Yeah, so I've gotten lazy with the blog...ah well. Today was a bit more interesting because of the two deliveries I sat in on, neither were normal. In both cases, the moms were in their early 20's and G1P0. In the first case, the delivery proceeded as expected (I helped deliver and came close to dropping that slippery baby but caught it in time), but afterwards, the mother had a few lacerations that would not stop bleeding no matter what. Dr. D threw lots of sutures without success, so she removed those and then went deeper. It stopped the bleeding somewhat, but there was still oozing at the site. It seemed like the more she tried to sew, the more bleeding sites the lady had, yet her platelet count was fine. Then when we tried to put a vag pack in her, an earlier laceration that Dr. D sewed properly reopened and more blood spilled out. Poor Dr. D was stressed to the limit since Dr. C and Dr. H (attending) were in surgery, leaving her on her own. On top of that, the woman was developing major labial and vaginal swelling (hematomas?) so rather than attempt to sew anymore, they stuffed the vag pack in there and hoped for the best.
The second case was a woman who had been pushing for almost 2 hours and was so exhausted she couldn't push anymore. Somewhere in the midst of all the pushing, she suffered a huge tear, and her sister was terrified for the baby (who was in the canal for quite some time already). In the end Dr. H had to cut an episiotomy and use a vaccuum to pull the baby out (it did not look fun), but once that baby was out, both mom and aunt burst into relieved and happy tears. The bad news: Mom suffered a 4th degree laceration that went straight to the rectal muscle. Dr. H immediately called Dr. D into the room to repair it, saying she "needed the experience."
Tonight was a busy night in both triage and L&D; there were lots of admission H&Ps to keep us busy. I did get a chance to put my head down, but I wasn't sleeping; when Dr. C told Anita, "Wake your counterpart," I heard her perfectly. Dr. P still does most of the deliveries; if Anita and I want to deliver any more babies before this rotation ends, we have to latch on to Dr. D or Dr. C. Anita and I were pretty much in charge of postpartum charts today since our "three-man team" was stuck in L&D, so together we saw 8 charts before rounding with Dr. A on the patients in 2N. Can't believe it's already Friday.
Subscribe to:
Post Comments (Atom)
No comments:
Post a Comment