Melanie J., 22 y.o, G3P3, delivered baby boy “Kristian” at 2:54 am, 2700 grms, 70 cc EBL, apgar score 9/9, delivered by LP, GE, AT with patient’s husband. # 1693
Melanie had a great birth. She did so well. The baby came out with no problems. The placenta was out at 3:02 am with no bleeding and with no laceration. It was a wonderful birth.
1st stage = 20 hr 00 min
2nd stage = 09 min
3rd stage = 08 min
Total admission = 01 hr 02 min
Florlyn M., 28 y.o, G2P2, delivered baby boy “ “Georyl” at 2:43am, 3289 grms, apgar score 8/9, 150 cc EBl, delivered by LP, VG, DD, with patient’s sister. # 1674
I really admired Florlyn because she did so well. She was always smiling although her labor. She accompanied by her sister Berna. The placenta was out at 2:48am with only minimal blood loss. She had a 1st degree laceration though that DD sutured.
1st stage = 10 hr 25 min
2nd stage = 18 min
3rd stage = 05 min
Total admission = 05 hr
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
I am the only supervisor left in the birth room because all of the other staff and students were out for the graduation ceremony. I worked with people that I do know except for one. We were six of us but only one who has experience how to deliver babies. It was a little bit of hard because I don’t know the people that I am working with. But everyone was doing their best to work and take care of the patients. There were 2 labors and postpartum patients endorsed to us. I delegated the 2 labors. One patient delivered normally after a long time of pushing. The other one had BOW rupture with no progress so she was transported right before the shift change. Then there was a patient who came in active labor with the urge to push. I was the next up so I delivered the baby. She delivered her baby 5 minutes after arriving at the clinic. The baby was crying but was very blue for how many minutes. We administered oxygen to him and suctioned but still continued to be cyanotic all over the body. We were about to transport the baby to the hospital but after few minutes the baby’s color slowly became pinkish. It was a very weird situation because the baby was crying loudly. He was breastfeeding good. Then after that there was no episode where the baby became cyanotic. Before discharging them, I advised the parents to check their baby with a doctor to make sure that everything is normal in his heart. The patient came after 3 days for the baby check-ups and said that the baby had a check up with the paediatrician and everything is well.6/09/09
I worked clinic today. I was at home. I woke up 5am to travel back to the place I work. I was very tired because of helping and assisting my sister’s wedding yesterday. My feet really hurt from standing for a long time. I was glad that I was able to sleep in the bus. There were a lot of new patients came for their initial prenatal check ups. One patient made me laugh. There is a question in the form that asks about the family planning used. She wrote there they used contraceptive pills and add a comment that says “our family plans to save money to build our own house”. For 10 years of working, it was my first time to encounter that answer.6/29/09
I worked swing shift. There no labouring patient so we just chatted and spent quality time with our team. I like to have quite shift but not all the time. It is so tiring to do nothing. It feels like the eight hours shift takes forever. Unlike when there are patients, you can’t even notice the time. At the end of the shift, you feel fulfilled of helping patients.6/30/09
I am on night shift today. I had time to rest and celebrate my friend’s birthday at their house before my shift. I was able to sleep about 3 hours before working. I felt refreshed and ready for the night. There was only one continuity patient endorsed to us from the swing shift. It was a Serena’s patient. She was not on shift but it was her patient so she will be taking care of the patient. The patient was 3 cm when the IE was done. An hour before our shift began, the baby’s heartbeat started to go up to more 160 per minute. The normal range of FHT is 120-160. The patient was monitored frequently but there were times the heart rate reached to 197, 180s. We administered oxygen to the patient and inserted an IVF (intravenous fluids) and put the patient on left side lying. Even after all the things we did still the FHT still high. It is called fetal tachycardia. The patient’s bag of water was already broken just few hours ago with meconium stain. When there is already a meconium staining, it means the baby is in some degree of distress. So we decided to transport the patient to the hospital. The patient was transported about 11:30pm.
After that action, we slept until 20 minutes before endorsement.
The next day, the patient informed Serena through text that she delivered normally and that the baby was doing well. Thanks God. 7/01/09
Today is our Independence Day. I worked swing shift with Ana, Serena, Stefanie. I received a labor who is G1P0 whose Bow was already leaking. She was advised to do nipple stimulation to induce contractions and to take castor oil. Serena transported 2 labor patients to the hospital because of breech position of the baby and the other one was already overdue. Ermie was so nice to do my remaining 3 hours of work in order for me to go home. I arrived home at 1opm.6/12/09
I worked Day shift. I do not like to work morning shift because you really need to get up early. Our shift begins at 6am and it ends 2pm. But I do like it though because the time runs so fast unlike other shifts the time runs so slow. We had one patient who is G2P2. I checked my patient that I delivered the other day and did the mother and baby check-up. Everything was normal. I also did Newborn screening. There was another patient who gave birth with Serena and Heather.