Mar 24, 2010

First LR duty as an intern

As a student, what I did maximum was observe the labour, see a few deliveries, and be back home in an hour or so. Never touched a particular thing there! Anyways. The point now is:

How is it being in the Labour Room for 6 hours duty, as an intern?

Nursical (din't do anything more than what a nurse can do. Infact, the nurses were teaching me stuff, like breaking the ampoule, giving a IV injection, starting a drip, restarting a blocked drip, changing cannulas, running out to call the pediatrician, calling for the relatives to bring the desired medications from stores !!)

Clerical (making entries of the deliveries and abortions, putting notes at the history sheet)

Obstetrical (tho, only for a brief period of time, but, that was indeed consoling) - Checking the dilataion, crowning, putting cathethers, checking for proteinuria, APPLYING FUNDAL PRESSURE. (there were some ladies who had absolutely no ability to push, henceforth, the fundal pressure was applied. Violent jerks were given with the fisted hands, to assist the expulsion. (I learned it in the first, and did it satisfactorily in the second such case! yippie!) holding the babies... held three such neonates in the baby trays.
Saw a PIH case, lots of abortions, and D&Cs, saw another patient who was brought very ill- had severe rigors and feeble pulse, unrecordable BP. (was saved!)

*Just a sad ending I had: the last case we handled, we couldn't save the baby. congenital anomaly (massive Hepatosplenomegaly) and he had an occassional heart, and no respiration since the delivery. Tried a lot resuscitating the baby, but, cudn't. Still Birth.

* A lot of spontaneous deliveries happened today- 3 deliveries took place on the bed itself.
(And all I think, is because of the not so good resident, who was negligent enough to not carry out the P/V regularly) But, not their mistake altogether: Coz the patients cry all the time, and most of the times just for the sake of catching the attention, and not because they are about to deliver. :-D

!Anyways, Peace.!

Repeat duty tomrw !!

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