Hey guys. I caught an interesting situation the other day and wanted to see how common it really is. We had a 31wk multip being induced for HELLP. Apparently it was going really sl-o-o-o-w, and I, as the NICU delivery person that day, was told in the am that it didn't look like the babe would be coming on my shift. All of a sudden the NICU fellow comes TEARING through my transitional nursery (the room on L&D where we stabilize kids who are going to need NICU care before going to the main unit) shrieking at me to turn on a warmer. A second later she comes back with a limp, apneic 1300g peanut. It turned out MOB had just been checked, had been at 5cm, and a second later started complaining of rectal pressure. Nurse pulls back the blankets and there was baby in the bed, still inside the intact membranes. I've heard of this before, but only with the really wee 400g 23-week kids that just kind of fall out when mom sneezes.
So how often does this happen? Does it happen with term kids too? The baby ended up fine, just needed to be beaten up and suctioned well and then a couple of days of CPAP, but I thought it was interesting.
funny that i ran across this thread today. it's my birthday, and my mom likes to tell the story of me being delivered with an intact bow, essentially a precip delivery. i was her 4th child in 4-1/2 years, so the precip part is no surprise. i've heard that it's good luck, but never knew about the gift of foresight. i don't think i got that :)
I came pretty close to delivering that way with my 2nd, but I had no idea that could really happen! I went from 7-10cm in about 20 minutes and as soon as the doc walked in, I felt a POP and heard the splash on the floor, and then out came my son! It was WILD!!
To the PP about contractions being more tolerable with the BOW intact, I think it did help me, but I wouldn't call it tolerable. I had no epi, no drugs, no pit or anything with both of mine. My 1st one was the worst back labor that I hardly remember feeling any contractions on the front. I think the BOW being in tact helps the babe more than the mom, cushioning them a little better than if the membranes had ruptured.
Elvish, BSN, DNP, RN, NP
4 Articles; 5,259 Posts
well - happy birthday! :)
:balloons: