O&G Posting..

Salam sejahtera semua..

I'm in my 3rd week for my Obstetric and Gynaecology posting..got 2 weeks more to go with 3 times on-call session left and a hundred blank boxes in my log book to fulfill...not forget too..my two clinical reports..huhu..

I already conduct a case of normal delivery.
27 years old Malay female, primigravida (1st pregnancy) at 39 weeks and few days (can't remember the exact days). In Obstetric, the exected date of delivery was based on 40 weeks of gestation..means 280 days. Not like in Malay drama "9 months 9 days or 10 days"..it is 9 months and 7 days..
This time, my patient was very excited to see her child..when the Os was 3 cm dilated..she keep asking me when will the labour process will end..and she also claimed that she can't wait to push..
then, as the pain was very severe (due to strong uterine contraction), we give IM Pethidine together with anti-emetics. Just in minutes, she falls asleep..very deep sleep..very peace eventhough the contraction intensity was increasing..A peaceful 2nd stage of labour..
Around 4 hours later..the cervix still not favourable. At that time was 5 cm dilated. Got 5 cm more to go.. Oxytocin infusion was given..until maximum dose..where the patient's cervix dilatation reached at 10cm just in 1 hour..She was put in left lateral position and asked to start pushing in that position..for another 30 minutes..it was 3.45pm. And i got class at 4.00pm..
As the midwife knows that i'd got a class with my lecturer..Sharp at 4pm, the patient was put in supine and started on active pushing...
With very good and effective pushing..i successfully conduct the delivery of the baby girl 10 minutes later...very happy..that's was my 1st case..6 hours staying in the labour room with the mother..very satisfied..blood, amniotic fluid, the odour..ooowhhhhh..it's bad..i can even swallow a drink or food unless i really scrub my hand..my white coat??yess..the odour of the amniotic fluid and the blood were there..but i managed to mask the smell by rolling my mini Escape Calvin Klein on my white coat..hehe..
next time...i will share a story..nope..an experience witnessed a mother delivered an anencephaly baby..