Latest news with #AFE

Cision Canada
2 days ago
- Business
- Cision Canada
Africa Energy Announces Annual Meeting Voting Results
VANCOUVER, BC, June 20, 2025 /CNW/ - Africa Energy Corp. (TSXV: AFE) (Nasdaq First North: AEC) ("Africa Energy" or the "Company") held its annual general and special meeting of shareholders in Vancouver, British Columbia today (the "Meeting"), and all resolutions were passed. View PDF version. Shareholders voted as follows on the matters before the meeting: View PDF Election of Directors Shareholders elected the following six (6) board members to serve on the Company's board of directors until the next annual meeting of shareholders or until their successors are elected or appointed: Nominee For % For Withheld % Withheld Johnny Copelyn 160,416,927 99.97 % 52,547 0.03 % Keith Hill 160,422,494 99.97 % 46,979 0.03 % Robert Nicolella 160,417,498 99.97 % 51,975 0.03 % Siraj Ahmed 160,160,727 99.81 % 308,747 0.91 % Phindile Masangane 160,367,483 99.94 % 101,991 0.06 % Larry Taddei 160,369,783 99.94 % 99,691 0.06 % Appointment of Auditors Shareholders appointed MNP LLP as auditor of the Company for the upcoming year and authorized the directors of the Company to fix the remuneration of the auditor with 99.91% of shares represented at the meeting voting in favour. Approval of Stock Option Plan The Company's incentive stock option plan was approved by shareholders with 99.34% of shares represented at the meeting voting in favour. About Africa Energy Corp. Africa Energy Corp. is a Canadian oil and gas exploration company focused on South Africa. The Company is listed in Toronto on TSX Venture Exchange (ticker "AFE") and in Stockholm on Nasdaq First North Growth Market (ticker "AEC"). Important information Africa Energy is obliged to make this information public pursuant to the EU Market Abuse Regulation. The information was submitted for publication through the agency of the contact person set out above on June 20, 2025, at 5:00 p.m. ET. The Company's certified advisor on Nasdaq First North Growth Market is Bergs Securities AB, +46 739 49 62 50, . Neither TSX Venture Exchange nor its Regulation Services Provider (as that term is defined in the policies of the TSX Venture Exchange) accepts responsibility for the adequacy or accuracy of this release. SOURCE Africa Energy Corp.


Business Standard
29-05-2025
- Business
- Business Standard
Dollar weakness attributed to concerns about potential adverse effects of trade policy on the U.S. growth outlook: Fed Minutes
The dollar depreciated against many advanced foreign economy (AFE) currencies despite widening yield differentials, the FOMC noted in its minutes adding that market participants generally attributed dollar weakness to concerns about potential adverse effects of trade policy on the U.S. growth outlook. Fed minutes stated that the dollar depreciated substantially against most major currencies, as the trade-weighted broad dollar index declined over 2 percent. Market contacts attributed the decline to increased foreign exchange hedging prompted by heightened policy uncertainty and concerns that trade policy could pose greater downside risks to the U.S. than to other economies. The manager noted that the dollar had depreciated even though U.S. interest rates had risen more than foreign interest rates and prices of risky assets had declined, which historically have been associated with dollar appreciation. Liquidity in foreign exchange markets deteriorated but was roughly in line with the historical relationship between liquidity and measures of market volatility.


