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Having all the women with the problems
Jan. 7th, 2023 09:34 pmLast week I had my first shift at SSH for 2023.
I had women with all the problems.
Lady #1 from oversease - but like odd overseas. Like born in x country and then migrated to a country which has a reciprocal agrement with Australia, but it only works in reverse. Aka. that Australians can go there and get healthcare but they can't come here and have healthcare? I don't want to say which countries she's from because then that would probably be as good as identifying who she is.
She thought she could wing it without healthcare in pregnancy because the country she is from is one of those with a cultural belief that pregnancy is a normal state of being that doesn't require healthcare (sorta, if your low risk, but she wasn't) but turns out she had hypertension in pregnancy and had no idea. So she came to Australia on a holiday visa to visit her husband who is working here, supposedly went to the GP a few times, and another local hospital a few times for various reasons - but then gave birth at home to a much smaller baby than the gestation she thought it was.
Due to her hypertension postpartum, they think she had it in pregnancy, which would have contributed to the poor growth and demise of the fetus (most certainly probably would have caused its death). She gave birth to it at home and was brought in by ambulance.
She's refusing a post mortum due to the cost. While it may show why the baby died, it may also show nothing. But it was really small for it's gestation.
She had it in a cold cot in its room and other than bring her meals, offer her ice for her breasts and check her observations - the other main thing I did was to check the baby's cold cot remained cold because, decomposition is a thing.
Man. That poor thing was looking rather decomposed by the end of my shift. It was 3 days into her 4 day stay.
Woman number 2.
Extremely anxious G3PO. Meaning, she's had 2 previous pregnancies that didn't make it. The 2nd last one was rather depressing because she had to have an induction at 19 weeks for her dead fetus who had likely died inside her around 14 weeks based on size once it was born.
So that means she carried it dead for 5 weeks.
Now she was in at 24 weeks and 2 days for significant antepartum haemorrhage or APH.
She was intermittently tightening too.
She had an inhouse scan that showed nothing super unusual, the placenta was low lying but not really.
They stopped her asprin - which helps women retain pregnancy if they've had a history of loss- but in the context of an APH wasn't likely to be helpful.
She was so anxious. Everything I said was questioned, They wanted a lot of detail, some of which I didn't have. She wanted me to take care of her on the ward or wondered when I would see her next. Lady, I'm casual.
Turns out she migrated here just before the covid pandemic and then had go through pregnancies 1 and 2 and their subsequent bad outcomes during the whole covid thing too.
Some people have all the worst luck. She wasn't super old. The only thing I thought might have hindered her ability to remain pregnant was her low BMI, which was 17 and I think she was probably a vegetarian. B12 isn't really in vegitables. I'm not her obstetrician so i'm not there to poke and prod.
So I had both. And then I was meant to deliver a 36+2 weeker baby but the other casual just jumped in and did it. I can't very well elbow her aside and be like "but I was allocated this birth and you have a woman, in another room, whose induction your running!"
I'd not have known what to do with her anyways so I just held the toco and watched. Over in approx 10 minutes for the babe and another 5 for the placenta.
I wonder what the induction lady would think if she knew the room around the corner was done so quick. Let alone the G3P0 lady to know that someone would just have a term baby in 10 minutes. While she's been trying since 2019 and has had 0 success.
I had women with all the problems.
Lady #1 from oversease - but like odd overseas. Like born in x country and then migrated to a country which has a reciprocal agrement with Australia, but it only works in reverse. Aka. that Australians can go there and get healthcare but they can't come here and have healthcare? I don't want to say which countries she's from because then that would probably be as good as identifying who she is.
She thought she could wing it without healthcare in pregnancy because the country she is from is one of those with a cultural belief that pregnancy is a normal state of being that doesn't require healthcare (sorta, if your low risk, but she wasn't) but turns out she had hypertension in pregnancy and had no idea. So she came to Australia on a holiday visa to visit her husband who is working here, supposedly went to the GP a few times, and another local hospital a few times for various reasons - but then gave birth at home to a much smaller baby than the gestation she thought it was.
Due to her hypertension postpartum, they think she had it in pregnancy, which would have contributed to the poor growth and demise of the fetus (most certainly probably would have caused its death). She gave birth to it at home and was brought in by ambulance.
She's refusing a post mortum due to the cost. While it may show why the baby died, it may also show nothing. But it was really small for it's gestation.
She had it in a cold cot in its room and other than bring her meals, offer her ice for her breasts and check her observations - the other main thing I did was to check the baby's cold cot remained cold because, decomposition is a thing.
Man. That poor thing was looking rather decomposed by the end of my shift. It was 3 days into her 4 day stay.
Woman number 2.
Extremely anxious G3PO. Meaning, she's had 2 previous pregnancies that didn't make it. The 2nd last one was rather depressing because she had to have an induction at 19 weeks for her dead fetus who had likely died inside her around 14 weeks based on size once it was born.
So that means she carried it dead for 5 weeks.
Now she was in at 24 weeks and 2 days for significant antepartum haemorrhage or APH.
She was intermittently tightening too.
She had an inhouse scan that showed nothing super unusual, the placenta was low lying but not really.
They stopped her asprin - which helps women retain pregnancy if they've had a history of loss- but in the context of an APH wasn't likely to be helpful.
She was so anxious. Everything I said was questioned, They wanted a lot of detail, some of which I didn't have. She wanted me to take care of her on the ward or wondered when I would see her next. Lady, I'm casual.
Turns out she migrated here just before the covid pandemic and then had go through pregnancies 1 and 2 and their subsequent bad outcomes during the whole covid thing too.
Some people have all the worst luck. She wasn't super old. The only thing I thought might have hindered her ability to remain pregnant was her low BMI, which was 17 and I think she was probably a vegetarian. B12 isn't really in vegitables. I'm not her obstetrician so i'm not there to poke and prod.
So I had both. And then I was meant to deliver a 36+2 weeker baby but the other casual just jumped in and did it. I can't very well elbow her aside and be like "but I was allocated this birth and you have a woman, in another room, whose induction your running!"
I'd not have known what to do with her anyways so I just held the toco and watched. Over in approx 10 minutes for the babe and another 5 for the placenta.
I wonder what the induction lady would think if she knew the room around the corner was done so quick. Let alone the G3P0 lady to know that someone would just have a term baby in 10 minutes. While she's been trying since 2019 and has had 0 success.
