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7 min labour
Dec. 6th, 2023 10:20 pmToday's woman had her baby in 7 mins.
I kid you not.
P2 (so 2 previous NVBs) both previous without epidurals, breastfed her 1st until 6mo and ceased due to "being pregnant again" and having morning sickness etc. and breastfed her 2nd until approx 11 mo due to being too exhausted to continue.
She came in having broken her waters at home , approx half a cup she said, yellow coloured.
So mec liquor was suspected.
She was in pain. She'd been in and out of MAC for the past week thinking she was in early labour only to be sent home each time until this time, well if her waters broke and it was mec liquor then she would be staying.
It appeared her husband had dropped her off - and went to drop off the kids (childcare?) and though she was in a birthing room, I could see the writing on the wall regarding the VE.
The moment I went up there and did anything (potential ARM for forewaters) then all bets are off - this kid is going to be coming.
Poor thing waited an hour for her husband to arrive.
Finally, he did.
We talked about active management of the 3rd stage.
Her previous VE (which apparently was "very painful" (looking back I wondered if she had vaginismus- which isn't written in the notes anywhere). -- and i figured before I went in, that it probably hurt more because she wasn't in labour.
And this time, she was.
Looking back on my experience with VEs - they're uncomfortable - but not painful. Half the time I think the pain is related to fear mostly. Fear of pain, fear of someone's hand going up THERE.
Anyhow, so he came. I got on with the VE, despite her protests and asking if I could delay I was steady - talked her through it - I went in and thought she was a solid 7. It was super thin, and super soft but it was there- fully effaced but still there as a ring. I could feel this big bag of waters just off to the posterior left of the head - and so I asked if I could ARM and shes like no - and i'm like really .... it'll probably be faster if I just do it and I'm already up here - and the husband is saying 'yes do it' and so I pull half out and I say to her - I won't do anything unless you agree but I really do think it would help --
she was once again afraid of the pain - and I explained that ARMs aren't more painful -
no more than a VE should be -
in anycase, I somehow got a yes and commenced with the ARM. To my satisfaction a large amount of thin but dark green liquor leaked out -- +++++ my hand stayed up there whilst it drained, and it seriously was copious.
After I was confident there was no cord, I pulled my hand out, went to take off my gloves and washed my hands and when I turned back to see the lady -readjust her CTG or whatever - and then - there was head on view.
I pressed the assist button and went for a 2nd pair of gloves.
The incharge and I decided the VE was at 11:25 and if the birth occured at 11:32 - that was a 7 min 2nd stage (pushing) although there was no real pushing -
It just happened.
The placenta was out not long after 11:39
EBL was minimal I guessed 200ml total and that uterus was well down. post.
intact peri. intact labia, vagina etc.
34 yrs old - 3 kids, saying she didn't want another. I informed her that 3 was plenty and she didn't need to have more if she didn't want to.
lolz. She said more than 3 would be crazy.
Well.
We'll see little Afghanistan lady. Your pretty good at having babies as far as I can see.
I kid you not.
P2 (so 2 previous NVBs) both previous without epidurals, breastfed her 1st until 6mo and ceased due to "being pregnant again" and having morning sickness etc. and breastfed her 2nd until approx 11 mo due to being too exhausted to continue.
She came in having broken her waters at home , approx half a cup she said, yellow coloured.
So mec liquor was suspected.
She was in pain. She'd been in and out of MAC for the past week thinking she was in early labour only to be sent home each time until this time, well if her waters broke and it was mec liquor then she would be staying.
It appeared her husband had dropped her off - and went to drop off the kids (childcare?) and though she was in a birthing room, I could see the writing on the wall regarding the VE.
The moment I went up there and did anything (potential ARM for forewaters) then all bets are off - this kid is going to be coming.
Poor thing waited an hour for her husband to arrive.
Finally, he did.
We talked about active management of the 3rd stage.
Her previous VE (which apparently was "very painful" (looking back I wondered if she had vaginismus- which isn't written in the notes anywhere). -- and i figured before I went in, that it probably hurt more because she wasn't in labour.
And this time, she was.
Looking back on my experience with VEs - they're uncomfortable - but not painful. Half the time I think the pain is related to fear mostly. Fear of pain, fear of someone's hand going up THERE.
Anyhow, so he came. I got on with the VE, despite her protests and asking if I could delay I was steady - talked her through it - I went in and thought she was a solid 7. It was super thin, and super soft but it was there- fully effaced but still there as a ring. I could feel this big bag of waters just off to the posterior left of the head - and so I asked if I could ARM and shes like no - and i'm like really .... it'll probably be faster if I just do it and I'm already up here - and the husband is saying 'yes do it' and so I pull half out and I say to her - I won't do anything unless you agree but I really do think it would help --
she was once again afraid of the pain - and I explained that ARMs aren't more painful -
no more than a VE should be -
in anycase, I somehow got a yes and commenced with the ARM. To my satisfaction a large amount of thin but dark green liquor leaked out -- +++++ my hand stayed up there whilst it drained, and it seriously was copious.
After I was confident there was no cord, I pulled my hand out, went to take off my gloves and washed my hands and when I turned back to see the lady -readjust her CTG or whatever - and then - there was head on view.
I pressed the assist button and went for a 2nd pair of gloves.
The incharge and I decided the VE was at 11:25 and if the birth occured at 11:32 - that was a 7 min 2nd stage (pushing) although there was no real pushing -
It just happened.
The placenta was out not long after 11:39
EBL was minimal I guessed 200ml total and that uterus was well down. post.
intact peri. intact labia, vagina etc.
34 yrs old - 3 kids, saying she didn't want another. I informed her that 3 was plenty and she didn't need to have more if she didn't want to.
lolz. She said more than 3 would be crazy.
Well.
We'll see little Afghanistan lady. Your pretty good at having babies as far as I can see.
