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Jan. 20th, 2021 11:05 pm![[personal profile]](https://www.dreamwidth.org/img/silk/identity/user.png){kind=small}
whitewriterAfternoon shift at SSH.
Sometimes i feel at home at SSH.
I've gotten to know the peeps.
Whose the bitches.(yes whose... I'm going gangsta)
Whose not the bitches.
Who you can trust.
Who you can't trust.
Then I run an induction for SGA ? And I feel slightly soul destroyed. My back hurts from leaning over the stupid work health and safety hazards that are midwifery specific.
My memorable moment of today?
So the lady requests for a morphine needle at 1700. Actually she asks for the needle and I had to clarify morphine subcut or epidural? She wants to try the subcut first.
In my head why bother if you know its going to epi but I humour her and get it.
A mere 15 mins later shes still in agony and demands an epidural so I'm like sure.
Course today has to be the day theres a complication with the epidural with the previous lady. The anaesthetist accidentally punctures the dura and ends up being delayed with that lady for about 1 hour.
Whilst the anesthatist is writing her notes about the dura puncture I explain that I'm hiding from my woman because she just begs me for the epi and its awkward as f because I can't make it faster and yes your pain is getting worse, that's... labour....
The delay is a good thing as my incharge was worried having subcut morph so close to the epi might cau Brady in the fatal heart.
The fhr didn't drop or Brady but it trended down. And down. And down. From 140 to 130 then 120. Then 110.
Not bad just worrysome. Then the anaesthetics come and I turn off the ctg because the woman is beside herself and acopic as we call it (a terrible word) and I've turned down the oxytocin. The woman fluffs around all floppy like a fish. We yell at her to focus and sit properly or she can't have an epidural.
I turn down the nitrous oxide she initially refused and now is sucking on like it's the best thing she ever tasted in her life.
19:30
It goes in. I put the ctg back on. FHR 110. Steady, nil decals.
The epi takes ages to work but at 8pm it finally does.
The FHR recovers too.
Whilst I'm preparing the infusion outside the door the incharge and anesthatist and I have a discussion about my lady they've branded her a princess and decided that she's overacting and clearly... its related to her culture.
I'm like I swear this is normal. But then again I've had heaps of ladies from (insert culture here). Perhaps now, its become the normal for me.
The incharge remains me of kaylee from firefly. I tel her this and what do you know, she was an ex fan.
She tells me one reason she had her daughter though the donation route (no partner) despite looking ever so like kaylee, you'd never think she'd struggle to find anyone, was because she was curious about the whole experience. This is the second midwife in this category that I've met.
Never met a nurse who wanted to be sick to get the "whole experience", though let me tell you. How funny.
I leave my woman at 9.5cm dilated.
I haven't caught a baby in over a month.
Sometimes i feel at home at SSH.
I've gotten to know the peeps.
Whose the bitches.(yes whose... I'm going gangsta)
Whose not the bitches.
Who you can trust.
Who you can't trust.
Then I run an induction for SGA ? And I feel slightly soul destroyed. My back hurts from leaning over the stupid work health and safety hazards that are midwifery specific.
My memorable moment of today?
So the lady requests for a morphine needle at 1700. Actually she asks for the needle and I had to clarify morphine subcut or epidural? She wants to try the subcut first.
In my head why bother if you know its going to epi but I humour her and get it.
A mere 15 mins later shes still in agony and demands an epidural so I'm like sure.
Course today has to be the day theres a complication with the epidural with the previous lady. The anaesthetist accidentally punctures the dura and ends up being delayed with that lady for about 1 hour.
Whilst the anesthatist is writing her notes about the dura puncture I explain that I'm hiding from my woman because she just begs me for the epi and its awkward as f because I can't make it faster and yes your pain is getting worse, that's... labour....
The delay is a good thing as my incharge was worried having subcut morph so close to the epi might cau Brady in the fatal heart.
The fhr didn't drop or Brady but it trended down. And down. And down. From 140 to 130 then 120. Then 110.
Not bad just worrysome. Then the anaesthetics come and I turn off the ctg because the woman is beside herself and acopic as we call it (a terrible word) and I've turned down the oxytocin. The woman fluffs around all floppy like a fish. We yell at her to focus and sit properly or she can't have an epidural.
I turn down the nitrous oxide she initially refused and now is sucking on like it's the best thing she ever tasted in her life.
19:30
It goes in. I put the ctg back on. FHR 110. Steady, nil decals.
The epi takes ages to work but at 8pm it finally does.
The FHR recovers too.
Whilst I'm preparing the infusion outside the door the incharge and anesthatist and I have a discussion about my lady they've branded her a princess and decided that she's overacting and clearly... its related to her culture.
I'm like I swear this is normal. But then again I've had heaps of ladies from (insert culture here). Perhaps now, its become the normal for me.
The incharge remains me of kaylee from firefly. I tel her this and what do you know, she was an ex fan.
She tells me one reason she had her daughter though the donation route (no partner) despite looking ever so like kaylee, you'd never think she'd struggle to find anyone, was because she was curious about the whole experience. This is the second midwife in this category that I've met.
Never met a nurse who wanted to be sick to get the "whole experience", though let me tell you. How funny.
I leave my woman at 9.5cm dilated.
I haven't caught a baby in over a month.
