Archive for December, 2009

2nd Birth Handle 01/22/99

Wednesday, December 16th, 2009

Leila N. 26 y.o, G2P2, delivered baby girl “ Hannah Paula”at 01:43am, a small baby, , apgar score 8/9, 250cc, with hemoglobin of 9. delivered by LP, ZG, AT, with patient’s mom. # 1637

Liela came in the clinic fully and the BOW was already ruptured clear. The baby was out after 13 minutes. The baby was given free-flow oxygen due to cyanosis but the color pinked up after few seconds. I was very fast birth with no complications. She has a 1st degree laceration that needed no suturing. It was good she did not hemorrhage considering she was very anemic. She just lost a very minimum amount of blood at birth.
It was a very exciting birth. Liela has a twin sister that I got to see. They really looked alike. After few months we visited them at their house and Leila cut my hair. It was fun.
1st stage = 3 hr 35 min
2nd stage = 54 min
3rd stage = 07 min
Total admission = 4 hr 54 min

1st Birth Handle 01/17/99

Wednesday, December 16th, 2009

Carol N, 24 y.o, G1P1, delivered baby boy “John Rodel” at 02:48p, apgar score 9/10, 200 cc EBL, long pushing with thick meconium stain delivered by LP, JJ, AT. # 1629

This is my first birth handle. I was very excited but at the same time I was kind of a little bit scared. I was so thankful that the birth team was very supportive of me. The patient was pushing for a long time and did all the position possible to help the baby to come out. AT did push up the cervical lip. She managed it and I took over when the baby’s head was already almost crowing. Finally the baby was out with thick meconium stain and was suctioned with suction machine. The placenta was out after 7 minutes. She had a 2nd degree laceration that AT and I sutured. It was a great birth although it was a hard one.
1st stage = 8 hrs 30 min
2nd stage = 54 min
3rd stage = 07 min
Total admission = 4 hrs 54 min

Photo hunt: curved

Saturday, December 5th, 2009


Birth story #7

Wednesday, December 2nd, 2009

5/11/00 116th birth handled (302 births present)

I was on night shift when my patient Sherlita V., 32 y.o, G2P1, 40 5/7 weeks AOG, came in with her husband Luisito at 12:28 am, she was 3 cm, with no BOW, 60% effaced, sutures 1-7, -1 station. I monitored her every hour (FHT, TPR BP) since her Bag of water was already rupture she is prone to infection. After three hours of monitoring she wants to push and she was fully. I moved her to the birth stool.

At 4:47am the baby’s head was already visible but Carla can’t as what Krys M charted. At 4:56 the head was out. It took me 2 minutes to manuever to let the baby out because of tight shoulders. A very beautiful baby girl “Lushelle” was out at 4:58am with Apgar score of 6/9. We suctioned and stimulated the baby to cry and she was given free-flow oxygen. After frew minutes the baby was crying lusty. She weighed 3600 grms/7.15 lbs.

For the mean time, the patient started bleeding a lot while the placenta was still inside. I tried to do some cord traction but still it was very hard. So I did a manual removal of the placenta. It was really needed because we can’t do things to stop the bleeding if the placenta still inside. I was hard for me but it was harder for the patient. Her uterus is retroverted so I had almost my whole hand in her. It was so weird and very nasty. I had blood all over my hand. But I did not mind, all I was thinking is to get the placenta out and stop the bleeding. I had to do everything even in my own risk to save the life of the patient. Thanks God I got the whole placenta with extra lobe in it. We injected the patient an 10 “U” pit and massaged the fundus vigorously. She was on antibiotics for 7 days to prevent infection.
Patient had a laceration that needed to be sutured. It was sutured by Inneke E. And Sara J.
Present at birth : me, Carla S, Krys M and Kari M
1st stage – 4 hrs 30 mins
2nd stage – 28 mins
3rd stage – 09 mins
Admitted – 4 hrs 42 mins