It pours
A lot has happened since I last posted!
I got my privileges at University hospital. Yay!
I attended as the primary midwife for my first delivery as a Registered Midwife in Ontario! It was a good 'butter birth' (nice 'n' smooth!). First baby. She woke at 1:30am with sporadic contractions, which continued all day. She was still contracting every 5-10 minutes when she came to the clinic about 4:00 where I was finishing up my clinic for the day. On exam, she was 1 cm with the head very low at +2 to spines. I finished up my clinic, ran and did a home visit for the mom that delivered without me, then ran back to midwife neighbor's house to eat fabulous chicken soup and homemade bread and watch House. 8:40 paged to come, and at 9:00 I checked her and she was 4 cm, +1, thin and stretchy with a nice bulgy bag of waters. She was coping fair, but we got her in the tub, and she settled in very nicely. At midnight she was booking right along: 7cm, 1am her membranes ruptured, and shortly thereafter was feeling pushy. VE revealed a cervical lip (very stretchy), so just put her on hands and knees and soon the urge was unavoidable, and then her labia started to part! A beautiful girl at 2:01am. She tore a small second degree, so we moved her to the end of the bed so I could stitch her up. Well, her bed was very low to the ground - 20-24 inches or so. so a chair was going to be too high for me, so I thought I'd just sit on the floor with her legs on chairs on either side of me. It worked very well - I knelt, set up the sterile field, and enjoyed a lovely stitch job. Call me morbid, butI quite enjoy suturing. It is very relaxing. Anyway, I finished up and went to get up...and couldn't - my feet wouldn't hold me and I went crashing on my butt! Everyone though I was passing out, but my feet were asleep from kneeling for 20 minutes, and I couldn't feel them! So it took a good 10 minutes of rubbing before I was okay enough to stand on them! I felt like a MORON!!!
I attended another birth at University hospital with neighbour midwife on Thursday (actually, the birth happened Friday morning). It was a good birth for orientation: non-progressive labour, AROM, moderate meconium, no progress so oxytocin augmentation and epidural. So I was able to observe consults with Neo, Obs, and Anaesthesia. A good chance to learn paperwork and consult protocols while still having a lovely outcome - a nice vaginal birth with no complications.
This morning a section after failure to progress: polyhydramnios, 41 and 2 weeks, non-progressive labour (after prostaglandin gel x2 and oxytocin augmentation), macrosomic baby, which turned out to be direct OP - no wonder he wasn't coming down! That one felt weird to be at because we were just supportive care: care had been transferred to the OB due to the issues involved, and we just basically did labour support, then received the baby after neo had done the initial assessment and were comfortable leaving.
I need sleep.
I got my privileges at University hospital. Yay!
I attended as the primary midwife for my first delivery as a Registered Midwife in Ontario! It was a good 'butter birth' (nice 'n' smooth!). First baby. She woke at 1:30am with sporadic contractions, which continued all day. She was still contracting every 5-10 minutes when she came to the clinic about 4:00 where I was finishing up my clinic for the day. On exam, she was 1 cm with the head very low at +2 to spines. I finished up my clinic, ran and did a home visit for the mom that delivered without me, then ran back to midwife neighbor's house to eat fabulous chicken soup and homemade bread and watch House. 8:40 paged to come, and at 9:00 I checked her and she was 4 cm, +1, thin and stretchy with a nice bulgy bag of waters. She was coping fair, but we got her in the tub, and she settled in very nicely. At midnight she was booking right along: 7cm, 1am her membranes ruptured, and shortly thereafter was feeling pushy. VE revealed a cervical lip (very stretchy), so just put her on hands and knees and soon the urge was unavoidable, and then her labia started to part! A beautiful girl at 2:01am. She tore a small second degree, so we moved her to the end of the bed so I could stitch her up. Well, her bed was very low to the ground - 20-24 inches or so. so a chair was going to be too high for me, so I thought I'd just sit on the floor with her legs on chairs on either side of me. It worked very well - I knelt, set up the sterile field, and enjoyed a lovely stitch job. Call me morbid, butI quite enjoy suturing. It is very relaxing. Anyway, I finished up and went to get up...and couldn't - my feet wouldn't hold me and I went crashing on my butt! Everyone though I was passing out, but my feet were asleep from kneeling for 20 minutes, and I couldn't feel them! So it took a good 10 minutes of rubbing before I was okay enough to stand on them! I felt like a MORON!!!
I attended another birth at University hospital with neighbour midwife on Thursday (actually, the birth happened Friday morning). It was a good birth for orientation: non-progressive labour, AROM, moderate meconium, no progress so oxytocin augmentation and epidural. So I was able to observe consults with Neo, Obs, and Anaesthesia. A good chance to learn paperwork and consult protocols while still having a lovely outcome - a nice vaginal birth with no complications.
This morning a section after failure to progress: polyhydramnios, 41 and 2 weeks, non-progressive labour (after prostaglandin gel x2 and oxytocin augmentation), macrosomic baby, which turned out to be direct OP - no wonder he wasn't coming down! That one felt weird to be at because we were just supportive care: care had been transferred to the OB due to the issues involved, and we just basically did labour support, then received the baby after neo had done the initial assessment and were comfortable leaving.
I need sleep.
posted by Stork at 12:56 PM
2 Comments:
Whoa, girlie--those are some details.
Are you sure there isn't a confidentiality thing that doesn't allow you to blog about medical stuff?
Just thought I'd ask.
love you hunny.
Hi Kinnor.
Regarding confidentiality: yes, I need to keep things confidential. That is why I
a)never post names, either mine or the clients
and b) leave out details that the average reader would be able to figure out who/where etc.
While you know me and where I work, the average reader does not, and that way I am protected, and my clients are certainly never put at risk of being discovered. .
Love you too.
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