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The bit that makes me not want to give the benefit of the doubt is the fact that they had lost fetal heart tones an hour before going to C-section. For a delivery like this with a couple known complications going into it, the threshold to go to the OR should be much lower. Also, as barbaric as it is, something like an episiotomy could have averted this death.
Wow
Like I said, it's kind of barbaric, but it can be used as an intermediate measure if there's something like shoulder dystocia but the mother is against or hesitant about going to C-Section. These days, the episiotomy incision is made at a very specific angle so as to preserve function of the pelvic floor muscles, and it can also be used as an intervention or prophylaxis against perineal tearing which is more likely to damage the pelvic floor muscles and lead to complications.
At least asking the husband if he wants the doctor to "tighten her up a bit" by stitching the perineum up further than nomal has fallen out of fashion.
LOL, wait till you see your wife get cut in real time. Jesus. All I saw was a flash of steel.
"Uh, what was that? Oh hell no..."
C-sections can be done to recover the corpse of a fetus. It's not common - I've only seen it once, it was easily the single most fucked up thing I've witnessed. An hour isn't an unreasonable amount of time to staff and setup a c-section. It's not a STAT, for sure, but with the fetus already dead, the only urgency would be on behalf of the mother, so if her life wasn't in danger at that time, things were likely slowing back down at that point.
I'm saying that they should have gone to C-Section or episiotomy long before it got to that point. This was already known to be a higher risk delivery, and the first sign of shoulder dystocia or other complication should have been the time to elevate the level of care....not several hours later.
I don't have the expertise or experience to comment on what they should have done - 100% of my experience with OB is c-sections; I've just seen how shit can go from bad to haunt-you-for-the-rest-of-your-life in less time than it takes to process and act on wtf just happened in that room.
Sounds like you do have that experience/expertise, so I'll take what you're saying at face value; my only goal here was to caution folks against going straight for the torches and pitchforks considering the high likelyhood of contributing factors that either weren't reported or are outside of our normal scope of thinking.