نافع لغيره – BeNeFiCiaL tO OthErS

Be Kind to Your Mother, bcoz….

 

Help the nurse to bring this patient to the labour room!“,asked the senior resident one day during my duty in the ward. The pregnant woman, approximately in her 30s, was passing thick meconium of liquor amnii after the vaginal examination (VE). It was a bad indicator for the baby, as the meconium may be aspirated and causing the Meconium Aspiration Syndrome (MAS).

The senior resident kept asking the mother to bear down again and again. She tried to push continuously as instructed. In the meantime, the senior checked the fetal heart sound (FHS) to assess the fetal heart rate (FHR) per minute.

After few trials of bearing down, the resident asked the nurse to get the stretcher. This woman had to be in the labour room. Delivery should be started STAT. The environment in the waiting room changed and becoming hectic. Everyone rushed to the labour room without any delay as this may harm the baby.

You get wash..

She said to me. I knew already that this was the golden chance for me to assist the normal delivery. Finally after few weeks. (It was a bad thing actually because we should have assisted the senior few times before. What kind of doctor are you? What a shame.)

When I entered the labour room, the senior resident was giving the *fundal pressure to the mother to assist the labour process. This is important when the contraction is not that strong and the mother is having no energy to bear down. I was quite blurred at that time. Really it was. This was the first time for me to assist the delivery so I just watched how they handled the case.

The senior checked the FHR again. It was around 80 beats per minute! The baby was having distress somehow as shown by the low heart rate.

Then came a junior resident, a male doctor. At once, he continued giving the fundal pressure again while of the senior was pulling the baby out. They did it really quick to save the baby’s life. The baby was finally delivered safely but, he was not crying immediately after birth. This was another bad sign…

In the blink of an eye, the other senior clamped the umbilical cord and and cut it. The baby was taken by the paediatrician and he started giving resuscitation to the baby. Thank God, the baby finally cried in the incubator after tactile stimulation was given to him. =)

Changla na?” (He is fine right?)” asked the senior to the paediatrician, when he said that the baby was fine. All iz well..hehe

The tension situation deteriorated. Everyone was so happy with the new member of the society, especially the mother of course. She was so relieved to see the baby, safe and sound.

The last part of normal delivery, suturing of the *episiotomy wound. This is a must know skill for us interns during this posting. It is a compulsory knowledge to know how to suture any wound, in this case, the wound of the perineal area. Even though I didn’t have the chance to cut the umbilical cord at least, I managed to learn how to do the suture. Maybe next time, I will ask the senior to let me do the suturing part.

 

How innocent are they

How innocent are they

 

This is not a full assist, it is a partial one I assume. haha

As for conclusion, normal vaginal delivery is absolutely a painful situation for the mother. Even me myself who just witnessed the mother also felt pity for them. That’s why nowadays, many of the pregnant lady opted for the operation, which is Caesarean section (CS) because they cannot withstand the pain of normal delivery.

For all mothers out there who prefer normal vaginal delivery upon the operation, I salute all of you. Your pain threshold is higher indeed as what was shared by my friend, and you have proven that you are stronger enough to endure such pain and hardship of delivering your precious baby. (“,)

Thank you mother for all your patience and hardship during those tough times…

 

* fundal pressure – the pressure which was given to the fundus of the uterus, to assist the expulsion of the fetus

* episiotomy – an incision into the tissues surrounding the opening of the vagina (perineum) during a difficult birth.

 

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