Iufd

Just need some moral support.

Last week I had a patient who had an IUFD at 31 weeks, very sad, I was very bummed by the whole thing.

Day before yesterday, I was assigned a pt who had been in-house since Feb 1, preeclamptic, CHTN, diabetic, polycystic ovary syndrome. She was 33 weeks and Sunday it was discovered that her baby had died. Bad enough, right? When I got her, she had already had 5 units of packed red cells, because her crit kept going down. She wasn't in dic, though. Very weird picture. A section was called because her induction wasn't working after two days, and we knew she was bleeding somewhere. So we got in, under general anesthesia, and there was no abruption. Surgeon was feeling around to see if something else was going on and he said "Oh ****, call general surgery" Turns out this woman has mets from an unknown primary tumor all over her intestines. She has a breast mass, and a mass on the head of her pancreas. We were in surgery for four hours.

All this time, the baby is in the next room unattended. The dad is wanting to see her. When I got out of the OR, I had two new admissions. I was just not able to do justice to this poor family. Another nurse did take over finally and help them, but I felt horrible. I can't shake it, really. I know time will help, but I hate feeling that I wasn't able to to what they needed.

Thanks for listening.

Lisa