Oops....

  1. So I'm standing out at our front desk talking with the charge nurse about the 32 week triplets that we've been waiting half the night for, when she gets a phone call. I see her face kinda go all pale, eyes get all big, and she says that she'll "be right there". Now I assume that the phone call was from L&D... something about a triplet being out already...

    Nope.

    The call was from our AP unit. Evidently a Mom who was 28 plus weeks (who was just there for some prolonged monitoring) had felt some gas pains, went to the bathroom, and out dropped baby. Dad actually said that he heard a "thud". Yikes...

    So our team rushed up there, brought the baby down... He's doing great so far, on NCPAP +5, 21%. Hopefully his head didn't hit the ground too hard when he fell to the floor...

    Now I've heard about babies being born in the toliet, but always term. Anybody else ever had a preterm do this (or something similar)???
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  2. 22 Comments

  3. by   EricJRN
    We once got a baby that had been delivered at home unexpectedly. Mom was having contractions and called 911 because she had no transportation, then mom precipped right as she was being hoisted from her chair to the EMS stretcher. Per EMS, the baby's head "possibly struck the carpet." The baby ended up doing fine, although it had facial dysmorphic features likely due to maternal crack exposure.
  4. by   preemieRNkate
    Quote from Sweeper933
    Now I've heard about babies being born in the toliet, but always term. Anybody else ever had a preterm do this (or something similar)???
    Well, we've had both preterm and term toilet babies, as well as preterm babies born in the bed up on our ante floor. Babies born at home, in the ambulance, in the parking garage, etc. It always seems that when I'm in charge we get admissions of babies born anywhere but the DR!! People always ask me where the first admit nurse will be heading when they see I'm in charge!
  5. by   llg
    Oh, sure. I always thought it was more common with preemies. The mom's are expecting to be in labor ... and some labors are deceptive.
  6. by   ElvishDNP
    The way our unit is set up, one of the mother/baby/antepartum halls is right next to L/D, the other is right next to NICU. Fortunately, this one happened the one next to NICU.

    33-weeker mom in PTL (bedrest/bathroom privileges) gets up at 2am to pee, or so they think....and out comes baby. One nurse was already in there with her, & the charge nurse opened the door to NICU & hollered "33 weeker delivery in room XXXXX!" Off everyone went running.....

    The kid did fine, if I recall correctly.

    The worst one I ever remember was when I was in nursing school & was doing a small stint in a level III NICU. Mom went to the ER having contractions at 24 weeks and on her way from the car to the ER door (just afew feet) baby literall fell out onto the concrete. Of course had a grade IV bleed & was fighting like a mad dog to stay alive two weeks later.
  7. by   SteveNNP
    We had a set of 28-week twins both born in the toilet at home. Mom had gotten high on some cocaine, went to the bathroom, and looked down to find 2 babies "bobbing" in the toilet. EMS was called, and both were taken to our ED (luckily only 5 min away) where we resuscitated them. They both had temps of around 88f, but did great. Other than going through mild withdrawals, they never had any problems. No IVH, no sepsis. The cold water in the toilet probably had something to do with that! I just remember cringing and doublegloving for their first bath.
  8. by   Imafloat
    Quote from SteveRN21
    We had a set of 28-week twins both born in the toilet at home. Mom had gotten high on some cocaine, went to the bathroom, and looked down to find 2 babies "bobbing" in the toilet. EMS was called, and both were taken to our ED (luckily only 5 min away) where we resuscitated them. They both had temps of around 88f, but did great. Other than going through mild withdrawals, they never had any problems. No IVH, no sepsis. The cold water in the toilet probably had something to do with that! I just remember cringing and doublegloving for their first bath.
    When I first started reading this, I thought, wow, does he work in my unit? We had a very similar case, except the mom didn't know that the plop in the toilet was a twin (no prenatal care). The baby was in the toilet for about 5 minutes.
  9. by   Sylv
    Quote from Arwen_U

    The worst one I ever remember was when I was in nursing school & was doing a small stint in a level III NICU. Mom went to the ER having contractions at 24 weeks and on her way from the car to the ER door (just afew feet) baby literall fell out onto the concrete. Of course had a grade IV bleed & was fighting like a mad dog to stay alive two weeks later.

    Don't people wear underwear?
  10. by   ElvishDNP
    Quote from Sylv
    Don't people wear underwear?
    I guess if she thought she was in labor, maybe not...I dunno.
  11. by   dawngloves
    We've had "toilet deliveries" of every gestation, all at home. At the hospital we get a few delivered in the bedpan.
  12. by   Sweeper933
    Well I guess whatever happened w/ this baby didn't effect him too much, before I left work this morning he was already on a room air 2L cannula...
  13. by   wjf00
    In the ER a 19 weeker was born this way. To make matters worse, some management idiot had made the decision to go with automatic flush toilets. You can guess how bad a decision that was. The next day all the bathrooms in the facility were getting new toilets.
  14. by   elizabells
    !

    I always wondered why we didn't have automatic toilets to go with our automatic sinks. Now I know...

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