Monday, March 4, 2013 brought anticipation to Andre and Nadiya Boldware and their two-year-old daughter Julianna as they realized baby Anderson would soon be born.
However this birth was hardly routine for anyone involved and through the determined work of Labor and Delivery department at Medical Center of McKinney (MCM), tragedy was averted.
“We were anticipating a normal delivery,” said Kim Hatchel, Chief Nursing Officer. “She was fully dilated, and then she suffered a seizure. She was speaking with the staff, and then she just fell back.”
“I was expecting to send text messages to my family when he was going to be born,” Nadiya said. “I felt pain in my leg, then my body arched up, and that’s all I remember.”
Nadiya was in cardiac arrest. According to Hatchel, she suffered an amniotic fluid embolism syndrome (also called anaphylactoid syndrome of pregnancy). Amniotic fluid enters the mother's blood stream via the placenta and triggers an allergic reaction. This reaction then results in cardiorespiratory (heart and lung) collapse and coagulopathy (a condition in which the blood’s ability to clot is impaired).
“It’s a poorly understood phenomenon,” Hatchel said.
And it’s rare – extremely rare; between one in 20,000 to one in 60,000.
Nadiya’s OB/Gyn, Dr. Andrew Shimer, put it in simpler terms: “They say it happens once in a career, so I hope that’s it for me.”
Hatchel supplied more statistics to help understand how rare and deadly this condition is reported.
“Only 25 percent to 60 percent of the women survive, most die within first five hours. It’s life threatening to the baby as well. 79 percent of the babies survive, but 50 percent of those suffer permanent neurological damage.”
The Boldware Family came to visit Medical Center of McKinney on Wednesday, May 1, to say thanks for the miracle they performed in saving both Nadiya and baby Anderson.
When a person suffers a traumatic event, the best place for that to occur is in a hospital. As soon as it happened to Nadiya, the staff sprang into action.
“We immediately did a C-section,” Hatchel said. “We delivered the baby and resuscitated him, and he did very well. Once we did that, we worked diligently to save the mother’s life.
“She was not breathing or have a natural heart beat for 45 minutes.”
It was all hands on deck. Not just the labor and delivery personnel, but the operating room, emergency room, radiology, the lab and blood bank.
“This amazing team of dedicated MCM employees worked in harmony to save the lives of both mom and baby,” said Martha Langham, RN, Director of Women’s & Children’s Services. “This demanding situation could not throw our team off their game. We all worked together, met the challenge and strengthened our relationships. We are so proud of the MCM team.”
Hatchel added: “In my 25 years of nursing, I’ve never seen anything like it. No one spoke. Everyone knew their role and just performed. It was like a dance with two experienced partners. They just went through the moves flawlessly.”
All the while, there was a concerned man waiting for news of any kind – Andre, the father.
“Another code happened that day, the code of conduct by the whole staff,” he said. “It was a devastating moment. Everything was going through my mind.”
Nadiya survived, but still faced a long road of rehabilitation, much of which she continues today.
“My mobility is back,” she said, in a voice that would not indicate she just survived a traumatic event. “The love and support of a great family, all falling into place.
“It was incredible, all of them were quarterbacks. There was no one leader, they all led.
“I didn’t expect my maternity leave to turn into rehab. I didn’t know my whole life would be turned upside down.”
Front row (from left): Misti Boone, RN, Children’s Services Educator; Anderson Boldware; Nadiya Boldware. Back row (from left), Kim Gilmore, LVN / Scrub Tech; Andre Boldware; Shelly Morris, RN, Women’s Supervisor; Sue Duthie, RN, L&D Nurse; Erin Hejl, RN, L&D Nurse; Amanda Faggart, RN, Women’s Asst. Manager; Maria Palmer, RN, L&D Nurse; Tori Guynes, RN, OB/GYN Nurse (Courtesy Medical Center of McKinney)
As a loving and supportive husband and father, Andre has been there every step of the way.
“Every day she improved, and I needed to see that for my recovery,” he said. “Because of the outcome, this hospital is a happy place to visit.
“It’s an incredible hospital, an incredible staff, second to none. The outpouring of love was outstanding.
“When you have the care we got, you have to tell it. I want to tell the story to everyone who will listen.”
As she held her miracle in her arms, Nadiya said: “Honestly, I just want to thank the staff who dedicated themselves, to allow me to experience this moment. The hard work, dedication and skill of the staff, I cannot thank you enough.”
“After it was over, I went to see [MCM CEO] Ernest Lynch and I just thanked the staff for all they did to save my patient’s life,” Dr. Shimer added.
According to MCM, “An OB Code Blue interrupted the routine workflow for multiple departments. A mother and her baby were in jeopardy. Women’s and Children’s Services faced a devastating loss without the help of the Code Blue team and other caring staff at MCM who worked quickly to save two lives.”
Additional staff who contributed to the miraculous outcome are:
Sue Duthie, RN
Maria Palmer, RN
Shelly Morris, RN
Amanda Faggart, RN
Kim Gilmore, LVN Scrub Tech
Erin Hejl, RN
Tori Guynes, RN
Angie Leslie, OR nurse
Stephan Dean, CRNA
Tina Patel, RN
Bonnie Anderson, RN
Tammy Atteberry, RRT
Linda Hogge, RN
Libbie Sidereas, RN
Craig Gillam, ED
Tammy Southard, RRT
Thomas Augustine, RRT
Muna Temam, RRT
Eddie Trisler, VP Nursing
Chris Marshall, Anesthesia Tech
Misti Boone, RN
Kim Hatchel, RN and CNO
Katrina Martin, US
Martha Langham, RN
Leslie Donovan, Lab / Blood bank
Karl Gabel, Lab / Blood bank
Mallory Beard, Lab / Blood bank
Julia Reynolds, Lab / Blood bank
Susan Gibson, Lab / Blood bank
Deanne Quirl, Radiology
Stacy Bartlett, Radiology
Bita Baeligh, Radiology
Langham closes best, “There is an old saying, ‘It takes a village to raise a child.’ In this situation, ‘It takes a great TEAM to save a life!’ March 4, 2013 is a day MCM will not soon forget.”