So today at the clinic a baby girl was born…but not in your
typical way. The maternity ward is on the outside of the clinic building, and
this afternoon one of the counselors at the clinic ran into the main area of
the clinic looking for Rhoda, one of our midwives, and told her to hurry as a
baby was about to be born. Now I had heard from Rhoda about 2 hours earlier
that the mother was dilated only 4cm, and Rhoda had figured she wouldn’t
deliver for several more hours. I went back with Rhoda as she examined the
mother and found her membranes still intact and her not dilated very far. Rhoda
explained this to the mother and then went back to her meeting in the main area
of the ward while the women was left on the delivery bed to wait. About half an
hour later a women came running into the clinic yelling, “we need a nurse!” I
heard this and came around the corner to find Rhoda running and Anne following
her. I asked what all the screaming was about and a co-worker told me that a
baby was born. Oh, I thought another false alarm, this woman needs to learn
that she still has a ways to go before she will deliver. However, upon entering
the delivery room I found that indeed a baby had been born. The mother was no
longer lying on the bed, but instead was squatting on the floor while
Christine, another one of the midwives squatted next to her while cutting the
cord and subsequently disconnecting the baby from the mother. A huge puddle of
blood and amniotic fluid surrounded the woman. Instantly, my NICU mind started
going. At Rush I was used to carrying around a pager signaling a delivery, and
occasionally the NICU team and I would find the room was not prepared for a delivery or we arrived within seconds of the
baby being born. However, in this case there was no light on in the room (power
was out) and the room was dark, but I could tell that the baby was blue and not
crying. The midwife had a bulb suction and used it as she stimulated the baby.
I searched for gloves and then was able to help weigh the baby, wrap her, and
give her a Vitamin K injection and erythromycin eye ointment as the midwife
helped the mother get back into the delivery bed, deliver the placenta that was
still inside her, and stitch her up. This mother was a multip which helped
account for her quick labor, but still I was surprised that the baby was indeed
born that quickly. Lesson learned, always listen to a laboring mother, they
know their body best even if they don’t have the medical background to prove
it. This whole experience reminded me of the Rush NICU stories about babies
being born at home, in ambulances, in the ER (which we nurses had to run to-
and it was not close!) in the toilet, and in the antenatal room. Being a newer
nurse I was often assigned first admit, meaning I wore a pager and was the
nurse assigned to deliveries for the day. This left a lot to the unexpected and
some days my pager would signal an emergency meaning I would have to quickly
grab a heavy red emergency supply bag and run to wherever the delivery was.
Although some were false alarms they always had my heart racing and adrenaline
flowing. Although there is no pager system here or emergency bag my heart was
racing as my mind went into “NICU mode” like old times.
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