I am SO exhausted, what a night.
Poor girl. Wanted to go natural, but very reasonable and flexible patient. They were self-pay, planning to go home in 24 hours, etc.
She was 5cm when my shift started. I kinda had a funny feeling when I first met her, that this wasn't going to be easy. She's short, with short legs and arms, but average size.
SO, la dee da, she's doing it all, birthing ball, tub, standing, walking, etc, no progress, at 2100 we arom, ok fine and dandy.
at 2330 she starts involuntarily pushing while squatting in the bathroom, OK, GREAT this is going well.
at midnight, she's complete, yeah!
at 0100, we've had some variables mom has a temp and hasn't made much progress, despite pushing in all sorts of positions, she's just not relaxing, she's fighting her body.
So, we get an epidural and rest, she has some lates, they resolve, but overall things are "ok"
at 0315, we start pushing again, head has moved, yeah! At this point, ive never checked her, the midwife has been at the bed, almost continuously, so i really dont have a feel for things, other than what I can see, which isn't much other tahn some occasional bulging
I've not eaten other than a half of piece of pizza and a few sips of water, im getting tired!
at 0515, she's still not made much progress, she's squatted, s-s, all fours, every type of pushing I know how, she has a great epidural, she can move, and feel pressure but she's comfortable, still feels tense to me and i finally checked her and it feels like a tight fit and baby feels OP
SOO, at 0545, variables continue, overall reassuring, mom's temp hovering around 100. she's getting exhausted, obviously, doc has seen strip, evalutated things, ok with continuing until 0630.
She really is starting to proress and crown, maybe a smidge.
baby is really decelling more, does'nt l ike mom's back at all but she pushes better on her back.
Doc finally comes in and evaluates again, agrees to try kiwi, but is hesitant, she tries, 2 pulls, baby comes to crowning and just sits there, doesn't budge, 2 popoffs, and baby slides right back up, doc says it's just caput coming down,
FINALLLY AT 0650 we wheeln into the OR and of course it's shift-change and there's not enough help, we need 4 RN's to go into the OR, because there's no tech and we need an assist.
THis poor patient, she's doing good, tho, very stoic, dad is crying she's not said much of anything the whole night.
SO, you'd think this baby would have a nuchal, be big, acyclytic (sp) SOMETHING, but nooo, straight OA, 6-1, no nuchal and the poor midwife, has to work all day today and nearly dislocated her fingers pushing up on the head, there was an audible POP when the suction was released becuase that baby was wedged in there so tight.
mom and babe were fine when I left, but WHEW, I"M POOPED and poor mom just did everythign we asked of her and pushing her little heart out.
Sometimes it's just NOT meant to be