Today is my postcall day. Reaching home at about 11.30 am, took a bath and had my lunch. And, I went to sleep.
Last night, again the labour room heated up. It was burning. Having a full house patients in labour room and an emergency lower segment caesarean section as a grand opening for my on-call!
It was an eventful day. What affected me a lot was a young lady who is at her 27 weeks of pregnancy came in with bleeding. Initially it was thought just a bleeding from her cervical polyps (a growth over her cervix) but patient developed profused bleeding in labour room. I explained to her regarding her current condition and I told her that an emergency lower segment caesarean section is indicated in view of breech in labour unable to rule out abruptio placenta. After telling her regarding the outcome of the baby in view of the estimated fetal weight was only 1 kg, she cried. I almost cried too but I tried my best to hide it because there were still a lot of the things that I need to do before preparing the patient to the operation theatre. I noticed there were hoarseness in my voice when I further explained to her regarding the risk of the operation.
There is a saying, "You can do 99 things for someone and all they'll remember is the one thing you didn't do."
As for me, "I can have many mothers giving birth during my oncall and all it takes to affect me is the one that didn't do well." So random (^_^")
I had a few small babies last night. Intubated. Really hope these small little babies will do well in NICU.
To round-up, I have a few preterm labours, shoulder dystocia, vacuum-assisted delivery, OASIS (obstetric anal sphincter injuries), retained placenta, pregnant lady to rule out pulmonary embolism and the chaos ended with a lady with acute pulmonary oedema secondary to pre-eclampsia. Most of the events occurred at the same time. I am grateful for a great teamwork in labour room yesterday.
Last night, again the labour room heated up. It was burning. Having a full house patients in labour room and an emergency lower segment caesarean section as a grand opening for my on-call!
It was an eventful day. What affected me a lot was a young lady who is at her 27 weeks of pregnancy came in with bleeding. Initially it was thought just a bleeding from her cervical polyps (a growth over her cervix) but patient developed profused bleeding in labour room. I explained to her regarding her current condition and I told her that an emergency lower segment caesarean section is indicated in view of breech in labour unable to rule out abruptio placenta. After telling her regarding the outcome of the baby in view of the estimated fetal weight was only 1 kg, she cried. I almost cried too but I tried my best to hide it because there were still a lot of the things that I need to do before preparing the patient to the operation theatre. I noticed there were hoarseness in my voice when I further explained to her regarding the risk of the operation.
There is a saying, "You can do 99 things for someone and all they'll remember is the one thing you didn't do."
As for me, "I can have many mothers giving birth during my oncall and all it takes to affect me is the one that didn't do well." So random (^_^")
I had a few small babies last night. Intubated. Really hope these small little babies will do well in NICU.
To round-up, I have a few preterm labours, shoulder dystocia, vacuum-assisted delivery, OASIS (obstetric anal sphincter injuries), retained placenta, pregnant lady to rule out pulmonary embolism and the chaos ended with a lady with acute pulmonary oedema secondary to pre-eclampsia. Most of the events occurred at the same time. I am grateful for a great teamwork in labour room yesterday.
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