Our shift was very busy. We had 4 patients in labor. Ater the 2 patients delivered their babies, there was another patient who came in labor that wanted to push right away. It Miss P who is up so I let her know that she has a patient. I helped her set up the birth but when the patient started to push, she saw a hand coming out. When I look at it, it wa not a hand, it was a foot and a butt. She immediately said that we will not be able to handle this birth, so I took over. The patient was pushing and when the body was out, it was hard for me to reach for the hands. But thanks God for giving me wisdom and strength to get the baby out. We were ready for Neonatal resuscitation but the baby only needs a little stimulation and oxygen. Then the baby cried and was breastfeeding good. To God be the glory. It was scary but everything went well. The baby only weighed 2,400 grams. It was one of the shift that we do not expect complicated things.
Breech delivery
September 6th, 2009Busy shift
August 14th, 2009I 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
Perineal repair
July 26th, 2009I worked swing shift today. I worked with runny nose and teary eyes because of allergies. I ate chicken. We had two births. One of our patients bled a lot. She lost 1200cc of blood because of bleeders from the perineal laceration. It was hard to find the bleeders. I managed to clamp it with haemostat. I found 3 bleeders so I put 3 hemostat in their. I sutured the patient right away. Actually, I was not the one who supervised the birth but the other supervisor asked to do it. We gave Intravenous fluids. Before the patient delivered we already noticed that she had a previous laceration that was not sutured. Some of the parts are not already aligned and there were already growth tissues. In other words, it looked like she already had 10 babies instead of two.I offered a free vaginal repair if she wants to. It is so expensive when you have it. I haven’t do vaginal repair yet but I saw and observed the doctor did it 3 times. The patient agreed. But God’s grace, I was able to repair her vaginal great. I felt so happy that it was successful. The patient, mother and the husband of the patient were so glad. After I am done with the repair another labor came just right before endorsement.6/11/09
For the first time
July 23rd, 2009I 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
Boring shift
July 23rd, 2009I 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
High FHT
July 19th, 2009I 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
Working on Independence day
July 11th, 2009Today 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
Two babies born
July 11th, 2009I 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.
Rescue 911
June 27th, 2009I was on night shift the other day. We had a very busy shift. There were a lot of babies wanted to come out in my shift. One of the patients was brought by the Rescue 911 team. The patient’s baby decided to come out at home. The placenta did not come out yet. She was endorsed to me with Intavenous fluid (IVF) inserted. According to the team the baby was already out when they reached to their house. They clamped and cut the cord. The baby had no problems. We waited for the placenta to come. It was out after 5 minutes. Everything was settled. The patient and her baby was discharged few hours after.
Vitamin A needs for one-year-old
June 19th, 2009At 12 months, the child’s color vision is still maturing. So as he moves from milk to table food, make sure that he gets the right amount of Vitamin A. Make sure that the food gives the child the proper nutrition for child’s growing needs. So that your baby can view his world in full Technicolor. For perfect vision, your one-year-old needs 4 times more vitamin A than you.