![[personal profile]](https://www.dreamwidth.org/img/silk/identity/user.png){kind=small}
whitewriterThe Dari lady
This is my ignorance, on handover, the buzzer goes to call for a 2nd midwife to attend a birth and the in-charge sends me (oh man my heart is in my boots I'm so nervous) so I go anyways because face your fears - and I'm introduced to a p0 non english speaking lady who speaks Dari.
and I look at her and think, you don't look Indian.
but that's beside the point.
The main point is suspected macrosomic LGA baby on scan, for IOL in a few days but she started spont labouring earlier so here we are.
Pushing for 30 mins, head coming down slowlyish.
Macrosomia, macrosomia, macrosomia, my head says.
There was a 3a tear last week. The previous midwife says "theres an epis scissors and I've loaded the syringe for infiltration." I look at it on the birth trolley.
I didn't see her draw it. up but there's no time to get another set of everything. I'm just glad its all prepared.
she leaves to like, talk to the drs and finish up the notes so it's me and the Dari lady (who I think is from india, but she doesn't look Indian. but thats not important) and I think we're gonna need an epis.
Then a student pops up.
This day could not get any better. but actually this was a very independent student so that was nice. But I was the one who needed to cut the epis.
I decide to infiltrate in the chance we might be cutting an epis.
I've seen this done like, less than 10 times and the last time would have been more than a year ago, so I dig deep into my brain and I think I did it right.
How am I still a midwife, I wonder. I feel like the wild west.
It looks correct when i've done it. I had to do it a few times because it didn't seem like i put very much. I probably did about 15 mls all up.
And them after 4 pushes of not getting very far, I think I'll cut one.
And So I did. Right during the contraction, and no she did not have an epidural.
The baby did not bust out, and still had a ways to go -- such getting me worried that I called for a 2nd senior (ha like I'm a senior... 8th year wages and title and all) and I say I think I've cut it too short. And she's like too short or too early? and that got me thinking. Was it a bit too early to cut it?
She did a very controled set of pushes too then eventually the kiddo appears and all is well and good despite the large gush of thick mec after the kid.
I changed the chart from SAGO to postnatal -- the observations would have been wrongly classified otherwise. The student forgot to do that and I didn't spend the time to correct her.
Or was it the RM before forgot to do it. I don't know.
She wasn't Indian, she was Afghanistan. which makes sense although if I looked at her and was to guess I'd say she was from south America, or Chille or something.
But Afghanistan is way more common around SSH area. Anyway.
Because I also had :
Lady no2.
Termination of pregnancy, medical. for --- and kill me now i didn't find the time to write it down:
Anencephaly
and something else.
This was her 3rd Top.
She was a G4P1. No one could figure out from the notes what the other TOPs were for, and it wasn't really a time to ask.
she was only 24 and her one live birth was a 2 year old.
I made a massive mistake today -- so I was delivering the placenta and the cord snapped. Great. We ended up waiting an hour (first I did a VE and I had no idea wtf I was feeling for) so I call the educator who does a VE and explains: She's 5 cm dialted and the cervix is holding the placenta in. And she can't get past it.
She thought there was a low chance that she would birth the placenta naturally. We tried her squatting on a pan and giving it a good go -- but that seemed to not get anywhere. So I sat on the doctor to come and do a VE and the doctor had a go - but then was like nup.
theaters it is.
I forgot to somehow weedle into the conversation with the admission pre op nurse that it was for a TOP. Not like, the baby was born and then the placenta cord snapped (Cause that happens too and yes that means theater too).
And after i left the staff started asking the lady about her baby.
oops.
I forgot to deliver the placenta container with the lady so I went back down later and bumped into the pre op nurse who said "can you tell us somehow next time" and I was like. Oh. Yeah. Damn.
Then I spent the rest of my time doing clinical photos and trying to do momento photos, and the educator said "let me do them" lol and she re-did mine because in her very kind words "those (that I had taken) are a little confronting.