Scottish Sun
12-05-2025
- Health
- Scottish Sun
My heart stopped & I lost all my blood as I gave birth after suffering deadly pregnancy condition that kills 4 in 5
BIRTH NIGHTMARE My heart stopped & I lost all my blood as I gave birth after suffering deadly pregnancy condition that kills 4 in 5 Click to share on X/Twitter (Opens in new window) Click to share on Facebook (Opens in new window) LYING on an operating table, new mum Helaina Thorpe was looking forward to the precious first glimpse of her newborn baby, when her heart unexpectedly stopped. The 34-year-old Brit had been struck by a deadly birth complication - one so difficult to control that it has been dubbed every maternity doctor's and midwife's 'worst nightmare'. 11 Helaina Thorpe's heart suddenly stopped during childbirth Credit: Supplied 11 She had AFE - the same condition that claimed the life of American TikToker Hailey Okula Credit: Instragram 11 Hailey died after seeing her baby boy for a split second Credit: Instagram Amniotic fluid embolism (AFE), which kills up to 80 per cent of sufferers, occurs when a mother suffers an anaphylactic-type reaction to amniotic fluid entering her bloodstream. The rare condition strikes suddenly - usually during labour, delivery or shortly afterwards. It often causes cardiac arrest, organ failure, and uncontrollable bleeding, with survivors reporting losing nearly all of the blood in their body while medics worked to save them. Others have described enduring so much CPR that their chests were left blackened. The terrifying yet little-known condition recently claimed the life of TikTok star Hailey Okula - an American nursing influencer who had battled years of infertility before conceiving her son. Hailey - who has been described as an 'unbelievably loyal' wife and an incredible nurse - saw her baby boy, Crew, for a split second before she died from AFE aged just 33. Her heartbroken husband, Matthew, wrote on Instagram: 'Though her time with us was tragically cut short, Hailey's love for Crew was limitless, long before he entered this world. 'She would have been the most amazing mom.' AFE is thought to occur in 2.5 of every 100,000 births. There is no specific treatment, nor tests to confirm the diagnosis. Here, two British mums who nearly died from AFE - and have since been supported by the charity, Amniotic Fluid Embolism Foundation - tell The Sun about their own horrific ordeals: TikToker Hailey Okula dies giving birth after she and firefighter husband struggled to get pregnant for over two years Special educational needs (SEN) teaching assistant and single mum Gabbi Simpson, 30, lives with her six-year-old daughter Bea in Faversham, Kent. Gabbi says: 'I fell pregnant with Bea aged 22. I was over the moon. Back then, I was a super-fit, super-healthy yoga teacher. I had a dream pregnancy - it was so 'textbook'. The midwives said I was low risk because of my age and my health. I was really excited. The worst thing I expected to happen was an emergency C-section - no one warned me about any other scenario. The AFE was completely out of the blue. I went into labour at home during the July 2018 heatwave while Bea's dad was at work. 11 Gabbi Simpson says her AFE diagnosis was "completely out of the blue" Credit: Supplied 11 Gabbi was thrilled when she fell pregnant with her daughter Bea Credit: Supplied 11 Gabbi was a superfit yoga teacher when she got pregnant Credit: Supplied I watched TV and had a shower before going to Princess Royal University Hospital in Bromley, London. There, I was given gas and air and used the birthing pool. I was in labour for 22 hours, but I couldn't eat or drink anything, except for Lucozade. I was in so much pain and exhausted. I eventually asked for an epidural; I just wanted her out. Despite the time that had passed, I was only 5cm dilated and my waters hadn't gone. The midwives broke them - and that's the last thing I remember. What followed was 19 or 20 hours of blackness, though I've since been filled in on how Bea and I nearly died. Apparently, the midwives were taking my blood when I started seizing. My fingers and toes curled and my heart stopped. A lady literally jumped on me to administer CPR. Doctors were arguing over whether to cut me open because Bea wasn't getting any oxygen. But luckily, they got me back. I lashed out at the medical team because I was so out of it. One doctor, who saved my life, ruled that I would bleed to death from a C-section, so they put me under general anaesthetic and used forceps to deliver Bea in an operating theatre. I was 10cm dilated by this point, but they had to cut me to kingdom come to get her out - I now have a scar down to my thigh. Bea was born not breathing, weighing 8lbs 6oz. During all of this, my then-partner and family didn't know if either of us would survive. Bea had to be resuscitated, while I began haemorrhaging. I lost four litres of blood - almost the amount of blood in the average human body - and was receiving constant transfusions. The doctors also stuck their arms up inside me to manually retract my womb. Finally, they managed to stabilise the bleeding and I was taken to the intensive care unit (ICU). I woke