M113th birth handled 4/25/00
My patient Helen T. 29 y.o, 39 weeks AOG, G5P4, came in the clinic with her husband Jose at around 10:25 pm. I checked her in and did an IE, she was only 2cm, 60% effaced, no bag of water felt. The fetal heart tones heard most loudly in the LUQ (left upper quadrant). I was so sure thought that when I did an IE I felt the baby’s head. The patient was so very sweet. She was always smiling at me even she has contractions.
At 2:00am she wanted to have another IE, so I did one and was 4cm, 80% effaced. She was doing fundal pressure every contractions with herself even I told her not to as it can hurt the baby. After a while she felt her legs shaking and I though she was already fully but to my dismay she was only 6cm.
So I take a nap on the couch for a while then after 12 minutes Ate Toinnette shouted my name and I wake up suddenly as if my heart was displaced out of my body. I jumped off from the couch my pens, keys, and thermometers in my pocket were all scattered on the floor. It was good that Grace came to the patient’s cubicle first and saw that the head was already coming so she supported it with her bare hand. When I arrived the baby’s head was already out so I suddenly put on my gloves. There was a single loose nuchal cord so I slipped in on the baby’s shoulder. Then the baby was out very fast at 3:02 am, a very cute baby boy named Jessie, with apgar score 9/9, weighed 2700 grms/6 lbs.
The placenta was out at 3:08am, with only 50cc estimated blood loss. No laceration. Everything was normal no problems. Praise God. After they were settled, I felt tired because you know what happen after the adrenaline rush. I tried not to think that I was kind of a negligent nurse/midwife but it was good that we had a good team.
Present at birth : me, Tionnette R, Grace E.
1st stage – 5 hrs
2nd stage – 2 mins
3rd stage – 6 mins
Admitted – 3 hrs 08 mins