We all know that working in this field can be exciting, touching, heart warming as well as heart wrenching. We know that strange and exciting things happen everyday. But every now and then something really strange, very scary and/or rare occurs. I think this might be a good opportunity to learn from other's about their most strange/interesting/scary experience. I have two:
1. Primip, uncomplicated term pregnancy, had good PNC. Came into triage in labor, 4cm I think, intact membranes, good strong ucs. Pt admitted, 0 epidural, got to C/C/+2 station, doc was called to come for delivery. MD showed up and ruptured membranes......BLACKish/Brownish fluid came out. Baby born in severe respiratory distress, transferred to NICU. Infant dx with severe Primary Pulmonary Hypertension and the baby died. Apparently the OB theorized that several days prior to delivery a blood vessel on the fetal side of the placenta broke and bled into the amniotic fluid. The infants lungs and stomach filled with this old bloody fluid and the infant was unable to be ventilated. Very sad case.
2. Multip, 37 weeks, good PNC, had numerous ultrasounds due to absent fetal movement on the ultrasound however everything else looked good except mom had bigtime polyhydramnios. AFI 59
, for the life of me I can't figure out why she wasn't admitted at 36 weeks(UH...hello doctor, isn't this a prolapsed cord or abruption waiting to happen???:smackingf ). Anyway she came in soaked from her waist down and in a lot of pain, EFM applied (baby looked good), 3 cm dilated. All of a sudden she had a complete abruption, blood pouring out, baby heart rate plummeted. Mom rushed to OR, not even an IV yet. Mom was crash sectioned, baby came out dead, but resucitated. Baby had neurological defects, no movment, no swallowing(hence all the fluid). I don't think the baby made it. It was so scary and sad for the family because they walked in and 11 min later baby was delivered, they didn't speak english and the only spanish speaking person on the floor was in the OR already. They had no clue what was going on.
Oct 30, '06
Last edit by elliebellie on Oct 30, '06