up nearly an entire day after Bea's birth. I remember seeing a picture of a baby hooked up to machines Gabbi Simpson I was incubated, with blood clots in my lungs, while my new baby was transferred by ambulance to The Royal London Hospital, where she was also intubated. When I woke up, nearly an entire day after Bea's birth on July 22, 2018, I remember seeing blue curtains, followed by a picture of a baby hooked up to machines. I still looked pregnant, so I couldn't make sense of the picture - but it was of Bea. I met her for the first time days later, on July 26, after I was transferred to the same hospital. I cradled my daughter in my arms, but I struggled to bond with her. I was too messed up in the head. I couldn't walk, I couldn't lie down, and I was on heavy medication. I was expressing milk for Bea, though my chest was blackened from the CPR. Bea and I were later moved back to Princess Royal, where the staff were just fantastic. I've never been so well cared for in my life. Two weeks after Bea's birth, I returned home, on blood thinners and under the care of my mum, who works as a nurse. It was great to be home - but AFE has robbed me of so much. I still suffer from severe physical damage, and I can't give Bea a sibling. Being told at 23 years old that you can't have any more children after your first one is horrendous. 11 Gabbi says, although she's happy to have come out alive, AFE has robbed her of "so much" Credit: Supplied 11 She has also spoken about how she's now unable to give Bea a sibling Credit: Supplied Bea would have been such an amazing big sister. I have also suffered from panic attacks; it took me six months to leave the house on my own without having a meltdown. And it took me four years to go back to work. The Amniotic Fluid Embolism Foundation and psychotherapy have both helped my recovery. No one seems to realise how dangerous AFE is, even in a first-world country like England. Yes, I survived, but I'm not fine. If I dwell on what happened, it gets to me. Thankfully, today, Bea and I have an amazing bond: she is so clever, empathetic and hilarious. She loves Ghostbusters and the rock band, Led Zeppelin. Although Bea's dad and I have since split up, we are on fantastic terms. We were told Bea might never sit up or smile, but she's the most switched-on, sociable kid ever. She's now in Year Two and receiving so many certificates and awards. She has defied what everyone thought about her.' 'My chest hurts' 11 Helania Thorpe was looking forward to a normal birth after her first child arrived during the pandemic Credit: Supplied 11 Her second child, Nora, had to be delivered early due to complications Credit: Supplied Helaina Thorpe, 34, who works in merchandise accounts, lives with her husband, Ashley, 34, son Matthew, three, and daughter Nora, five months, in Tamworth, Staffordshire. Helaina says: 'My first child, Matthew, was born during the Covid-19 pandemic, so when I found out last May that I was expecting again, I was really looking forward to a 'normal' birth. My daughter, Nora, was due on Christmas Eve, but I had placenta previa - where the placenta lies dangerously low in the uterus - so she had to be delivered four weeks early. Due to concerns over the condition, I was kept in hospital for a week before my C-section on November 29, 2024. The surgery went fine until the moment that doctors pulled Nora out. I turned to my husband, Ashley, and said, 'my chest hurts'. My heart had stopped before they'd even brought Nora around the curtain. Unknown to me, Nora, who weighed 5lbs, 15oz, had also come out not breathing, which was frightening for Ashley, but not completely unexpected because she was so early. Fortunately, doctors quickly got Nora breathing again. Because my daughter's birth was high-risk, there were loads of specialists in the operating theatre already. But when my cardiac arrest happened, more came running in. Ashley was kicked out as upwards of 25 people filled the room. It took ten minutes for the medical team to bring me back around. I'd had a major bleed and was so unstable that I remained on the operating table six hours after the birth. Nora was in the neonatal intensive care unit (NICU), and was thankfully expected to survive. But Ashley was told I might be brain-damaged, or might not wake up at all. At this point, he was facing the prospect of having to raise two children on his own. Eventually, I was stable enough to be transferred to intensive care myself. The doctors joked to my family that my hormones must be working overdrive because I kept opening my eyes when they didn't want me to. They said I must want to see my baby. Symptoms of amniotic fluid embolism Early signs and symptoms of amniotic fluid embolism develop suddenly and may include: Increased anxiety An impending sense of doom Fetal distress Agitation Confusion Nausea or vomiting Chills Skin discoloration Shortness of breath Abnormal vital signs These may lead to more serious complications including: Loss of consciousness Seizure Heart and lung failure Cardiac arrest Excessive and uncontrolled bleeding Disseminated intravascular coagulation (DIC) Stroke Acute respiratory distress syndrome