OB-GYN-L Messages for February, 2008: Re: Today was a GOOD day!

Re: Today was a GOOD day!

From: westsidebirthservice@juno.com

"westsidebirthservice@juno.com"

Fri Feb 29 06:38:04 2008

-- annam@uic.edu (Anna Meenan, MD) wrote: The daughter of the medical assistant at the outreach clinic I used to staff was 41 weeks pregnant. Was brought in Saturday for induction and I was bummed because I don't work weekends and thought I would miss the delivery. Turned out baby was in transverse lie when she arrived and decision was made to section her. She waited and waited and waited, but one emergency after another came up and her elective section just kept getting pushed back. Finally they sent her home and told her to check in the office Monday for another section date. When she got to the office, she was vertex, so they scheduled her for induction last night (but with great trepidation because EFW on U/S was >4000g). She got Cervidil but after 8 hours she had some deep decels so they had to pull the cervidil early with minimal cervical change. Heart tones stabilized so the consultant said let her sit for a couple hours and he would decide what to do next. Everybody got busy again, and when we checked her after 3 hours, she had gone from 1 to 9! Hooray! Broke her bag and got her started pushing. Deep variables with pushing, but she was bringing it down almost to vacuum/forceps territory, so I went out to the desk to inform the consultant that we were going to put the vacuum on this possibly macrosomic baby. When i walked back into the room, she was crowning! Hooray! Two more pushes and the baby was out, without so much as a tear. 1 cm to baby in 4 hours, I got to be there after all, gave my friend the new grandma a big hug, and got out of there at noon. Hooray! Just had to share. Wish all days could be like today.

And what was the final weight of the baby?

Louana

-- annam@uic.edu (Anna Meenan, MD) wrote:
The daughter of the medical assistant at the outreach clinic I used to
staff was 41 weeks pregnant. Was brought in Saturday for induction and
I was bummed because I don't work weekends and thought I would miss the
delivery. Turned out baby was in transverse lie when she arrived and
decision was made to section her. She waited and waited and waited, but
one emergency after another came up and her elective section just kept
getting pushed back. Finally they sent her home and told her to check
in the office Monday for another section date. When she got to the
office, she was vertex, so they scheduled her for induction last night
(but with great trepidation because EFW on U/S was >4000g). She got
Cervidil but after 8 hours she had some deep decels so they had to pull
the cervidil early with minimal cervical change. Heart tones stabilized
so the consultant said let her sit for a couple hours and he would
decide what to do next. Everybody got busy again, and when we checked
her after 3 hours, she had gone from 1 to 9! Hooray! Broke her bag and
got her started pushing. Deep variables with pushing, but she was
bringing it down almost to vacuum/forceps territory, so I went out to
the desk to inform the consultant that we were going to put the vacuum
on this possibly macrosomic baby. When i walked back into the room, she
was crowning! Hooray! Two more pushes and the baby was out, without so
much as a tear. 1 cm to baby in 4 hours, I got to be there after all,
gave my friend the new grandma a big hug, and got out of there at noon.
Hooray!
Just had to share. Wish all days could be like today.

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