Sunday, October 5, 2008

Babies come when they want to!

Sooo....the most awesomest thing happened to me last night. I delivered my patient without the MD there. No it was not on purpose, yes I tried to make her wait, and everything turned out totally great. She was like 7 cm the last time I checked her and I started some pit. 2 hours later I went in to check her again and she was really hurting. Her water was still intact at this point so I check her...she is a 9 and this is not her first baby. RED FLAG. I need the MD now. And the MD is close-5 min away. I'm having her (the mom) pant and breath and I keep asking her "don't push, try not to push, just breath, we can get through this, etc" She is on her side making that primal grunt-the one just before she pushes the baby out- and I decide to take a closer look. I lift her leg and I can see head, and its getting bigger. She is not panting, not breathing, she is pushing, and that baby is coming NOW. I yell out, "We're having a baby in here." My troops arrive (Thank the G-man for other nurses) and we have a baby. Needless to say the MD walks in like 3 min later and the MD is not happy. This was my first delivery all by my self. I have assisted several but this was one was all mine. I have to brag just a bit-no lacs, thank you, thank you. I think it was a combination on me trying to hold the head in because I really did want the doctor there and trying to keep the delivery of the head nice and slow. We need no Va J J explosions with out the MD. I then checked for a cord, nope we were good. One good push for the shoulders and we had a baby girl. I waited a bit before clamping the cord. Then I let Dad have the honors of cutting the cord. We gave the baby to Mom and all was well. The coolest thing was breaking the Bag of Water. I had to break the membranes with just the head out, and then peel it around the head so that the baby could take a breath of air. Awesome. That was the best adrenaline rush I have had in like forever. I wanted to tell them to name her Nicole...I was that proud of my accomplishment. I didn't though, I do have some self control. This charging thing is going great. It has forced me to step up as nurse, and I like being that person. Not an hour later the same thing almost happened again (to another nurse), the head was out and the MD had to catch the baby with no gloves-barely making it into the room for the delivery. What fun.