Brain damage Death Source: AFE While I was out of it, Ashley just sat there. The doctors tried to get him to talk to me, but he was struggling to cope and said, 'I can't'. One surgeon was rubbing the back of his shoulders; another gave him a hug. Ashley and my mum kept going down to visit Nora at the NICU at Heartlands Hospital in Birmingham, while I received blood, plasma and iron transfusions. I knew I was in hospital, but I had no idea what had happened Helaina Thorpe Because of the placenta previa, they already had plenty of blood on hand for me, which they were able to use. When I eventually woke up, my heart rate was through the roof and I was still losing blood. I knew I was in hospital, but I had no idea what had happened; I had no short-term memory. I was thinking, why are all these people smiling at me and saying, 'you're awake'? One student midwife was in tears in the corner, crying, 'I'm just so happy to see you awake.' Medics didn't know what was causing the bleeding, so they opened me up again. They packed my insides and kept me open so they could investigate the blood loss. They finally got it under control and I was taken to the high-dependency maternity unit. In the following days, my memory began to return and I was told what had happened to me. But because I developed infections, I was unable to meet Nora until she was eight days old. I was so excited to see her, and Matthew was able to come in to cuddle her, too. I was discharged around 12 days after the C-section, with five months' worth of blood-thinning injections and three or four sets of tablets. Nora was already home by then. Race against time: What is AFE? AMNIOTIC fluid embolism (AFE) occurs when the mother suffers an anaphylactic-type reaction to amniotic fluid, fetal cells or other debris that enters her bloodstream. The rare reaction, which usually happens during labour, delivery or shortly after, often involves two life-threatening stages: heart and lung failure, and severe bleeding. Reported rates of survivability range from just 20 per cent to 60 per cent, according to the US-based non-profit organisation, Amniotic Fluid Embolism Foundation. Sufferers may experience seizures, an irregular heartbeat, breathing problems, haemorrhages and even cardiac arrest, putting their - and their baby's - life at risk. Professor Dr Tijion Esho, founder of doctor-led aesthetics clinic CULTSKIN, says: 'AFE is one of the most feared obstetric emergencies — not just because of its severity, but because it's sudden, unpredictable, and extremely difficult to prevent. 'It's a true medical crisis that unfolds in real time and demands rapid, coordinated intervention.' There is no specific treatment for AFE, nor dedicated tests to confirm the diagnosis. 'AFE is every obstetrician's worst nightmare because it strikes unpredictably often in mothers with no risk factors,' adds Dr Esho. 'It's rare but, when it happens, it's a race against time.' Survivors have called for more awareness of - and research into - the fatal condition. The Amniotic Fluid Embolism Foundation says that most women do not have a serious reaction to amniotic fluid and fetal material entering their bloodstream, which is a normal part of birth. But for those that do, the happiest day of their life can turn deadly within minutes. Miranda Klassen, the US-based charity's executive director, told The Sun: 'We work to advance research, promote education, and provide unwavering support for families affected by amniotic fluid embolism. 'Every life touched by AFE reminds us why we must continue to fight for answers, improve outcomes, and ensure that healthcare providers are equipped with the knowledge they need to recognise and respond to this rare and often tragic condition.' It was so lovely to be back in my own bed. For the first few days, Ashley stayed awake all night so I could get some sleep. I had staples in my stomach, which were painful, and I felt breathless. Matthew, who is about to turn four, kept coming into our bed at night to check I was still there. He'd say, 'You're not going to get poorly and go back to the doctor's, are you?' Doctors have since told me they believe I could have suffered from an AFE. They said, 'no-one really survives this.' That's when it hit me: I'm very, very lucky to still be here. AFE is so rare that some doctors and nurses have never encountered it before. We wouldn't want to risk trying for more kids. Our little family is complete Helania Thorpe There is also a lack of support for families afterwards. My husband's paternity leave had virtually finished by the time I was out of the hospital. It was a very stressful time for him and he then had to care for us all at home. He ended up having to get a sick note for four weeks, until things settled down. Nearly half a year on, I'm doing really well. I take Nora to baby classes and I've started doing the NHS's Couch to 5K running programme because I want my body to feel strong. Matthew loves his baby sister - he's always giving her cuddles and kisses. They are sweet together but, after what we've been through, we won't be having more kids. We wouldn't want to risk it. Our little family is complete.'


