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"content": "Page 9 of the document needs to be clarified because it gives stages of an abnormal birth. Somebody reading through this section may think that they are reading about how an abnormal birth takes place, but I think they are procedures that need to be taken. The procedures are very important because they give the basis of how things are meant to be done. However, it begs the question about what is happening to supervisory facilities of health institutions. How was Pumwani Maternity Hospital able to get away with this for so long without somebody identifying it? If Dedan Kimathi and Jacinta had not gone on social media for their plight to be known to the world, nobody would have known. We do not even know whether these were the only lost twins. Maybe there are very many more. So, something needed to be done from the onset. It is amazing that the system that has a lot of clarity, for example, medical notes being taken---. That is what interns are trained to do during their course. Where are the notes and the information that was given? There is a process of handling a pregnant mother. For example, her hand should be stamped as a sign of identification from the beginning. The mother is meant to sign a document stating that she has been informed of a problem, for example, if she is not able to read or write. It is very important that some of the issues tackled in Paragraph 9 should become a mission for the Committee to ensure that every detail is followed in a very clear and orderly manner, so that things are done in the proper way. For example, the bodies had no tags or labels. That is not even standard practice. How were the bodies taken to the mortuary without that being done? On the other hand, the Pumwani Maternity Hospital staff went through all the bodies in the refrigeration and stated that the ones that had been autopsied were not the ones; that they never found the bodies of the dead children. Such form of contradiction is all over the Report. Various important issues have emerged, but how will they be addressed in the future so that we do not have such sort of inconsistencies taking place? A student nurse delivered the first baby. Is it standard practice that a student nurse can actually deliver a baby without a main nurse at the station? When the mother had a previous scar, how was that possible? Most of the time, an alternative is made the moment it is known that a mother has a scar. There is even a contradiction because the mother seems to have identified that the first baby--- She said that the first baby she saw was dead but the second one was not, but she delivered through a caesarean section. If that was the case, was it half or full anesthesia? How did the nurse put the baby in a kangaroo position on the mother? At what point was this happening?There are so many inconsistencies,and I think they can only point out to one thing; that there is something completely wrong with this specific case and that something has gone completely out of hand that needs to be investigated over time so that people can know and find a way forward. Mr. Temporary Speaker, Sir, looking at page 23 at the Committee’s observations and final recommendations, it is also good in the final editing to put Committee observations and final recommendations separately. Putting them right at the beginning confuses one. When somebody is reading the first section of the Committee observation, it looks like they are recommendations but this is the section which the Committee is giving the sort of contradictions that they saw coming out of the case as they were The electronic version of the Senate Hansard Report is for information purposes only. A certified version of this Report can be obtained from the Hansard Editor, Senate."
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