Wednesday, February 6, 2008

The rest of the story....

I am a firm believer that things happen the way they do for a reason. Some people call it luck, I choose to believe in Divine intervention.
My Lamaze student gave birth by cesarean on Sunday afternoon. After making slow progress the MD requested the nurse place an IUPC (an internal pressure catheter placed inside the uterus to measure the strength of the contractions). During this placement the baby had a few significant decelerations and after a slow recovery became extremely tachycardic. So the decision was made to proceed with a cesarean section. My student had been laboring without an epidural so was able to have a spinal placed for the cesarean. It turns out there was a velamentous cord . It seems that when the doctor ruptured her membranes he just got the forebag and the placement of the IUPC got the rest. I'm just grateful that it turned out the way it did, honestly it could have been alot worse after the doctor ruptured the membranes because the tear in the amniotic sac could have torn the vessels and caused the baby to be exsanguinated in a matter of seconds. Mother and baby are both doing very well and baby breastfeeds like a champ!!
Another reason why amniotomy should not be used routinely!

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