The Sun
12-05-2025
- Health
- The Sun
My heart stopped & I lost all my blood as I gave birth after suffering deadly pregnancy condition that kills 4 in 5
LYING on an operating table, new mum Helaina Thorpe was looking forward to the precious first glimpse of her newborn baby, when her heart unexpectedly stopped. The 34-year-old Brit had been struck by a deadly birth complication - one so difficult to control that it has been dubbed every maternity doctor's and midwife's 'worst nightmare'. 11 11 Amniotic fluid embolism (AFE), which kills up to 80 per cent of sufferers, occurs when a mother suffers an anaphylactic-type reaction to amniotic fluid entering her bloodstream. The rare condition strikes suddenly - usually during labour, delivery or shortly afterwards. It often causes cardiac arrest, organ failure, and uncontrollable bleeding, with survivors reporting losing nearly all of the blood in their body while medics worked to save them. Others have described enduring so much CPR that their chests were left blackened. The terrifying yet little-known condition recently claimed the life of TikTok star Hailey Okula - an American nursing influencer who had battled years of infertility before conceiving her son. Hailey - who has been described as an 'unbelievably loyal' wife and an incredible nurse - saw her baby boy, Crew, for a split second before she died from AFE aged just 33. Her heartbroken husband, Matthew, wrote on Instagram: 'Though her time with us was tragically cut short, Hailey's love for Crew was limitless, long before he entered this world. 'She would have been the most amazing mom.' AFE is thought to occur in 2.5 of every 100,000 births. There is no specific treatment, nor tests to confirm the diagnosis. Here, two British mums who nearly died from AFE - and have since been supported by the charity, Amniotic Fluid Embolism Foundation - tell The Sun about their own horrific ordeals: TikToker Hailey Okula dies giving birth after she and firefighter husband struggled to get pregnant for over two years Special educational needs (SEN) teaching assistant and single mum Gabbi Simpson, 30, lives with her six-year-old daughter Bea in Faversham, Kent. Gabbi says: 'I fell pregnant with Bea aged 22. I was over the moon. Back then, I was a super-fit, super-healthy yoga teacher. I had a dream pregnancy - it was so 'textbook'. The midwives said I was low risk because of my age and my health. I was really excited. The worst thing I expected to happen was an emergency C-section - no one warned me about any other scenario. The AFE was completely out of the blue. I went into labour at home during the July 2018 heatwave while Bea's dad was at work. 11 I watched TV and had a shower before going to Princess Royal University Hospital in Bromley, London. There, I was given gas and air and used the birthing pool. I was in labour for 22 hours, but I couldn't eat or drink anything, except for Lucozade. I was in so much pain and exhausted. I eventually asked for an epidural; I just wanted her out. Despite the time that had passed, I was only 5cm dilated and my waters hadn't gone. The midwives broke them - and that's the last thing I remember. What followed was 19 or 20 hours of blackness, though I've since been filled in on how Bea and I nearly died. Apparently, the midwives were taking my blood when I started seizing. My fingers and toes curled and my heart stopped. A lady literally jumped on me to administer CPR. Doctors were arguing over whether to cut me open because Bea wasn't getting any oxygen. But luckily, they got me back. I lashed out at the medical team because I was so out of it. One doctor, who saved my life, ruled that I would bleed to death from a C-section, so they put me under general anaesthetic and used forceps to deliver Bea in an operating theatre. I was 10cm dilated by this point, but they had to cut me to kingdom come to get her out - I now have a scar down to my thigh. Bea was born not breathing, weighing 8lbs 6oz. During all of this, my then-partner and family didn't know if either of us would survive. Bea had to be resuscitated, while I began haemorrhaging. I lost four litres of blood - almost the amount of blood in the average human body - and was receiving constant transfusions. The doctors also stuck their arms up inside me to manually retract my womb. Finally, they managed to stabilise the bleeding and I was taken to the intensive care unit (ICU). I was incubated, with blood clots in my lungs, while my new baby was transferred by ambulance to The Royal London Hospital, where she was also intubated. When I woke up, nearly an entire day after Bea's birth on July 22, 2018, I remember seeing blue curtains, followed by a picture of a baby hooked up to machines. I still looked pregnant, so I couldn't make sense of the picture - but it was of Bea. I met her for the first time days later, on July 26, after I was transferred to the same hospital. I cradled my daughter in my arms, but I struggled to bond with her. I was too messed up in the head. I couldn't walk, I couldn't lie down, and I was on heavy medication. I was expressing milk for Bea, though my chest was blackened from the CPR. Bea and I were later moved back to Princess Royal, where the staff were just fantastic. I've never been so well cared for in my life. Two weeks after Bea's birth, I returned home, on blood thinners and under the care of my mum, who works as a nurse. It was great to be home - but AFE has robbed me of so much. I still suffer from severe physical damage, and I can't give Bea a sibling. Being told at 23 years old that you can't have any more children after your first one is horrendous. 