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whitewriterMonday at Blacktown
woman 1.
C section for previous.
I dunno what happened with the panda, but it was odd when I checked it but I was happy with it anyway somehow. I screwed up during the check, accidentally disconnecting the oxygen tank in a way that made the tank hissssss loudly with air escaping: but also, the tank was less than half full. Anyway. I hate when my lack of attendance at work (which is still once a week) just makes me feel so incompetent.
The baby came out - elective c-section for previous failure to progress - with particulate mec liquor. Which totally surprised me. I called for a paed cause ... thats what we do. And later on I was doing the e-learning for the neonatal resus because I wanted more information about the resuscitare -- and I should have done a sats on the baby.
The paed doctor didn't ask for it, or suggest it or anything. Just asked if I was ok with her to leave. Sighs. Hope this doesn't come back to bite me later.
Mec liquor facts.
Mec obs - 4/24 for 2 days post birth.
Sats within first hour of life.
GDM diet
listed as obese, but the lady was a very short lady I must admit. Nice enough. Said she fed her first for 9mo and then the kid wasn't interested in breastfeeding anymore.
I chose this lady out of a pile of 2 (working with another midwife) and I lucked out cause Baby 2 needed a full resus and admission to SCN. So. Yes.
But also how long was this baby swimming in it's own poop. Like 2 min?
The second lady
water broke for >24 hours so she rocked up to hospital right at the 24 hour mark for an induction considering her birth hadn't started (i think the textbook says approx 98% labour starts naturally if the water breaks first and the other 2% becomes an induction)
Mostly cause we're trying to avoid infection and we will commence antibiotics at this time. They didn't have staffing so they couldn't start the induction.
So she sat and sat around for like. 6 hours. My c-section finished - and so I was allocated to start her up.
The VE was honestly, difficult.
I had the CTG going --- and when I was doing the VE -- there was no reactivity on the CTG so I didn't think I was tickling the kids head at all - I suspected I was tickling her cervix.
LOL.
At first I thought she might be 4-5 cm and that I could feel forewaters. But the longer my hand was up there having a feel, I thought no it can't be. It must be more like 1cm tbh.
So I declared her as 1cm dialated, 1cm thick and -1 station.
and started the meds for induction. Cause her waters have broken for more than 24 hours and we need to have a baby now.
GBS .. negative I'm pretty sure.
still had a lot of trouble finding the serology, I found Hepatitis but not HIV etc. This is an ongoing issue with this district cause they use outside services to do the tests Unlike other health services that use internal processes.
Anyways.
I Left feeling uncofortable about my skills re: neonatal resus tbh. This is something that needs to be addressed ASAP.
woman 1.
C section for previous.
I dunno what happened with the panda, but it was odd when I checked it but I was happy with it anyway somehow. I screwed up during the check, accidentally disconnecting the oxygen tank in a way that made the tank hissssss loudly with air escaping: but also, the tank was less than half full. Anyway. I hate when my lack of attendance at work (which is still once a week) just makes me feel so incompetent.
The baby came out - elective c-section for previous failure to progress - with particulate mec liquor. Which totally surprised me. I called for a paed cause ... thats what we do. And later on I was doing the e-learning for the neonatal resus because I wanted more information about the resuscitare -- and I should have done a sats on the baby.
The paed doctor didn't ask for it, or suggest it or anything. Just asked if I was ok with her to leave. Sighs. Hope this doesn't come back to bite me later.
Mec liquor facts.
Mec obs - 4/24 for 2 days post birth.
Sats within first hour of life.
GDM diet
listed as obese, but the lady was a very short lady I must admit. Nice enough. Said she fed her first for 9mo and then the kid wasn't interested in breastfeeding anymore.
I chose this lady out of a pile of 2 (working with another midwife) and I lucked out cause Baby 2 needed a full resus and admission to SCN. So. Yes.
But also how long was this baby swimming in it's own poop. Like 2 min?
The second lady
water broke for >24 hours so she rocked up to hospital right at the 24 hour mark for an induction considering her birth hadn't started (i think the textbook says approx 98% labour starts naturally if the water breaks first and the other 2% becomes an induction)
Mostly cause we're trying to avoid infection and we will commence antibiotics at this time. They didn't have staffing so they couldn't start the induction.
So she sat and sat around for like. 6 hours. My c-section finished - and so I was allocated to start her up.
The VE was honestly, difficult.
I had the CTG going --- and when I was doing the VE -- there was no reactivity on the CTG so I didn't think I was tickling the kids head at all - I suspected I was tickling her cervix.
LOL.
At first I thought she might be 4-5 cm and that I could feel forewaters. But the longer my hand was up there having a feel, I thought no it can't be. It must be more like 1cm tbh.
So I declared her as 1cm dialated, 1cm thick and -1 station.
and started the meds for induction. Cause her waters have broken for more than 24 hours and we need to have a baby now.
GBS .. negative I'm pretty sure.
still had a lot of trouble finding the serology, I found Hepatitis but not HIV etc. This is an ongoing issue with this district cause they use outside services to do the tests Unlike other health services that use internal processes.
Anyways.
I Left feeling uncofortable about my skills re: neonatal resus tbh. This is something that needs to be addressed ASAP.
