L&D

LD was very slow today with only 4 laboring patients, and mine was the only one who looked like she would deliver during our shift. The other student and I faced off with rock-paper-scissors to win the patient - I was lucky to get her. She was very sweet and pregnant with her first child. Supportive family was there the whole time. She delivered vaginally with an epidural and episiotomy. The pushing was only 20 minutes long and not nearly as gross as I expected. I followed her the rest of the day until she went to the post-partum unit.

I got to check her cervix (or attempt to - it's very gooshy and confusing in there), remove her foley catheter, and assess the newborn after an hour. I helped her get the baby latch in order to breastfeed. I even got to put in a straight catheter to empty her bladder just before she left the unit. So even though it was a super slow morning and I sat around waiting for a long time I got to do a lot of fun things in the end. (Yes, inserting catheters is fun!).

The birth was totally exciting and happy. We were a little worried about the fetal heart rate, lots of decelerations during contractions. My nurse surmised that the cord was wrapped around the baby's neck and she was right. We worried that having all that trouble would exhaust the baby before she could be pushed out. But pushing labor went fast enough (20 minutes) so there weren't any real problems. The placenta came sliding out quickly with a waterfall of blood behind it. The placenta had a marginal cord insertion site so that was cool to see. I would have liked to look at it closer with better lights, but I decided it might be inappropriate for me to sneak off with the tub and poke and play with it. They might think that was weird :-)