I am a Family Medicine intern, and I had one of the most horrific moments of my life this weekend. I was paged by L&D to deliver one of my patients. Everything was going fine, but the baby's head (ROA) just w'ont come out. I decided to use a vaccum. Baby's head finaly came out, and just as a smile was begining to form on my face, the baby's head started turning blue. Very blue. I was freaking out. Told the nurse to page the OB/GYN attending on call, in the mean time I did a episiotomy, and tried the McRobets, Rubin, Woods and Rev. Woods. Again, no luck. I told the mom to gently roll on her hands and knees, and finally I was able to put my finger in and deliver the posterior shoulder. The OB attending finaly came in (just before the baby came out), and told me "You were lucky this time, next time do a c-section". No good job. No pat on the back.
My FM attending told me I did the right thing by not rushing into a c-section. I am a little confused. Is my attending right, or are OB/GYNs in general "c-section happy".
My FM attending told me I did the right thing by not rushing into a c-section. I am a little confused. Is my attending right, or are OB/GYNs in general "c-section happy".