11 Bea would have been such an amazing big sister. I have also suffered from panic attacks; it took me six months to leave the house on my own without having a meltdown. And it took me four years to go back to work. The Amniotic Fluid Embolism Foundation and psychotherapy have both helped my recovery. No one seems to realise how dangerous AFE is, even in a first-world country like England. Yes, I survived, but I'm not fine. If I dwell on what happened, it gets to me. Thankfully, today, Bea and I have an amazing bond: she is so clever, empathetic and hilarious. She loves Ghostbusters and the rock band, Led Zeppelin. Although Bea's dad and I have since split up, we are on fantastic terms. We were told Bea might never sit up or smile, but she's the most switched-on, sociable kid ever. She's now in Year Two and receiving so many certificates and awards. She has defied what everyone thought about her.' 'My chest hurts' 11 Helaina Thorpe, 34, who works in merchandise accounts, lives with her husband, Ashley, 34, son Matthew, three, and daughter Nora, five months, in Tamworth, Staffordshire. Helaina says: 'My first child, Matthew, was born during the Covid-19 pandemic, so when I found out last May that I was expecting again, I was really looking forward to a 'normal' birth. My daughter, Nora, was due on Christmas Eve, but I had placenta previa - where the placenta lies dangerously low in the uterus - so she had to be delivered four weeks early. Due to concerns over the condition, I was kept in hospital for a week before my C-section on November 29, 2024. The surgery went fine until the moment that doctors pulled Nora out. I turned to my husband, Ashley, and said, 'my chest hurts'. My heart had stopped before they'd even brought Nora around the curtain. Unknown to me, Nora, who weighed 5lbs, 15oz, had also come out not breathing, which was frightening for Ashley, but not completely unexpected because she was so early. Fortunately, doctors quickly got Nora breathing again. Because my daughter's birth was high-risk, there were loads of specialists in the operating theatre already. But when my cardiac arrest happened, more came running in. Ashley was kicked out as upwards of 25 people filled the room. It took ten minutes for the medical team to bring me back around. I'd had a major bleed and was so unstable that I remained on the operating table six hours after the birth. Nora was in the neonatal intensive care unit (NICU), and was thankfully expected to survive. But Ashley was told I might be brain-damaged, or might not wake up at all. At this point, he was facing the prospect of having to raise two children on his own. Eventually, I was stable enough to be transferred to intensive care myself. The doctors joked to my family that my hormones must be working overdrive because I kept opening my eyes when they didn't want me to. They said I must want to see my baby. While I was out of it, Ashley just sat there. The doctors tried to get him to talk to me, but he was struggling to cope and said, 'I can't'. One surgeon was rubbing the back of his shoulders; another gave him a hug. Ashley and my mum kept going down to visit Nora at the NICU at Heartlands Hospital in Birmingham, while I received blood, plasma and iron transfusions. Because of the placenta previa, they already had plenty of blood on hand for me, which they were able to use. When I eventually woke up, my heart rate was through the roof and I was still losing blood. I knew I was in hospital, but I had no idea what had happened; I had no short-term memory. I was thinking, why are all these people smiling at me and saying, 'you're awake'? One student midwife was in tears in the corner, crying, 'I'm just so happy to see you awake.' Medics didn't know what was causing the bleeding, so they opened me up again. They packed my insides and kept me open so they could investigate the blood loss. They finally got it under control and I was taken to the high-dependency maternity unit. In the following days, my memory began to return and I was told what had happened to me. But because I developed infections, I was unable to meet Nora until she was eight days old. I was so excited to see her, and Matthew was able to come in to cuddle her, too. I was discharged around 12 days after the C-section, with five months' worth of blood-thinning injections and three or four sets of tablets. Nora was already home by then. Race against time: What is AFE? AMNIOTIC fluid embolism (AFE) occurs when the mother suffers an anaphylactic-type reaction to amniotic fluid, fetal cells or other debris that enters her bloodstream. The rare reaction, which usually happens during labour, delivery or shortly after, often involves two life-threatening stages: heart and lung failure, and severe bleeding. Reported rates of survivability range from just 20 per cent to 60 per cent, according to the US-based non-profit organisation, Amniotic Fluid Embolism Foundation. Sufferers may experience seizures, an irregular heartbeat, breathing problems, haemorrhages and even cardiac arrest, putting their - and their baby's - life at risk. Professor Dr Tijion Esho, founder of doctor-led aesthetics clinic CULTSKIN, says: 'AFE is one of the most feared obstetric emergencies — not just because of its severity, but because it's sudden, unpredictable, and extremely difficult to prevent. 