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