Posts Tagged ‘IE’

Birth story #3

Tuesday, October 27th, 2009

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

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.