Archive for December, 2008

Merry Christmas everyone!!

Thursday, December 25th, 2008

img_0837 Merry Christmas everyone!! I hope everyone is having a wonderful time their family and friends. We have a marvelous time with our family because all of the members of the family are present. Christmas is a great way to ponder that Jesus our savior was born which the the reason for the season.

Christmas is celebrated throughout the Christian population, but is also celebrated by many non-Christians as a secular, cultural festival. Because gift-giving and several other aspects of the holiday involve heightened economic activity among both Christians and non-Christians, Christmas has become a major event for many retailers.

The children in this photo are the son and daughter of my cousin that I delivered at home. I cant imagine how they grow up so fast. Aren’t they cute?

Uterine Myoma info

Monday, December 22nd, 2008

When we knew that our patient did not carry twins, instead had uterine myoma, I did some research about it. Actually, that patient did not come back for her prenatal check-ups. If she did, that abnormalities was detected through ultrasound. These are some info of Uterine Myoma.

Uterine myomas also called “fibroids” are tumors that grow from the wall of the uterus. The wall of the uterus is made of muscle tissue, so a fibroid is a tumor made of muscle tissue. The fibroids start off very small, actually from one cell, and generally grow slowly over years before they cause any problems. Most fibroids are benign; malignant fibroids are rare. The cause of fibroids is unknown, although it is known that fibroids have a tendency to run in families.

The most common symptoms are:
• Cramping with periods.
• Heavy flow or clots with periods.
• Discomfort, such as pressure, as well as being unable to lie on your stomach and being unable to button your clothing easily, caused by the mass of the fibroids. Other, less common symptoms include irregular bleeding and urinary frequency caused by the pressure on the bladder from the fibroids. If your periods are very heavy, you may become anemic and an iron supplement may be recommended.

If fibroids become symptomatic enough, they can be removed surgically. The most common surgical approach is to perform an “abdominal myomectomy. An incision is made in the lower abdomen into the abdominal cavity, and the fibroids are removed from the uterus and the uterus stitched closed. If the uterus is no longer necessary (the woman is finished having her family) and the woman desires her uterus removed, a hysterectomy (removal of the uterus) can be performed. (A “hysterectomy” is removal of the uterus and cervix, not removal of the ovaries.

A huge Uterine myoma

Tuesday, December 16th, 2008

I work in a Lying in Maternity center for 3 months. I stopped working because of my other plans. Though I am not already connected with that institution, I make myself available to them when they need help. Today I was called for they need help in delivering a suspected twins. When I arrived in the clinic, the first baby was already out. The patients abdomen is still very big, and when we palpate it, it felt like there was another baby inside the womb. I did and IE (Internal examination) the cervix is 5cm open, but I could not feel baby’s head or any body parts because it was still very high up. I checked the FHT (fetal heart tones) with a doppler but I could not hear anything. I was confused then and worried because if there was still another baby inside, it must be dead already. So we decided to call our back physician. She brought with her an ultrasound. To our surprise, what was in her womb was not a baby, it’s a huge myoma (a growth in the uterus). God is so good to her for it did not obstruct the baby or choke the baby. She was on medication and on under observation for 3 months and will evaluated if she needs surgery.

A new perspective

Friday, December 12th, 2008

I am delivering many babies in the past 9 years. I really loved it. But just lately, my passion changed. I want to work and help with sick people. I want to have a new experience in other areas of nursing. I missed working in the hospital. So I think it is time for me to take another step of faith. I am very excited at the same time, I am kind of nervous because I will be in a new environment and will be working with new people. It would be a huge adjustment for me. I know I will be fine and I can do it with God’s help. I already applied for the Nurse Training Program in a certain hospital. I will take the Qualifying exam next week. If I pass I will start the training this February 2009.

Baby your back

Saturday, December 6th, 2008

back-pain Most of us experiences back pains. It is not fun to have them. Delivering babies sometimes made my back hurts. So we need to baby our back and give them a break.
If you’re a working adult, the odds are fifty-fifty that you’ll suffer back trouble. To help you avoid this wrenching experience, the American College of Occupational and Environmental Medicine recommends the following back-saving strategies on the job:
• Alternate between sitting and standing. When sitting, rest your feet flat on the floor, and use a chair with good back support. When standing for prolonged periods, rest one foot on a low stool.
• As you lift heavy objects, hold them close to your chest; bend your knees, not your back; and reposition our entire body rather than twisting or reaching as you lift.
• Split heavy loads into smaller loads, and get help when an object is too heavy or awkward to lift by yourself.
• To help protect your back overnight – or whenever you lie down – use a firm mattress, and lie on your back or side, not on your stomach.
• When driving, adjust the seat to keep your knees level with your hips, sit up straight with both hands on the wheel, and use a lumbar support for your lower back. Keep vehicles in good repair to minimize vibration. Take frequent rest breaks to change position and stretch.

Feminine Hygiene tips

Tuesday, December 2nd, 2008

I am caring for pregnant women, I always see to it that I teach them about the importance of feminine hygiene. Pregnant women are prone to genital infection due to the change in the natural pH of the external genitalia. The following are the tips on feminine hygiene. Take this short course on feminine hygiene and graduate from bad, ineffective hygiene practices.

• Change underwear twice a day or as often as needed.
• Wear cotton panties and avoid wearing too tight pants to allow your skin to breathe. Allowing air in and moisture out is one way of avoiding yeast infection.
• Do not scrub your external genitalia with a wash cloth. Wash cloths are abrasive and might just irritate your sensitive skin. Use your hand, a small amount of feminine wash and warm water instead.
• If washing with water is not possible after urinating, use damp tissue instead. Pat dry, not rub, with dry tissue right after.
• To prevent menstrual cramps, exercise regularly, drink ten to 12 glasses of water per day and eat plenty of fresh fruits and vegetables.
• Change your sanitary napkin as often during heavy days. On light days, change every three to four hours to avoid growth of bacteria that may cause itching and irritation.
• To keep yourself clean and smelling fresh down there, use a clinically proven pH-balanced feminine wash everyday. Avoid using soaps and antiseptics for cleansing your external genitalia. Soaps and antiseptics may be too harsh for you because these strip off the protective barrier of your external genitalia.