I left thinking "does she need dostinex ?" at 14+5 I think its a grey zone. It's definatly needed for 2nd trimester but 14+5... is just the beginning.
Lets hope she doesn't lactate at home.
Por por is finding her feet still
I come to my mums house to pick up the kids and I find Wendy's eyes glued to the TV.
My mum claims she can't control her and Wendy keeps hitting May2 in the head, so she turned the tV on for "a long time" (I asked how long and she couldn't say) I turn it off and there are immediate tears. So I did my usual trick - lets go outside for a walk! (more wails) Lets see if we can find a bunny! and instantly Wendy was so excited for this bunny.
We went for a short walk to peruse the street because I was considering a site for OC trailer parking (long story). We figured it wasn't suitable but wouldn't have known until we went down for a look. On the way we met a nice lady in a house with a bunch of kids who offered to show Wendy their baby cat but wendy was scared so we didn't get to see the kitty.
I was walking with my work uniform on so I wonder if that made members of the public more friendly or aware of me.
Cause I clearly am either a nurse or a midwife.
Anyhow. Por por wanted to take them for a walk also but I hadn't prepared the pram with toddler board and my mum was worried that since Wendy woke up complaining of ?knee pain (she's two) and she had a tonne of scratches on her face and bruises everywhere (lol she was a bit wild yesterday at my mum's during my annual UNSW friends Christmas party) that if they went to the park and wendy declared she couldn't walk home that there's no way my 75 yr old mum could carry heavy Wendy and May2 back home on her own.
I might not have minded so much if wendy was watching something good on the TV but it was some weird mime thing. Like what the heck.
LOLs.
Elizabeth didn't sleep well at my mums, She did ok but then would wake up for a drink but then get distracted by the new environment and start getting playful....
at 3am.
Yeah not fun,
And then at 5am. I think I was also dehydrated and so maybe my milk supply was downish. So she probably wasn't as satisfied as usual.
It's late and there's a giant day planned for tomorrow.
Oh and the cleaners came and the house actually, for once since Wendy was born and Pete and my mum had the capacity to help me, smelled clean.
This is my ignorance, on handover, the buzzer goes to call for a 2nd midwife to attend a birth and the in-charge sends me (oh man my heart is in my boots I'm so nervous) so I go anyways because face your fears - and I'm introduced to a p0 non english speaking lady who speaks Dari.
and I look at her and think, you don't look Indian.
but that's beside the point.
The main point is suspected macrosomic LGA baby on scan, for IOL in a few days but she started spont labouring earlier so here we are.
Pushing for 30 mins, head coming down slowlyish.
Macrosomia, macrosomia, macrosomia, my head says.
There was a 3a tear last week. The previous midwife says "theres an epis scissors and I've loaded the syringe for infiltration." I look at it on the birth trolley.
I didn't see her draw it. up but there's no time to get another set of everything. I'm just glad its all prepared.
she leaves to like, talk to the drs and finish up the notes so it's me and the Dari lady (who I think is from india, but she doesn't look Indian. but thats not important) and I think we're gonna need an epis.
Then a student pops up.
This day could not get any better. but actually this was a very independent student so that was nice. But I was the one who needed to cut the epis.
I decide to infiltrate in the chance we might be cutting an epis.
I've seen this done like, less than 10 times and the last time would have been more than a year ago, so I dig deep into my brain and I think I did it right.
How am I still a midwife, I wonder. I feel like the wild west.
It looks correct when i've done it. I had to do it a few times because it didn't seem like i put very much. I probably did about 15 mls all up.
And them after 4 pushes of not getting very far, I think I'll cut one.
And So I did. Right during the contraction, and no she did not have an epidural.
The baby did not bust out, and still had a ways to go -- such getting me worried that I called for a 2nd senior (ha like I'm a senior... 8th year wages and title and all) and I say I think I've cut it too short. And she's like too short or too early? and that got me thinking. Was it a bit too early to cut it?
She did a very controled set of pushes too then eventually the kiddo appears and all is well and good despite the large gush of thick mec after the kid.
