Hey guys--
Just got done with the delivery of a baby a little while ago. We thought it was going to be a C-section, but luckily they were able to get the baby out. The mom was about 40.5 weeks or so, and she had been contracting all day, with no progression. She was complete from about 1230 on, but still no progress.
Finally they increased the Pit to really make her contract hard. They got out the forceps and helped turn the baby. The baby was transverse and angled just a bit.
Personally I hate it when the physicians use the forceps. Since I work in respiratory, we do all the initial checks on the baby. As soon as the kiddo is born, the doc hands it to us and we get to work.
Usually start off by bulb suctioning out the nose and mouth more, to ensure clearing of the airway. Then we will do a set of vital signs (Temp, heart rate, and respers), followed by ausculation of the lungs. The lungs usually sound kind of moist, so we will stick a 8 French catheter down each nostril and into the lungs and suck out all the crap if there is any. Then reassess the vitals every few minutes until the baby is cleaned off and is ready to go to the mom.
The mom will bond with the babe for a bit, and then we take it to the nursery for further assessment. We also calculate the APGAR scores while in the labor room.
I really do enjoy doing deliveries, but from a respiratory standpoint, I don't. If we have a bad baby, more than likely we will be involved. I would hate to have something happen to a baby because it would be somewhat of our responsibility. I have had to care for babies that have trouble keeping their oxygen saturation up, so we usually stick it under an oxyhood. It looks like a thing at a beauty salon for a perm, and it fits over the baby's head. Then we use an oxygen analyzer to ensure we get the proper percentage of oxygen (FIO2)to the baby!!
Like I said, it is fun when the babies are well, but when they aren't, it can really be nerve racking!!
Well I just thought I would share my day's experience with you, that is if you care. If you don't, then that is fine too.
Tomorrow I am going to observe a laproscopic transverse vaginal hysterectomy with a right oopherectomy! I have never seen one of those, plus I get the opportunity to intubate!!
Have a great weekend!!
Chris