4/28/00 – 115th birth handled (294 present birth)
I was on night shift. Loudeliza, 33 y.o, G5P5, was endorsed to me from Ana. I did an IE at 7:02pm, she was only 2 cm. After the IE her contractions peaked up. There are many cases that a IE stimulates contractions that is why it is not advisable to do an IE with premature labor.
She was on her active labor. I advised her to deep breath and relax and lie on her left side because she had a borderline high BP 140/94. At 9:49pm, she was already 4-5 cm, 80% effaced, +1 station, with IBOW (intact bag of water.
At 10:020pm, she was 9cm and wanted to push I did an AROM which helped the baby’s head down, with moderate meconium stain. I held up the cervical lip while she started pushing. She was fully but the FHT (fetal heart tones) went down so we gave her an oxygen and the FHT peaked up. At 10:34pm a big baby boy “Lourd Artem” was born with Apgar score of 7/9, we suctioned and stimulated the baby to cry. He responded well. He weighed 850grms./8.8 lbs.
The placenta was out at 10:38pm. She only lost 200cc of blood. We gave the patient a 10 “u” pitocin as prophylaxis because considering she is multipara and had a big baby, she had a high risk for bleeding.
Present at birth: me, Grace E, JJ & Celeste C
1st stage – 18 hrs 30 mins
2nd stage – 15 mins
3rd stage – 04 mins
Admitted – 3 hrs 40 mins