StudentNurse
Thursday, April 19, 2007
OBGYN Clinicals
Tuesday, 04/23
Mom, X. G-1, P-0. Had Chorio( strong vag odour), Preeclampsia and was 40+6. She had been pushing for 3hrs, no progress. She was on Magnesium Sulfate(Mag) and Gentamicin(due to the chorio infection). The 2 main side effects of mag are Pulmonary edema and DTR's. Calcium gluconate was on the bedside if it came down to that. Finally, after failure to progress, she had to get cut. The baby's sunny side was up too. She was wheeled to the OR and c/s was done. Delivered a big baby girl 8lbs 14oz. It's no wonder the baby wasn't descending. The OBGYN surgeon did a very neat job,she used some glue to seal the incision. This glue keeps the incision dry, helps it heal faster and no dressing is required now how cool is that?
Wednesday, 04/24
Mom, Y. G-3, P-0. Normal pregnancy. She got an AROM. She dilated and effaced from 5cm to 8cm in the bat of an eyelash, in like 15mins, no kidding. Pitocin(Pit) was stopped. She got amnioinfusion, 500ml to cushion the baby. The baby was getting some serious decels due to the pressure and discomfort of the ctx. The baby was still not descending and the mom was 100% dilated. She was put in the tredenburg position. Baby's heart was in the 60's. She got Terbutaline/Brethin(terb), 0.25mg to stop the ctx. Finally, the ctx stopped and the baby's HR was back to normal. After an 1hr baby had descended and mom started pushing.
I love L&D in a weird sort of way you know? you get the adrenaline rush, you might think it's routine but really it's not. I'll truly miss it.
Mom, X. G-1, P-0. Had Chorio( strong vag odour), Preeclampsia and was 40+6. She had been pushing for 3hrs, no progress. She was on Magnesium Sulfate(Mag) and Gentamicin(due to the chorio infection). The 2 main side effects of mag are Pulmonary edema and DTR's. Calcium gluconate was on the bedside if it came down to that. Finally, after failure to progress, she had to get cut. The baby's sunny side was up too. She was wheeled to the OR and c/s was done. Delivered a big baby girl 8lbs 14oz. It's no wonder the baby wasn't descending. The OBGYN surgeon did a very neat job,she used some glue to seal the incision. This glue keeps the incision dry, helps it heal faster and no dressing is required now how cool is that?
Wednesday, 04/24
Mom, Y. G-3, P-0. Normal pregnancy. She got an AROM. She dilated and effaced from 5cm to 8cm in the bat of an eyelash, in like 15mins, no kidding. Pitocin(Pit) was stopped. She got amnioinfusion, 500ml to cushion the baby. The baby was getting some serious decels due to the pressure and discomfort of the ctx. The baby was still not descending and the mom was 100% dilated. She was put in the tredenburg position. Baby's heart was in the 60's. She got Terbutaline/Brethin(terb), 0.25mg to stop the ctx. Finally, the ctx stopped and the baby's HR was back to normal. After an 1hr baby had descended and mom started pushing.
I love L&D in a weird sort of way you know? you get the adrenaline rush, you might think it's routine but really it's not. I'll truly miss it.
Labels: OBGYN ClinicalRotations
posted by Student Nurse at 4:29 PM
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