I had a patient who has a history of quick labors witht he last three babies. She went so fast that the midwives never made it for delivery with the last two. I was determined to be there for this birth. I had told her to call me the minute she thought she was in labor so I could head on in to the hospital to meet her.
I get a call in the wee hours of the morning from a slightly panicky father. He tells me she is contracting very frequently and he is not sure if they can make it to the hospital. They live 15 minutes from the hospital. So I advised him to stay home and call EMS if they didn't think they would make it, which he ended up doing. Fortunately he had caught the last two babies so this wasn't his first time :) They had the baby about 10 minutes after I got off the phone with them.
They came in to the hospital by EMS with the placenta still undelivered. The guy from EMS tells me they kept tugging on the cord every five minutes but it wouldn't come out, but bleeding was stable. In my head I'm thinking..."why are you tugging on the cord then?" But I kept my mouth shut. Mom rolled up with an IV and oxygen! So what else could I expect - poor guys were a little out of their element.
Anyway, I told the patient she didn't give me a fair chance at all!
Just got a call a little while ago about a young primip who is ruptured with thick meconium. Yah.