In for the long haul

Monday evening 2300: call from young primip thinking she is in labour after contractions all day. Go to check: 1cm, thick cervix. Thinking that this is another round of false labour...

Tuesday morning 0630: contractions didn't quit and got stronger, head to home and check: 1cm, but 50% effaced, perhaps this is the real deal starting...
1000: contractions are 2-3 minutes apart, and mom is falling apart. Head to hospital for assessment
1100: 2cm
1400: 3cm, 90%eff, contractions intensifying
1800: appears as if transitional: shaking, nauseous... 3.5cm. gr. Broke her water
2000: just barely 4cm, requesting epidural and IV oxytocin started for slow progress.

Wednesday morning 0100: 8cm
0300: severe fetal bradycardia when changed her position to empty bladder: resolved after stop IV and 2 position changes: 9cm
0530: another fetal bradycardia completely dilated, head nice and low, +2station, resolved when bladder emptied of 700cc and position changed. Pushing.
0730: still +2 station. Mother exhausted and starting to freak out.
OB consulted, for my very first forceps delivery at 0952 (had to wait for anaesthesia). Large mediolateral episiotomy for bradycardia down to 50s and a Direct OP with asynclitic molding. The epis extended to the rectal mucosa. Baby came out nearly flat but responded fairly well to PPV: Apgars of 6 and 8.
Mom and Dad both relieved and exhausted.
Midwife relieved and exhausted.