...my last call was crazy. Wrong! My most recent call was absolutely stunning in terms of craziness! And it was only twelve hours...
I had to catch a fetal demise :( That was the start of my day.
Then I had another patient who was on mag for preeclampsia and on pitocin as well. She had to push for about an hour and a half but delivered a cute little baby over an intact perineum (with some asynclitic molding - no surprise because the baby was not that big and should have come a lot easier than it did).
Then I had a lady doing natural childbirth. She came in smiling at 7-8 cms. Her first two babies came really fast, especially once her water broke. So we broke her water and anticipated a baby really soon. Noooooo.....she delivered four hours later! I finally convinced her to try the tub and that's all it took!
Then I had taken over the doctor's primip that had been laboring all day naturally. As I took over, she was getting an epidural. I asked the nurse why she didn't try the tub when she was talking about how tense the patient was. She looked surprised and kinda stumbled over her answer. *sigh* It's a shame when women who want natural childbirth see the docs....unless they get lucky and get one of the nurses who are really supportive of that, they get no labor support. Anyway, the patient was kinda stuck at 8cms from what I had gathered so we put her on her side and put the peanut between her legs. The peanut looks really ridiculous but works everytime. It's just one of those tried and true tricks, like the tub. I re-check her and she's complete and feeling pressure. She pushes for twenty minutes and pops out this adorable 8 pound little girl over a few skidmarks! Pretty darn impressive for a first-timer :)
And I did all this while not feeling good :p Nothing like birth though to cheer a girl up.