Dr. Jen Gunter again:
Dr. Knowles’ testimony confirms for me that the law played a role, because her statements indicate the standard of care for treatment of chorioamnionitis is less aggressive in Ireland. This can only be because of the law as there is no medical evidence to support delaying delivery when chorioamnionitis is diagnosed. Standard of care is not to wait until a woman is sick enough to need a termination, the idea is to treat her, you know, before she gets sick enough. An elevated white count and ruptured membranes at 17 weeks is typically enough to make the diagnosis, so Dr. Knowles needs to testify as to what in Savita’s medical record made it safe to not recommend a delivery. By the way, I also disagree with Dr. Knowles about her interpretation of Savita’s medical record, the chart doesn’t have “subtle indicators” of infection, it screams chorioamnionitis long before Wednesday morning. In North America the standard of care with chorioamnionitis is to recommend delivery as soon as the diagnosis is made, not wait until women enter the antechamber of death in the hopes that we can somehow snatch them back from the brink. If Irish law, or the interpretation thereof, had nothing to do with Savita’s death no expert would be mentioning sick enough at all.