Thursday, March 25, 2010

Just another day...

About the only scheduling 'rule' we have here is 'prepare for it to be changed'. Here was our Tuesday morning...

First, we had a patient on the ward who had been admitted for an elective caesarean section because she had had two previous caesareans. However, she started to labour painlessly overnight, and by the time she reported to the nurses that she was feeling contractions she was nearly ready to start pushing. To the surprise of our nurses I did not rush her to theatre for surgery, but when she had pushed for more than an hour without delivery, I instead took my resident through a gentle forceps delivery (our vaccum pump wasn't working). The patient is amazed and delighted in the aftermath.


Then we had a lady come in with bleeding at 33 weeks who very rapidly delivered a little boy - he has delighted the nursery staff by how well he is doing.

Immediately after handing that baby off to nursery the nurses called us to see the new admission - a lady in advanced labour with a breech presentation. My intern was delighted when I let her conduct the delivery, restricting myself to giving instructions and occasionally readujsting her hands.








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