Happy Christmas!
Well, actually, Happy Boxing Day!
I didn't have Christmas off this year, so parts of my family were coming to visit me (until the 30th when I have 24 hours off and will go for the 'official' Christmas with the family). Overdue women were starting to pile up for the other midwives, and my neighbour midwife was taking Christmas weekend as her weekend off. On the 23rd around noon, I got a page from a teen client who was not due until the 1st. She was contracting q 5-6, lasting 45-60 sec. I told her to wait until they were 4-5 x 60 sec for an hour. So I ran to do a home visit for one of neighbour midwife's clients before anything could get going. Later on I called to check on her, and they had spaced to q 10-20 minutes.
After that I spoke with the other midwife on call (Kmidwife), who informed me that she was going to have to do an induction with her overdue woman in the morning, so if my teen client did go that she would have to go to University hospital as opposed to the General because we were the only two midwives on. I didn't think she'd go into labour, but I was wrong. At 0415 on Christmas Eve morn she paged saying her water had broken, and she had had one contraction five minutes later, but that it REALLY hurt. I talked with her for a bit, and then she got another contraction. I decided to wait on the phone with her and see how the contractions were, and each one was closer: 3.5 minutes, 3 minutes, 2 minutes... So I told her that we would go to University hospital and I'd meet her there. Normally I go and assess at home (especially a first-time-mom), but I just knew we'd be going in. When she arrived at 0525 she was vomiting and wide-eyed. Upon checking her she was 5 cm, 100% effaced, and the baby at 0 station. Nice. Got her vitals done, blood drawn, and she settled in nicely. Then she got an urge to push. Check her: 6cm (at 0550). She wants an epidural. So, I let her know that we have to get half a bag of fluid in her, get the IV started, and paged K-midwife because I am not yet epidural certified. Half of the bag gets in, and she has the strongest urge to push. Check her at 0640 and she is a rim (9cm). Midwife arrives just then and we page anaesthesia. And we wait... 0700, and I see some parting of the labia. Check, and she is complete, +2station, and this babe is coming. Anaesthesia arrives literally 30 seconds later and we turn them away. Beautiful birth at 0717 over an intact perineum. Lots of tears from the grandma, sisters, and boyfriend. Beautiful, beautiful birth.
I wonder if young Mary, the mother of our Lord had such a lovely birth.
I didn't have Christmas off this year, so parts of my family were coming to visit me (until the 30th when I have 24 hours off and will go for the 'official' Christmas with the family). Overdue women were starting to pile up for the other midwives, and my neighbour midwife was taking Christmas weekend as her weekend off. On the 23rd around noon, I got a page from a teen client who was not due until the 1st. She was contracting q 5-6, lasting 45-60 sec. I told her to wait until they were 4-5 x 60 sec for an hour. So I ran to do a home visit for one of neighbour midwife's clients before anything could get going. Later on I called to check on her, and they had spaced to q 10-20 minutes.
After that I spoke with the other midwife on call (Kmidwife), who informed me that she was going to have to do an induction with her overdue woman in the morning, so if my teen client did go that she would have to go to University hospital as opposed to the General because we were the only two midwives on. I didn't think she'd go into labour, but I was wrong. At 0415 on Christmas Eve morn she paged saying her water had broken, and she had had one contraction five minutes later, but that it REALLY hurt. I talked with her for a bit, and then she got another contraction. I decided to wait on the phone with her and see how the contractions were, and each one was closer: 3.5 minutes, 3 minutes, 2 minutes... So I told her that we would go to University hospital and I'd meet her there. Normally I go and assess at home (especially a first-time-mom), but I just knew we'd be going in. When she arrived at 0525 she was vomiting and wide-eyed. Upon checking her she was 5 cm, 100% effaced, and the baby at 0 station. Nice. Got her vitals done, blood drawn, and she settled in nicely. Then she got an urge to push. Check her: 6cm (at 0550). She wants an epidural. So, I let her know that we have to get half a bag of fluid in her, get the IV started, and paged K-midwife because I am not yet epidural certified. Half of the bag gets in, and she has the strongest urge to push. Check her at 0640 and she is a rim (9cm). Midwife arrives just then and we page anaesthesia. And we wait... 0700, and I see some parting of the labia. Check, and she is complete, +2station, and this babe is coming. Anaesthesia arrives literally 30 seconds later and we turn them away. Beautiful birth at 0717 over an intact perineum. Lots of tears from the grandma, sisters, and boyfriend. Beautiful, beautiful birth.
I wonder if young Mary, the mother of our Lord had such a lovely birth.
posted by Stork at 8:21 AM
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