Editor‘I told them she was nine months pregnant and she might die’ — Swansea mum gives birth in A&E during cardiac emergency
Alanna Rooke was almost 40 weeks pregnant when she suffered a seizure at her home in Mount Pleasant, Swansea. Her husband Simon called 999 but, fearing she couldn’t wait for an ambulance, drove her straight to Morriston himself.
When she arrived at the emergency department, Alanna was found to be experiencing supraventricular tachycardia — a condition that causes the heart to beat dangerously fast. Her heart was beating at over 200 times a minute, more than twice the normal rate, while her oxygen levels had plummeted to just 80%, well below the safe threshold.
Simon described the terrifying journey to hospital. “I called 999 and probably lost my cool a little bit. I was asked if I could take her pulse but she was shaking so much I couldn’t,” he said. “I told them she was nine months pregnant and she might die. She was on the floor being sick. I was thinking ‘this can’t be happening?’”
Two midwives were urgently summoned from Neath Port Talbot Hospital to assist the ED team. It quickly became clear that Alanna was not only critically ill — she was also in labour.
Midwives Amanda Morgan and Claire Itzstein, and registrar Tom Protheroe, with Alanna, Simon and Franklyn Brooke(Image: Swansea Bay University Health Board)
Community midwife Amanda Morgan described the moment they realised the full scale of what they were dealing with. “She was very clammy and disorientated and she was acutely unwell,” she said. “We were concerned she would arrest because the heart is under the most strain when the mother is in labour.”
Despite the extraordinary circumstances, baby Franklyn arrived safely, weighing a healthy 8lb 2oz. Community midwife manager Claire Itzstein, who helped deliver him, said it was one of the most challenging situations she had encountered in years of practice. “It was very surreal to be delivering a baby next to a defibrillator,” she said. “We were definitely out of our comfort zone.”
Alanna was treated for the SVT during and after the birth. She says she has no doubt she owes her life to the staff who cared for her. “I didn’t realise how bad I was until I was seen by the doctors,” she said. “I don’t think I would be here without them or the midwives. They were all so professional.”
Babies have not been routinely born at Morriston Hospital for more than 30 years — maternity services moved to Singleton Hospital in 1991. Since then there have been just two unexpected births at Morriston since 2014, with the last one also taking place in the ED eight years ago.
Franklyn was later transferred to the neonatal intensive care unit at Singleton Hospital, where he spent six days before being allowed home with his relieved family.
Director of Midwifery Kathryn Greaves said the birth was a testament to the teamwork between ED and maternity staff. “I will be forever grateful of how the ED staff allowed us to take over and support this wonderful family,” she said. “It made my day to be beside Claire and Amanda who were incredible.”
Alanna has said she had no history of serious heart problems before the episode. “I’d never had any issues with my heart before, apart from the odd palpitation I put down to exercise,” she said. “I blacked out in the car so I don’t remember much, but I was sick and in pain in the house, and my chest was tight.”
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