Sunday, December 6, 2009

EMERGENCY!

It was a busy day in the labor room.
All 8 suites were full.
There are 4 beds in the ABC - we even had to put patients in active labor there.

One MO was in the OT.
Another one was running around in the labor room.

Then, suite 7 had prolonged 2nd stage (basically, the baby was not coming out as fast as it was supposed to).

MO consulted specialist, decided for vacuum.
While the vacuum was being done for suite 7, one patient in ABC had fetal bradycardia.
MO was busy, told one of us to call the specialist.

Called specialist, specialist came over.
Suite 7 delivered by then.
Specialist decided that the patient in ABC should go for vacuum.
She started to prepare for vacuum, but we couldn't really get a CTG reading for the baby.

The ultrasound machine was pushed in.
The fetal heart rate was really slow.
Specialist decided then and there - LSCS NOW!

Preparations were made for LCSC (thank God the other LSCS in the OT was over).
Patient was pushed in as fast as possible.
Paeds team told to standby.
Baby was out in less than 5-10minutes I think.
Baby born crying.
Hurray!!

Came out to labor suite - suite 1 also had prolonged 2nd stage - another vacuum delivery.

That day, we had SO many deliveries that there were about 12 babies in the baby room at one time (usually we have about 4).
____________________________________________________________

It was 4am. I was oncall.

The CTG for patient in suite 7 showed some fetal deceleration (I think it was Type II).
My friend did everything that was necessary, but nothing worked.
And patient had some bleeding.

My MO was in the VE room.
I decided that we shouldn't wait for him to come in.
I tore off the CTG and went straight to him.

MO wasn't very worried, but he attended to patient.
Hmm..why was patient bleeding, he wondered out loud.

He did a VE.
His face changed.
2 words - cord prolapse (basically the umbilical cord has fallen out).
Everyone rushed to do whatever necessary - inflate bladder, raise buttock, prepare for LSCS.
I ran and called the other MO who was oncall.
Ran into OT.
Baby delivered within 5 minutes - not crying at first, but was eventually OK.

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