Horrible delivery the other day

Specialties Ob/Gyn

Published

Had a bad delivery the otherday but suprizingly baby is doing good, can we just way primip pushing for 2 hours, c/section baby got stuck (beyond stuck) took about 5 minuts, pushing from below (2 different people) 2 doctors, 2 surgical techs, extended inciwsion laterally and an almost "t" incision apgars 2 and 9. gassess good (never in my life have I thought nor do i want to ever think again. This baby is going to die because we can't get it out) Horrible cannot describe it.

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Specializes in PICU/NICU.

And I thought L&D was a bunch of rainbows and sunshine!!

Seriously, I think you L&D nurses are awesome! There is nothing more terrifing than a L&D emergency- and being responsible for 2 pts at once is a tough job. Thank goodness you were able to get that baby out- I hope it continues to do well and momma is on the mend! I hope you never have to experience that again!

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Specializes in ER.

Confirms why I will never be a L&D nurse! Scary scary scary!

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Specializes in NICU, Post-partum.

Was the baby already in the birth canal?

We were always taught that once the baby was "engaged" that you cannot turn around and pull the baby back out.

Was the position of the infant's station confirmed prior to the c-section decision?

If not...bad call on the OB's part.

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Specializes in Community, OB, Nursery.

Have had several deliveries like that, where baby gets 'pushed back up' to be delivered by c/section for one reason or another. You're right....not pretty. And that vertical incision thing, ugh. Very ugly. Only seen that once. :(

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Specializes in ER, TRAUMA, MED-SURG.

OP - I feel for you! I think if you see even just one delivery like that one, it sticks with you FOREVER. I did see one similar to yours, and my experience was back about 97, and it seems like it was yesterday.

Mom to be presented to the ER around lunchtime. I was the code nurse on L and D that day. The ER called the unit just before the operator called the code overhead and requested any help we could send them. Two of us went down and she wasn't coding at that time, but it was just a miserable situation. Mom wasn't due yet, baby was quite early- I can't remember exactly how early. The ER doc spoke with OB doc and off we went to OB. Doc met us down there and had just started to do his thing. I went out to pick up something for him, and in the 30 seconds or so I was gone, she abrupted. The doc was COVERED with blood - and not wearing eye protection.

Mom crashed, and we got her in to C/S. Baby's daddy was en route, and I hoped we would have mom or baby alive for him to see. Mom was still an active crack user, and no prenatal care. We got baby out and sent for the NICU transport to get him to a facility where the specialist to handle. Right after this, mom died, still in the section room. Dad arrived as the transport was loading, so he did at least get one look at little "Joseph". He collapsed, just racked with sobs. Doc spoke with him and told him about mother. Baby's grandmom arrived during this, and told the doc that mom had AIDS. Baby's daddy said he had no idea she had this.

We called not long after that to check on baby "Joseph" and he also died not long after transport.

A horrible situation from start to finish. I was glad at least that Dad got to see him, but still... And I still cringe every time I think about the doc with no eye protection.

Within the next year after that, the doc quit his practice and went into politics. "A little safer ", he said.

Anne

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Specializes in Aged Care, Midwifery, Palliative Care.

My third child was face presentation, oblique lie which was only identified when she became stuck. She was pushed back up for the emergency CS. The DR went to get the forceps, when luckily a midwife walked into the room took one look and pushed the emergency buzzer and then she lectured that DR... My baby's HR was down to 55 bpm and I had oedema everywhere. It was scary as I thought I was going to lose her, but its now one of the reasons that I'm studying towards my RM.

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Specializes in Aged Care, Midwifery, Palliative Care.

Very sad Anne

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Specializes in Mental and Behavioral Health.
OP - I feel for you! I think if you see even just one delivery like that one, it sticks with you FOREVER. I did see one similar to yours, and my experience was back about 97, and it seems like it was yesterday.

Mom to be presented to the ER around lunchtime. I was the code nurse on L and D that day. The ER called the unit just before the operator called the code overhead and requested any help we could send them. Two of us went down and she wasn't coding at that time, but it was just a miserable situation. Mom wasn't due yet, baby was quite early- I can't remember exactly how early. The ER doc spoke with OB doc and off we went to OB. Doc met us down there and had just started to do his thing. I went out to pick up something for him, and in the 30 seconds or so I was gone, she abrupted. The doc was COVERED with blood - and not wearing eye protection.

Mom crashed, and we got her in to C/S. Baby's daddy was en route, and I hoped we would have mom or baby alive for him to see. Mom was still an active crack user, and no prenatal care. We got baby out and sent for the NICU transport to get him to a facility where the specialist to handle. Right after this, mom died, still in the section room. Dad arrived as the transport was loading, so he did at least get one look at little "Joseph". He collapsed, just racked with sobs. Doc spoke with him and told him about mother. Baby's grandmom arrived during this, and told the doc that mom had AIDS. Baby's daddy said he had no idea she had this.

We called not long after that to check on baby "Joseph" and he also died not long after transport.

A horrible situation from start to finish. I was glad at least that Dad got to see him, but still... And I still cringe every time I think about the doc with no eye protection.

Within the next year after that, the doc quit his practice and went into politics. "A little safer ", he said.

Anne

That is all really very, very horrible!

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Was the baby already in the birth canal?

We were always taught that once the baby was "engaged" that you cannot turn around and pull the baby back out.

Was the position of the infant's station confirmed prior to the c-section decision?

If not...bad call on the OB's part.

It certainly is not desirable, but what are you going to do if baby will not come out (an intractable shoulder dystocia comes to mind)? I think it would be a worse call on the OB's part to say, "We're not supposed to change our minds at this point," and let the baby die. They have to do something.

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Holy Smokes!! Sissiesmamma, that is a very frightening experience. I am a new grad about to start my L&D experience.

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Specializes in ER, TRAUMA, MED-SURG.
Holy Smokes!! Sissiesmamma, that is a very frightening experience. I am a new grad about to start my L&D experience.

Yes, it was a horrible day, the outcome that no one wants to see. Thank goodness, this one was the only REALLY horrible delivery among all the great ones that brought a smile to my face, and sometimes a tear of joy seeing another beautiful little one brought into the world. It was always worth it seeing a new mom and dad holding that sweet newborn- a life so full of promise.

Anne, RNC

Halo - good luck to you starting out in L and D. It is truly exciting - I am an ER nurse at heart, so I just never really started to truly enjoyed the unit. I got back out of it and went back to my ER. I hope you enjoy your experiences there.

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