Lights...Forceps...Action !

That was how my First Night was ! (Its the duties I'm talking about !! LR duty) ;-)

A cinematic night.
Where only the lead role has to face it all, or be a part of all the happening stuff.

It was a night which could compensate for the sin of not reading obstetrics the year or life-long.
'It was the William's Night!!' 
All the different varieties of cases had conveniently squeezed into the night.
I think, I learned the three quarters of  obstetrics. (A 'Quarter' is in my lungs. Exhaled!) ;-)

Just to put it all, the cases that kept us wide-eyed the whole night:

- Seropositive Pregnancy (HIV positive) - The whole kit that had to be worn!! (gown, cap, 'goggles' (haha!!) shoe-covers,  the 4-5 gloves worn one-on-one. cute!) Forceps delivery. Nevirapine syrup.

- An HBsAg Positive Pregnancy (Hepatitis B)

- Pregnancy with Heart disease (RHD -Severe MS, mild PAH, mild TR, H/O CHF) -The murmurs- Opening Snap, Diastolic murmur, Sent for Caesaerian Section.

- Abruptio Placenta - The pieces that the placenta comes in. The haematoma lying behind the placenta.

- IUD baby - Delivered a small baby of the size of two palms, all enclosed in the membranes, the ones which were difficult to be torn. It felt like a jelly tablet. Translucent to visualize the fetal parts through it.

- PIH cases- Lots- (4-5!)

- 2 Cervical repairs - * The women these days. Huh ! Do not believe in bearing down. And the fundal application, required in almost every case, is depressing. Forget bearing down, they do not even cooperate in our assistance. :-X

- PPH with Pre-eclampsia.


- Polyhydramnios
- Breech delivery.




The SPECIAL INCIDENTS which will be etched forever in my memory will be:

1. Fat obese woman, not bearing down, baby with a breech presentation, a frail skiny-thin R-2, trying to extract the baby out, fundal by an Intern and R-1, the baby's come half way out, and the head's stuck in there.

Yenna Rascalla ! The R-2 has had enough.
Now, she is fed up of the effort she's put in.

Sheooo. Sheeo Sheeo.

She closes her eyes, and takes a deep breath.

Hmmmmmm.

With all the vigour she possesses, she shouts, 'Emmmmmmmm' and plays the tug-of-war, with the mother.

'Ye Bachcha hume de de, Maai !!'

;-)

One more 'Emmmmmmmmmm.... ' and the baby comes out in the hands of R-2.

Slow motion:
R-2 is holding the baby in her hands, and she's falling down to the ground.

Knees bent, she's about to hit rock bottom.

Only inches away from hitting herself on the floor.

STOP.

Swoooosh.

She stands up on her feet from that position, and keeps the baby in the baby tray.

"Mind it."

A meany stare.


(Hey, yeah, this all happened. and in the same Rajnikant way that I tried to weave in words.)

It was because of the umbilical cord, and the attached placenta, that the baby and R-2 recoiled back. (I hope now you can understand how frail and skinny my R-2 is!! ) ;-)

* The baby was a huge 3.8 kg !!

2. A delivery that wet us all.
Under-estimating the excessive liquor that she had, we had to shower ourselves in the approximate 4 litre of fluid that gushed out, as soon as the baby was delivered.

It was like standing at the opening of the dam gates !! 
:-D


Tele says: What does a Breech baby do first??




Simple. 
Shows a 'Butt' to the world. 
:-P