From scared student to qualified midwife baby-catcher extaordinaire (hopefully)....
survived my first stint on delivery!!
whooooop!! 
I had my last shift on delivery yesterday, and it was really good
especially as my last shift had been such a bad one (though my mentor did apologise for being such a 'cowbag' lol!!! which i thought was nice of her!!).
my mentor said 'right, last shift, you're doing everything today' eeeeeeek!!
Looked after S who was a primip, 36 weeks pregnant, who had ruptured her membranes at half 1 that morning, and had had an epidural to cope with her slow labour. we examined her, and i thought she was about 5cm, wich is what she had been 4 hours before so wasn't sure. but then my mentor checked and she was woop!
I have a fear of the notes, because i'm always worried i'm not writing the right thing, so my mentor forced me to write everything down, from the CTG interpretation to the VE findings to the plan of care
. but the more i did the better i found it and i think i'm almost over my 'hang-up' about them now!
because she hadn't 'progresed' and the CTG showed the contractions were quite irregular, it was decided that S should be put on a syntocinon drip to augment her labour, and within half an hour of us putting it up the contractions were 3 in 10 andreally strong, so strong S was asking for an epidural top up!
S's baby was found to be in the OP position aswell, which can make the labour longer and more painful, and give the woman a premature urge to push, which is what S began feeling shortly after we examined her.
about 3 hours later (sorry i'm pants with time gaps!!!) S was saying she was very uncomfortable and really needed to push, and so we decided to examine her again, despite the fact we werent due to examine her for another hour. she very kindly allowed me to examine her again, and put a catheter in (which i managed to do first time yay! compared to last time where i catheterised a vagina! i know what you're thinking but it looks very different when they're in labour!!) I found that the head was literally just there and my heart skipped a beat! not realising it was actually still a way inside, to me it felt like it was about to pop out at any moment!
when they've had an epidural it's part of the policy to wait an hour before starting active pushing, and by this time S was really struggling, so my mentor suggested she use Entonox to deal with the feelings of pressure.
45 minutes later and she really couldnt wait, and with 3 pushes the head was visible! as the head was crowning i was telling her to breathe (as you do) but it didnt do much good and the head shot out very quickly!! with the same contraction a 6 pound baby girl was delivered in the left lateral position (on the left side with the leg in the air) at 18.58.
because she was only 36 weeks and just on the cusp of being premature, the baby was put skin to skin straight away and the room turned up to nearly 27 degrees to make sure her temperature didn't drop too low. she was absolutely fine though, and while my mentorn sutured her small 2nd degree tear i did the baby check, chatted to the dad and started the mountain of paperwork (seriously, are we training to be 'with woman' or 'with notes'?!!!).
It was such a fantastic way to end my first delivery suite placement, my 9th delivery, little Anna, will stay with me forever, as will the others. I felt so so lucky to be doing this, to be here at the birth of a healthy, beautiful little person, and calm and gentle S who was so great throughout the whole thing, and pushed like she'd read the book!!!
I'm all ready for postnatal now, any tips?!!!!
kelly
xxxxx
I had my last shift on delivery yesterday, and it was really good
especially as my last shift had been such a bad one (though my mentor did apologise for being such a 'cowbag' lol!!! which i thought was nice of her!!). my mentor said 'right, last shift, you're doing everything today' eeeeeeek!!
Looked after S who was a primip, 36 weeks pregnant, who had ruptured her membranes at half 1 that morning, and had had an epidural to cope with her slow labour. we examined her, and i thought she was about 5cm, wich is what she had been 4 hours before so wasn't sure. but then my mentor checked and she was
woop! I have a fear of the notes, because i'm always worried i'm not writing the right thing, so my mentor forced me to write everything down, from the CTG interpretation to the VE findings to the plan of care
. but the more i did the better i found it and i think i'm almost over my 'hang-up' about them now! because she hadn't 'progresed' and the CTG showed the contractions were quite irregular, it was decided that S should be put on a syntocinon drip to augment her labour, and within half an hour of us putting it up the contractions were 3 in 10 andreally strong, so strong S was asking for an epidural top up!
S's baby was found to be in the OP position aswell, which can make the labour longer and more painful, and give the woman a premature urge to push, which is what S began feeling shortly after we examined her.
about 3 hours later (sorry i'm pants with time gaps!!!) S was saying she was very uncomfortable and really needed to push, and so we decided to examine her again, despite the fact we werent due to examine her for another hour. she very kindly allowed me to examine her again, and put a catheter in (which i managed to do first time yay! compared to last time where i catheterised a vagina! i know what you're thinking but it looks very different when they're in labour!!) I found that the head was literally just there and my heart skipped a beat! not realising it was actually still a way inside, to me it felt like it was about to pop out at any moment!
when they've had an epidural it's part of the policy to wait an hour before starting active pushing, and by this time S was really struggling, so my mentor suggested she use Entonox to deal with the feelings of pressure.
45 minutes later and she really couldnt wait, and with 3 pushes the head was visible! as the head was crowning i was telling her to breathe (as you do) but it didnt do much good and the head shot out very quickly!! with the same contraction a 6 pound baby girl was delivered in the left lateral position (on the left side with the leg in the air) at 18.58.
because she was only 36 weeks and just on the cusp of being premature, the baby was put skin to skin straight away and the room turned up to nearly 27 degrees
to make sure her temperature didn't drop too low. she was absolutely fine though, and while my mentorn sutured her small 2nd degree tear i did the baby check, chatted to the dad and started the mountain of paperwork (seriously, are we training to be 'with woman' or 'with notes'?!!!). It was such a fantastic way to end my first delivery suite placement, my 9th delivery, little Anna, will stay with me forever, as will the others
. I felt so so lucky to be doing this, to be here at the birth of a healthy, beautiful little person, and calm and gentle S who was so great throughout the whole thing, and pushed like she'd read the book!!! I'm all ready for postnatal now, any tips?!!!!
kelly
xxxxx
Total Comments 3
Comments
 |  Really glad you had a good shift and that you got on better with your mentor, it does help with your confidence. |
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| |  wow well done to you for coping so brilliantly xxx  |
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| |  Great stuff, I was wondering if you'd got on OK on your last stint in delivery and I was dealing with some notes for discharges and came across your name on the birth notes!! Looks like you coped brilliantly and you were able to do a lot of it with your mentor just observing you! Your notes were fine BTW!!! Part of my job after the ladies have been discharged is tidying the notes, putting into the correct order and returning for coding..which is why I spotted your name on the notes - didn't want you to think I was a stalker or anything LOL!! x |
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