'It's a true medical crisis that unfolds in real time and demands rapid, coordinated intervention.' There is no specific treatment for AFE, nor dedicated tests to confirm the diagnosis. 'AFE is every obstetrician's worst nightmare because it strikes unpredictably often in mothers with no risk factors,' adds Dr Esho. 'It's rare but, when it happens, it's a race against time.' Survivors have called for more awareness of - and research into - the fatal condition. The Amniotic Fluid Embolism Foundation says that most women do not have a serious reaction to amniotic fluid and fetal material entering their bloodstream, which is a normal part of birth. But for those that do, the happiest day of their life can turn deadly within minutes. Miranda Klassen, the US-based charity's executive director, told The Sun: 'We work to advance research, promote education, and provide unwavering support for families affected by amniotic fluid embolism. 'Every life touched by AFE reminds us why we must continue to fight for answers, improve outcomes, and ensure that healthcare providers are equipped with the knowledge they need to recognise and respond to this rare and often tragic condition.' It was so lovely to be back in my own bed. For the first few days, Ashley stayed awake all night so I could get some sleep. I had staples in my stomach, which were painful, and I felt breathless. Matthew, who is about to turn four, kept coming into our bed at night to check I was still there. He'd say, 'You're not going to get poorly and go back to the doctor's, are you?' Doctors have since told me they believe I could have suffered from an AFE. They said, 'no-one really survives this.' That's when it hit me: I'm very, very lucky to still be here. AFE is so rare that some doctors and nurses have never encountered it before. There is also a lack of support for families afterwards. My husband's paternity leave had virtually finished by the time I was out of the hospital. It was a very stressful time for him and he then had to care for us all at home. He ended up having to get a sick note for four weeks, until things settled down. Nearly half a year on, I'm doing really well. I take Nora to baby classes and I've started doing the NHS's Couch to 5K running programme because I want my body to feel strong. Matthew loves his baby sister - he's always giving her cuddles and kisses. They are sweet together but, after what we've been through, we won't be having more kids. We wouldn't want to risk it. Our little family is complete.' 11


USA Today
24-04-2025
- Health
- USA Today
'Nurse Hailey' Okula was a healthy, happy 33-year-old. We need to talk about how she died.
'Nurse Hailey' Okula was a healthy, happy 33-year-old. We need to talk about how she died. Standing outside the hospital elevator doors, Matthew Okula faced an impossible decision. Doctors and nurses were wheeling his wife, 33-year-old Hailey Okula, to the intensive care unit shortly after giving birth to their son, Crew, by cesarean section at Orange Coast Medical Center in Fountain Valley, California. As the elevator doors began to shut, the doctor asked Matthew: Would he stay with his newborn son in the delivery room or follow his wife to the intensive care unit? It took a split second for him to decide. Still donned in the blue scrubs he wore to the operating room, Matthew raced up the stairs toward the ICU and watched through the room's glass window as doctors performed chest compressions on is wife. Not long after, Hailey, known as 'Nurse Hailey' on Instagram and TikTok, died March 29 from a rare complication known as amniotic fluid embolism, or AFE. The unfathomable loss followed a two-year fertility journey that included in vitro fertilization, or IVF. "I stood at the foot of the bed the entire time until it was all done," Matthew said. He recalled asking himself repeatedly, "How is this even possible?" It's a question that too many U.S. families have asked themselves as hundreds of women die each year during or soon after pregnancy. While technology has progressed enough to help women grow their families despite older age and fertility issues, the U.S. healthcare system hasn't kept the same pace in protecting women once they're pregnant. Maternal mortality improved for the first time in 2023, dropping from 22.3 deaths per 100,000 live births in 2022 to 18.6, according to provisional data from the Centers for Disease Control and Prevention. However, that improvement doesn't hold for everyone, with rates among Black women 3.5 times higher than their white counterparts. It also still puts the U.S. behind other wealthy countries like the United Kingdom, which reports 5.5 deaths per 100,000 live births, and Canada at 8.4 deaths, according to a Commonwealth Fund study based on 2022 data. Childbirth 'is not a fear that we should have,' said Dr. Kisha Davis, chief health officer for Montgomery County, Maryland, and a board director of the American Academy of Family Physicians. 