OR / Burdett Birth Center

I just wanted to reach out about an emergency we had here the other evening to shout out the amazing teamwork that was done by all. They quite literally kept this patient and her baby alive. Yesterday evening, a patient showed up to our unit with significant bleeding at only 36 weeks. She was quickly brought to triage where she was prepped for an emergency c-section. She was in the OR prepped with 2 IVs in approximately half an hour from the time she walked on the unit. The infant was delivered 4 minutes after the start of the case. After the birth, it was discovered that the patient had a placenta accreta and had developed DIC. An accreta is an extremely serious and uncommon OB emergency when the placenta imbeds into the uterine muscle. Multiple attempts were made to control the bleeding and save the patient's uterus, but it was determined that the patient needed a hysterectomy, and the OR team was called. Her total blood loss was 5964mL. During this time, the infant who was late preterm also needed assistance with respiratory support and needed to be transferred to our special care nursery and then ultimately transferred out to the NICU. The infant is reported to be stable. The teamwork that was done and what was accomplished during this case is beyond measure. Every person involved was vital to the outcome that was achieved. This includes the people doing direct patient care, the runners, and the IAs calling for help. Not a single person hesitated. When emergencies happen in OB, it typically happens very quickly. It requires fast action, critical thinking, teamwork, and clear communication to be able to manage these events. Today, a mom gets to go home to her children because of the team that showed up for her that day. The leadership team from W&C's and Samaritan OR would like to nominate them all for a DAISY Team Award.