POLICE WERE yesterday questioning staff at a hospital in Sicily where a baby was born with suspected brain damage after two doctors attending his mother allegedly came to blows over the need for a Caesarean section.
Laura Salpietro (30) had her womb removed after the birth. Her husband claims this took place almost 1½ hours late because of the brawl. Her son had two heart attacks shortly after the birth and is still in a drug-induced coma.
Both doctors have been suspended, and the incident, at the Policlinico hospital, in Messina, last Thursday, is the subject of four investigations – by the hospital authorities, a local prosecutor, the regional health authority, and the ministry of health in Rome. One of the doctors involved and the head of the hospital’s obstetrics department have denied a link between the fight and the subsequent events.
But the woman’s husband, Matteo Molonia, said there had been no previous hint of complications. “The sonographic scans and clinical examinations had ruled out any health problems for my wife and son,” he said. He told the Ansa news agency: “My wife was already in the labour room when her gynaecologist, who followed her pregnancy, and another doctor began to argue. The dispute erupted when her personal gynaecologist suggested a Caesarean and the other objected.”
Italy has one of the world’s lowest rates of maternal mortality, but also has one of the highest rates of Caesarean section, at 38 per cent of all births.
It has been argued that one reason for that anomaly is the relatively limited use of epidurals in Italy, which discourages women from vaginal deliveries. But most explanations focus on the fact that Caesareans are more profitable for doctors and make for easier planning for hospital administrators.
According to various unsourced accounts in the Italian media, Ms Salpietro’s gynaecologist, Antonio De Vivo, punched his hand through a window after his collar was grabbed by the second doctor.
Mr Molonia was quoted as saying he saw Mr De Vivo leave the labour room with blood dripping from his hand. “There is a gap that goes from 7.40 [in the morning], when the row blew up, to nine o’clock, when they operated on my wife,” he said. “Why did all that time go by?”
The other doctor, Vincenzo Benedetto, said there had been “exaggeration by the media”, and that “everything happened with the greatest speed”. He said the complications were because of a “pre-existing pathology”.
Head of the obstetrics department Domenico Granese said the complications at the birth occurred “not because of the row or because of any delay”. – (Guardian service)