Feb 20, '12
So the other day we had a young lady present to triage with all-over abd pain, coming in waves, and she was 35 wks pregnant with her first pregnancy. You can see where this is going.Our facility is a very small Emerg. Basically if anything really emergent comes in, we stabilize them and ship out to a bigger hospital. The attending announced that he had delivered his last baby years ago and was arranging for transfer to a major center with a L&D floor.We had the basic equipment for delivery, a warmer, and of course the peds crash cart, but that was about it. No fetal monitor.We hardly ever catch babies. I think, over the facility's history, that there have been 3 or 4 deliveries. Since I just had my L&D rotation, it all kind of came flooding back and I was comfortably timing contractions and coaching the mom to breathe, as well as pseudo-monitoring the FHR with the Doppler (it shows the rate - baseline roughly 140 with decels to 129 after contractions ceased, which worried me). Mom was 9-10 cm dilated and baby's head was engaged, no ROM yet. Contractions were about 1 minute apart for 35 seconds. Mom felt no urge to push or bear down, but if she had I would have convinced her to pant. We got her transferred out soon after.My question to you knowledgeable nurses......what do you do with a laboring patient? Is there anything i should have done differently? Have you got any surprise delivery stories?
Last edit by flyingchange on Feb 20, '12
: Reason: Sorry I tried to add spaces and it won't let me....