Melanie Bryant was the name, now Melanie Fox. I am a Labor and Delivery nurse working in a rural community hospital. I am the charge nurse on 3rd shift..the shift where the fun stuff happens..and im not talking about IV pole races down the hall way.
April 29, 2004
Last night was a routine delivery with a rather cool set of parents and a very good labor nurse. This woman is what we call a "primapara" or 'primate' for short..meaning it's her first baby. First babies are almost always longer than the rest and it's difficult to assume anything about the outcome of delivery. Subsequent babies are easier to predict based on history. You will get the rare woman who will come in and have her first baby in a few hours...I love this. Last night was almost a case of that..but with a spin, as there always is. Noel and Carl came in to hospital around 9pm 2 cm and contracting regularly. She had been given IV sedation around 10pm but her contractions got stronger instead of weaker. She was 5cm when I came on at 11pm and she was looking for the spinal. We paged Dr Wong at 1110pm. He was in a case in the OR..ruptured appendix. We waited...and waited. I knew the surgeon was out of the case because I saw her talking to the only family in the waiting room on my way in and she was saying "it perforated so we will need to treat him with antibiotics for a while and he will be here for a few days" I only assumed it wasnt coming to my floor because it was a man. However, I knew that she shouldn't have to wait too long. Now her contractions or coming every 1-1.5 minutes and finally at 1150 the doctor checks her and she is 8-9cm....Amazing for her first baby but bad for pain relief. We come to realization that this patient is going to miss her pain relief and we do not believe that to be a good thing...we are very sympathetic and now we get nervous. The OB thinks about calling an anesthesiologist at home and we are in the room with this patient who is having no respite from the amazing contractions. She wasn't even on pitocin...we couldnt stop the contractions from coming.
Just as the Doctor picks up the phone Dr Wong coming running around the corner. He came so fast we all jumped and and literally ran to give this girl "the block". She got the block around Midnight and it was a close call. We usually let the patient stay fully dilated after the block because is allows for "passive descension"...the baby comes down on its own. The mom feels nothing and has no idea. We can usually tell its time to deliver by watching the fetal heart beat. It starts to dip a little with contractions..head compression effect. In this case..the heart dropped more and we didn't know if it was because of the medication (that happens often) or because it was time to delivery. We did all the right things to get the heart beat back up and then let her push for a while. They tend to not push well with no feeling, but this girl pushed like the dickens...and we had a beautiful baby girl at 0058 this morning. It was one of those deliveries where the minute we told her it was ok to touch the head while she was crowning ...she then couldn't keep her hands away. She helped to delivery her own daughter by reaching down and keeping her hands on her while the doctor delivered the rest. The were so happy and the little girl was a doll, 7.10lbs. "We love you so much" "I cant believe how beautiful you are" "im your mommy and this is your daddy" "Welcome to our family rose" " I cant believe that being a grandparent could feel like this".
I have the best job in the world....
April 27, 2004
We settled our contract 4 days ago and we took a small hit financially. My healthcare cost went up and my cost of living increases went down..but I still have my seniority, shift differentials and a decent TSA/IRA plan. This only last's 3 years...then we will probably be holding signs on the line again.
I feel the need to add to my first post that I love my job..I love delivering babies more than anything. more to follow later. I have some truly great stories from this job...I promise it will be interesting.