I changed the chart from SAGO to postnatal -- the observations would have been wrongly classified otherwise. The student forgot to do that and I didn't spend the time to correct her.
Or was it the RM before forgot to do it. I don't know.
She wasn't Indian, she was Afghanistan. which makes sense although if I looked at her and was to guess I'd say she was from south America, or Chille or something.
But Afghanistan is way more common around SSH area. Anyway.
Because I also had :
Lady no2.
Termination of pregnancy, medical. for --- and kill me now i didn't find the time to write it down:
Anencephaly
and something else.
This was her 3rd Top.
She was a G4P1. No one could figure out from the notes what the other TOPs were for, and it wasn't really a time to ask.
she was only 24 and her one live birth was a 2 year old.
I made a massive mistake today -- so I was delivering the placenta and the cord snapped. Great. We ended up waiting an hour (first I did a VE and I had no idea wtf I was feeling for) so I call the educator who does a VE and explains: She's 5 cm dialted and the cervix is holding the placenta in. And she can't get past it.
She thought there was a low chance that she would birth the placenta naturally. We tried her squatting on a pan and giving it a good go -- but that seemed to not get anywhere. So I sat on the doctor to come and do a VE and the doctor had a go - but then was like nup.
theaters it is.
I forgot to somehow weedle into the conversation with the admission pre op nurse that it was for a TOP. Not like, the baby was born and then the placenta cord snapped (Cause that happens too and yes that means theater too).
And after i left the staff started asking the lady about her baby.
oops.
I forgot to deliver the placenta container with the lady so I went back down later and bumped into the pre op nurse who said "can you tell us somehow next time" and I was like. Oh. Yeah. Damn.
Then I spent the rest of my time doing clinical photos and trying to do momento photos, and the educator said "let me do them" lol and she re-did mine because in her very kind words "those (that I had taken) are a little confronting.
I left thinking "does she need dostinex ?" at 14+5 I think its a grey zone. It's definatly needed for 2nd trimester but 14+5... is just the beginning.
Lets hope she doesn't lactate at home.
Por por is finding her feet still
I come to my mums house to pick up the kids and I find Wendy's eyes glued to the TV.
My mum claims she can't control her and Wendy keeps hitting May2 in the head, so she turned the tV on for "a long time" (I asked how long and she couldn't say) I turn it off and there are immediate tears. So I did my usual trick - lets go outside for a walk! (more wails) Lets see if we can find a bunny! and instantly Wendy was so excited for this bunny.
We went for a short walk to peruse the street because I was considering a site for OC trailer parking (long story). We figured it wasn't suitable but wouldn't have known until we went down for a look. On the way we met a nice lady in a house with a bunch of kids who offered to show Wendy their baby cat but wendy was scared so we didn't get to see the kitty.
I was walking with my work uniform on so I wonder if that made members of the public more friendly or aware of me.
Cause I clearly am either a nurse or a midwife.
Anyhow. Por por wanted to take them for a walk also but I hadn't prepared the pram with toddler board and my mum was worried that since Wendy woke up complaining of ?knee pain (she's two) and she had a tonne of scratches on her face and bruises everywhere (lol she was a bit wild yesterday at my mum's during my annual UNSW friends Christmas party) that if they went to the park and wendy declared she couldn't walk home that there's no way my 75 yr old mum could carry heavy Wendy and May2 back home on her own.
I might not have minded so much if wendy was watching something good on the TV but it was some weird mime thing. Like what the heck.
LOLs.
Elizabeth didn't sleep well at my mums, She did ok but then would wake up for a drink but then get distracted by the new environment and start getting playful....
at 3am.
Yeah not fun,
And then at 5am. I think I was also dehydrated and so maybe my milk supply was downish. So she probably wasn't as satisfied as usual.
It's late and there's a giant day planned for tomorrow.
Oh and the cleaners came and the house actually, for once since Wendy was born and Pete and my mum had the capacity to help me, smelled clean.
