd be the first to wait for 32 weeks of gift, when a child stops from getting too long to be too fast. "It was all recorded by someone who'll do the thing tomorrow [sexta-feira]but today [quinta-feira], at 4 am, the urgent colleague had to work ", explaining the heading of neonatology.

In this case, it was reached "the level of fitness for childbirth, from a perspective of guarantee to smaller sequelae, is lower risk", defining the chair of the Ethics Committee. When it comes to giving birth to a child, it is likely that "everything is normal" when one is talking about an emergency, before a problem comes with a depressed woman – namely t although she was not living in a brain crisis.

"It was all recorded by someone who'll do the thing tomorrow [sexta-feira]but today [quinta-feira], at 4 am, the emergency colleague would have to act. He had to work and the child was behaving like a 32-week-old child. "

Herzias Guimarães, director of Neonatology at Hospital de São João

This does not mean, however, that it was a birth like any other. Because people are not only an individual doctor, it is not difficult to think that it would be difficult to leave the feelings behind, but also for more practical or more obvious issues. “Our mothers usually live as a wake, talk to us,” explained Marina Moucho, so there's a mother, who has already been tested as “a new, different situation”. , Promising the doctor for the Observer.

The rate of death is nearly zero in the pre-birth age group born in the 32-week barrier, as long as medical intervention is good. So Salvador is like every other child born before 31 weeks and 6 days old. According to doctors, which have the same features as a baby at the same time. The director of St John's Neonatology section explains that, as expected, he deals with risks but that it is not endangered and, within hours of birth, was stable. If you didn't know about the days gone by your mother and your mother, there would be less speculation. The same question applies to the problem caused by the mother's brain death: for the moment, doctors cannot be sure the asmama attack that her mother has taken to hospital t Gaia on 20 December last year. affect the future child or get by. Her Majesty Guimarães says that no forecasts will be greater than its specification.

Currently, there is no specific care. Equivalent attention will be given to other cases of preterm babies, with high-level scans and a magnetic resonant eye image for 40 weeks. Salvador, like all other pre-school children, also goes through occupational therapy, physiotherapy, ofthalmology, otorhinolaryngology and other special aspects of personal care for each child. This includes nursing work, which is essential for example in food and ambition. According to the director of neonatology, the continuation and close follow-up to the health of a baby have been shown to have an early effect, not only that it will be released earlier, but also in the long term. Time.

Catarina Sequeira was a canoeist who won several awards, first in the service of the Nautico de Crestuma. The death of a 26-year-old girl was named after Salvador's birth (Pic: D.R.)

In this separate treatment, the family is also a fundamental pillar. In situations where children are getting away at the hospital in São João, parents are often called upon to be close to their children and to participate in their daily lives. There is a difference between Salvador, you know: there is no mother. However, doctors remember that, unfortunately, this is not a particular case. He now has a responsibility to choose who is with him to be with his son. At birth, António, brother's brother, had this kind of close work. In future, grandparents can be part of this support too.

If everything goes well, Salvador can leave the hospital within three weeks of a month.

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