'I'm worried as a black woman, and my friends are worried about having babies,' she said 'We shouldn't still be dealing with those challenges that we were dealing with health-wise 100 years ago.' Most maternal deaths are preventable Even though little can be done to avoid certain rare conditions, like AFE, the CDC says about 80% of maternal deaths are preventable. Obstetricians and fertility specialists say access to adequate prenatal care, insurance coverage and nutritious foods during pregnancy can help shape maternal outcomes. Chronic diseases, such as heart disease and diabetes, and advanced maternal age, which is considered 35 and older, also increase the risk of maternal complications, Davis said. Research shows rates of chronic diseases in the U.S. have skyrocketed over recent years, according to the CDC. The agency says 6 in 10 Americans have at least one chronic condition and 4 in 10 have two or more. The risk of developing a chronic condition also increases with age, Davis said, which could partly explain maternal mortality rates as more women have children later in life. A CDC report published in March found babies born to women 30 to 35 increased by 90% from 1990 to 2023, while those 40 and older saw a 193% increase during the same period. What is preeclampsia? Here's why it remains one of the most worrisome pregnancy-related health conditions 'The older we are when we become pregnant, the greater the risk of complications,' she said. The combination of older age and high prevalence of disease is what contributed to maternal deaths in the U.S. Apart from developing chronic conditions, age itself also increases the risk of miscarriage and stillbirth, according to the Mayo Clinic. Older age also carries a higher risk of gestational diabetes, high blood pressure and chromosomal conditions during pregnancy. Patients are also more likely to undergo a C-section at older ages. "Vaginal delivery, when that's possible, is associated with fewer complications and a quicker recovery," said Dr. Jeffrey Ecker, department chair emeritus of obstetrics and gynecology at Massachusetts General Hospital. "As one is pregnant again and a C-section is repeated, that's when we see complications related to scarring left from C-sections." Are there risks linked to in vitro fertilization, or IVF? Hailey and Matthew were excited to start their family when they married in September 2022 but sought help after eight months. Their IVF journey was complicated, full of genetic testing, and required double the time and cost of the average family, Matthew said. But Hailey finally announced their pregnancy, a baby boy, to her hundreds of thousands of followers in September 2024. 'It was a pretty special moment,' Matthew said. He thought, 'we did it. We're finally going to be able to start the family we've always been talking about.' More women are relying on IVF and other assisted reproductive technologies to grow their families. The babies born from this technology increased from about 91,700 in 2022 to over 95,800 in 2023, according to new data from the American Society of Reproductive Medicine. IVF and other assisted reproductive technologies can increase the risk of multiple births and placental abnormalities linked to frozen embryos, said ASRM president Dr. Elizabeth Ginsburg. Carrying more than one baby carries a higher risk of other pregnancy complications, such as gestational hypertension, anemia, birth defects and postpartum hemorrhage, according to Johns Hopkins Medicine. That's why fertility clinics should try to prevent multiple pregnancies by limiting the number of embryos transferred, Ginsburg said. But risks typically associated with IVF heavily depend on patients' medical conditions before they embark on the process, she said. 'We want babies to have a healthy start and babies have the healthiest start when their mother is also healthy and can be there to take care of them,' Davis said. There's no evidence to suggest that IVF and other assisted reproductive technologies contribute to maternal mortality rates, fertility experts said. The main drivers of these outcomes are access to proper prenatal care, insurance coverage and nutritious foods; management of chronic diseases and advanced maternal age. Yet Hailey had access to great care, and she was healthy. Obstetricians say, at the end of the day, AFE is really just a product of bad luck, and there's little that can be done to prevent it. But Matthew hopes telling his wife's story will bring more general awareness to maternal health. And talking about Hailey helps him cope. On April 9, he took his son, Crew, to the park for the first time. It was the same park Matthew visited a million times with Hailey during his days off, where they enjoyed taking their dog, Brodie. As he watched the little black dog run around, he told Crew how much his mom loved the park, how she always wanted to stay longer and how she would have to coax Brodie to stop playing so he could drink some water. Every quiet moment with his son is an opportunity for Matthew to talk about Hailey. Even though Crew may not understand what he's saying yet, Matthew says it helps keep her memory alive. "It's my way of making sure I remember the little details of things she used to say to me. If I don't say them to Crew, then maybe I'll forget them," he said. "I don't want to forget them." Adrianna Rodriguez can be reached at adrodriguez@