Thread:Fearless Diva/@comment-36277500-20190303102351/@comment-36277500-20190409124513

But it was quite inaccurate in medical sense, particularly about preeclampsia.

1. You remember that Ethan ordered urine sample? Isolated hypertension >140/90 in pregnancy isn't preeclampsia yet, it's just hypertension in pregnancy. Preeclampsia contains hypertension and proteinuria.

2. Eclampsia is not seizures, but preeclampsia and seizures.

3. Also: preeclampsia and eclampsia is a threat for a pregnant woman in the first place, not only for a fetus.

4. Dolores was brought to ER not only because of simple exposition to smoke inheling, but exposition to smoke inhaling in pregnancy - it should be emphasized.

5. Though it's not clearly said in the book, it's rather obvious that treatment of choice is caesarean section - it would be cruel to give her oxytocine and force vaginal birth which would last for hours, while she may die in minutes. Name of the procedure of treatment is important as much as name of disease. Anonymous word surgery may mean all kind of operations including lobectomy!

6. Operations in planned mode are more successful than these in emergency mode - patients are prepared (empty stomach) and premedicated, and their life parameters are stable. Emergency patients often fave full stomach, their life parameters are often unsettled, and there's often no time to premedicate them, so it's a very risky operation.

6. Saying that Dolores "died in childbirth" is misleading. For the first, it's an obsolete XIX century term, meaning woman giving vaginal birth and dying in torment. (However, Dolores has XIX century opinions about premature born children...) That thing didn't happen in this case. Dolores died during caesarean section exectuted in emergency mode, and reason of her death was eclampsia. It was just a chain of unfortunate events, not childbirth itself.

I propose such text (underlined text are fixes which I'm emphasizing, italic means footnotes):

She becomes your patient when Rafael brings her in to the ER after exposition to smoke inhalation in the 7th (26 weeks, if I recall correctly) month of pregnancy. At first she seem to be in a good shape and even flirts with Rafael and Ethan (it seems to be trait of her personality - however, I'm not insisting on this detail). Soon it's revealed that she has preeclampsia - complication of pregnancy characterized by high blood pressure and proteinuria. Since this state may be a threat for both mother and child, Ethan attempts to convince her to deliver the baby via caesarean section. Dolores refuses, convinced that premature delivery would be more risky for the baby than her current state. Later Ethan informs MC that Dolores' state progressed into full eclampsia (symptoms of preeclampsia with seizures ) forcing doctors to deliver the baby in emergency mode. They managed to save the newborn, but Dolores died. Her character model resembles Eliana Vera from The Senior.

Sorry for bitching, but I'm not doing this for my aversion to OH or Ethan. It's just gynaecology and obstetrics, as well as abdominal surgery, what I'm quite acquainted with.