Friday, April 20, 2007

The day after the dreaded

The day after my shoulder dystocia there was the monthly midwifery meeting and peer review for the midwives at University hospital and another hospital in the area. The main case peer reviewed was a major shoulder dystocia after an assisted delivery that lasted six minutes. (Just to clarify, midwives don't do assisted deliveries, the obstetrician had done it, though I can't remember if it was forceps or vacuum. Lots of maneuvers were done by the obstetrician and midwife, and the midwife ended up getting the baby out). Miraculously, the baby was neurologically normal, though it had a brachial plexus injury. During the presentation of the case, I found myself having to do deep breathing to stay calm and not allow the adrenaline of the previous day's birth to totally consume me.

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