Wednesday, October 04, 2006

Bummer

I attended a labour at home for a primip on Tuesday morning - I checked her at 0020 5cm, bulgy bag, 75% effaced ???LOP??? Suture lines hard to feel through bulgy bag. At 0140 after SROM (clear) she was 7cm, ROA/asynclitic and wanting to push. At 0220, 8cm and definitely a breech. Bummer. College guidelines say that we have to consult with an OB, so off to the hospital, where they did a c/sec under GA at 0320 or somthing like that. We went to the hospital where I don't have privileges (since she was dilating quickly and wanting to push: it was the closest), so I didn't get to go. I'm bummed that she had to have a section, but also bummed that I didn't diagnose the breech until she was 8 cm.

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