August 3, 1991: Delayed Transfer Leads to Death

Dr. Orrin Moore

Dawn Mack, a 21-year-old accountant from Stamford, Connecticut, had an abortion performed at National Abortion Federation member facility Eastern Women's Center  on August 2, 1991.  Dawn, the mother of an infant, was about 15 or 16 weeks into her pregnancy. 

As a black woman, Dawn was at twice the risk of abortion death than a white woman.

A doctor inserted laminaria to dilate Dawn's cervix then sent her home. 

She returned the following day for the procedure. During the abortion, Dawn went stopped breathing. Her oxygen saturation level dropped to 88%. The anesthesiologist, Dr. Aurel Calalb, administered oxygen and Dawn's oxygen level returned to normal. Calalb did not make a note of this incident, nor did he mention it to Dr. Orrin Moore, who was performing the procedure. (Moore later let his New York license expire and relocated to Kansas.)

Dawn was declared stable, with her blood pressure recorded at 8:55 a.m. as 130/80. She was sent to the recovery room just down the hall where her blood pressure was recorded as only 96/60 and her pulse 96. In spite of this alarming sign that Dawn was in severe trouble, nurse Linda Wissbrun noted that Dawn was unusually drowsy then left the recovery room. 

Several other nurses were present with Dawn, who was at the time the only patient there, but nobody documented attending to the young woman in any way. When Wissbrun returned five minutes later, she found Dawn completely unresponsive. She tried to find a pulse and sent for help.

Location of Eastern Women's Center

Eastern's nursing supervisor arrived about five minutes later and began mouth-to-mouth resuscitation. There was no crash cart or ambu bag immediately available. Dr. Elena Raftopol, another anesthesiologist, arrived at around 9:07 a.m. and began to administer oxygen by ambu-bag, then took Dawn to the operating room where she intubated her and began CPR. Dawn was not transported to a hospital until 10:00 a.m., nearly an hour after staff first noted that she wasn't breathing. Dawn was pronounced dead at 4:30 pm.

An autopsy noted that she had suffered an amniotic fluid embolism. All of the defendants in the case filed by Dawn's survivors argued that an amniotic fluid embolism can not be prevented or treated and thus Dawn would have died no matter what they had done. The jury found that the clinic and nurse Wissbrun were 100% liable.

The suit contended that the following shortcomings at Eastern caused Dawn's death:

• carelessness in hiring staff
• negligent supervising of staff
• lack of emergency protocol and staff skilled in treating emergencies
• lack of adequate equipment
• failure to maintain equipment appropriately
• failure to administer timely and properly dosed medications
• failure to convey to Dawn the risks of anesthesia
• failure to adequately evaluate Dawn's condition via exam and medical history prior to anesthesia
• failure to allow sufficient time to administer anesthesia and perform the abortion in a safe and careful manner
• inadequate staff training
• failure to adequately monitor anesthesia
• failure to accurately chart and record observations and responses
• failure to anticipate potential complications

The suit further contended that "no reasonable person would have undergone the procedures which were performed upon the decedent plaintiff if the level of skills and ability of staff and other medical personnel, together with the amount, kind and condition of equipment on the premises had been disclosed to decedent plaintiff."

Eastern Women's Center also provided fatal abortion care to Dawn Ravenelle and Venus Ortiz.

Watch "Top-Tier Clinic's Delayed Responsiveness" on YouTube.

Source: "$604,000-Jury Verdict Failure To Diagnose And Treat Amniotic Fluid Embolism In Patient After An Abortion - Wrongful Death Of21 Year Old - Five Minutes Of Pain And Suffering"

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Veteran pro-life investigator Kevin Sherlock asks people of good will to help him have Planned Parenthood prosecuted for profiteering from the rapes and incests of underage girls many thousands of times each year.

Sherlock has  pulled the police records of hundreds of cities and has pulled the child protective services records of multiple states to prove Planned Parenthood staffers are violating mandated reporting laws designed to protect girl victims.   But there is more to be done. Sherlock will make sure more and more evidence gets to federal and state prosecutors who care about protecting girls from abusers and profiteers.

If you would like to help, please click the following link:

https://www.givesendgo.com/stop-pp-from-profiteering-from-the-rapes

Sherlock has talked to many girls and young women who trust him. Their stories and the forensic evidence shows most of them undergo pill abortions or humiliating invasive surgical abortions due to fear or ignorance or pressure or coercion. He treats the girls or women carrying children or devastated from their abortions as friends and neighbors in his home town, not afterthoughts.

Thank you for doing what you can to help girls and fight sexual predators and rape profiteers.