2nd Birth

— Tiffany Oallesma Galicia

She’s beautiful
Something’s wrong; my head’s splitting open
And the thunder in my ears
Is a concrete sledgehammer trying to break out
The fearful calm in the belly of a vortex, the raucous silence of my thoughts
I feel like passing out; I feel like throwing up
Hail Mary, full of grace
Beached fish, your gaping mouth can’t swallow enough air
The Lord is with thee
Sucking in air through bent straw
Blessed art thou amongst women
Bleeding out
The purple frost is spreading
And blessed is the fruit of thy womb
Boggy, pump it full of Pitocin, not working, it’s not working
3 units of blood
Holy Mary, Mother of God
Call the blood bank
Pray for us sinners
Mommy! Mommy! Love Mommy only!
Now and at the hour of our death
Is this it? Is this it? Oh God, this is it…

I’m a zero hurtling through gray static infinity
Dark luminosity, bright darkness
My life is a coin in Fortune’s hand
One side life, one side—shhhh
God will call it when He’s ready
I will fear no evil
For you are with me
Negative, the DIC panel is negative
Your rod and your staff
A hys
They comfort me
The worst is over; you’ll be fine
Surely goodness and love will follow me
Hollow balloon belly
Fill up with air
And float up to the yellow daisy sun
All the days of my life.

One thought on “2nd Birth

  1. Acute Disseminated Intravascular Coagulation (DIC) is a serious physiological condition which, if left untreated, can lead to hemorrhage and ultimately death. The prognosis for those with DIC, regardless of cause, is often grim: Between 10% and 50% of patients will die.

    Emergency peripartum hysterectomy (EPH) is a major surgical venture invariably performed in the setting of life threatening hemorrhage during or immediately after abdominal and vaginal deliveries [1–5]. Despite advances in medical and surgical fields, post partum hemorrhage continues to be the leading cause of maternal morbidity and mortality.

    EPH is the most dramatic operation in modern obstetrics and is generally performed when all conservative measures have failed to achieve haemostasis in the setting of life threatening hemorrhage. The unplanned nature of the surgery and the need for performing it expeditiously, compound matters. Moreover the acute loss of blood renders the patient in a less than ideal condition to undergo emergency surgical intervention. The predominant indications for EPH are placenta previa/accreta and uterine atony and EPH in some of them is unavoidable. However recognizing and assessing patients at risk and appropriate and timely intervention would go a long way in ensuring a better outcome in this otherwise difficult situation.

    Becker, J., & Wira, C. (2009, September 10). Disseminated intravascular coagulation.

    Hail Mary [Catholic prayer].
    Machado, L. S. M. (2011, August). Emergency peripartum hysterectomy: Incidence,
    indications, risk factors and outcome [Electronic version]. North American Journal of
    Medical Sciences, 3(8), 358–361.

    Psalm 23. Bible.

    – Tiffany Oallesma Galicia

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