Manual extraction

Specialties Ob/Gyn

Published

I don't think my anything I have ever seen in my 10 + years in heath care could possibly compare. not even my 3 years on the ambulance and the truma I have seen. It was awful

This was my first manual extraction. the patient had been with us for 4 days for PIH. she was in her early 20's and sweet as can be. she did have a low pain tolerance but managed to deliver a butaful 8.9 baby boy without pain meds (as she had hoped). Atfter the other nurse handed her the baby she looked at me and said "I did it DayRay I did it" my heart melted I was so proud of her.

I had stoped her pit and was waiting for the placenta so I could turn it back on. I waited and waited ..we waited 35 minutes and it never seperated. I recived orders for demerol and versed. set up the pulse ox and put her on a littel o2, pushed the demeral and then the versed.

I knew it was painful but never had any idea how bad it could be. I had to hold her down while she cried and screemed and begged us to stop. I have never felt so terrible It was like watching her being raped. when the doctor got the placenta out I went into the hall where I saw her mother and husband they were crying. I huged them and told them she wouldent remember the pain . they just looked at me.

thank you for letting me vent =)

Actually had this happen last night after yet another precip, doc came to deliver placenta (that wasn't in nearly a rush as the baby) After trying with just stadol and phenergan anesthesia was called for conscious sedation. Prior to anesthesia arriving mom was actually holding up pretty good with the doctors efforts. It is a hard thing to watch and you have to wonder "what" is making it so hard to come out? That is the thing that scares me.

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