Okay, school requires 40 catches to complete clinicals and so far I have 14.....still have a long way to go.
So here are some stats so far: 6 girls 8 boys, 5 unmedicated births (2 of these were standing with me on my knees) only 4 perineal repairs (none worse than slight 2nd degree), smallest baby was 6#9oz and the largest 8#15oz. There were 7 first time moms, 4 second babies and 3 that are baby #4.
I expect to have more than 20 by the first of the year.....my preceptor has 6 or 7 due between now and then and I am also taking call with another midwife in the practice so that I can get these catches in sooner rather than later!
Seeing alot of interesting stuff in the office and really enjoying getting to know the patients and really bonding with some of them......now, just gotta convince the docs in this practice to hire me when I am finished.
Oh, for all of you full scope midwives out there......how many patients do you typically see in the office on an average day? My preceptor usually has 25-30 patients scheduled per day and that number TOTALLY overwhelms me! I do great and feel competent (as competent as a SNM can feel anyway) with about 12-15 and my preceptor is great about making sure I only do as many as I am comfortable doing and not get overwhelmed.
Showing posts with label unmedicated birth. Show all posts
Showing posts with label unmedicated birth. Show all posts
Wednesday, December 2, 2009
Thursday, January 22, 2009
Work is getting crazy!
I am sooooo freakin tired!!!!
Last night was a total zoo at work! Our unit typically has 165-200 deliveries a month, so we are fairly steady. On the busiest night we will admit 5 or so scheduled procedures and have maybe 3 or 4 triages, that mostly go home. Well, last night we had 10 triages and I think only sent 1 or 2 home and had to call off the scheduled procedures because we had no more nurses and no more rooms! When I left this morning I had just put a laboring patient in the last empty room, the morning's scheduled c-section was being pre-opped in the PACU and we still had one patient being triaged in one of our three triage rooms. I hate to even think of what dayshift is like today!
The one bright spot was a great little couple I had the privilege of laboring. It was their fourth child and she came in to "just get checked" she said she had been having contractions every evening for the last three nights and just wanted to see if they were doing anything, she fully expected me to send her home.....NOT happening. She was 6cm! She was so surprised when I told her, it was great!
She had a wonderful unmedicated birth, two hours after she arrived at the hospital. She didn't get to labor in the shower like we had planned. I was warming up the water for her and getting her towels laid out when she started vomitting (she stood by the bed the whole time leaning over the bedside table) and her water broke, puddling between her legs. This is when she started getting some pressure during the peaks of contractions and we felt it best to hang close to the bed, she really didn't want to move much at this point anyway, it seemed like an insurmountable task to to her to get in and out of the shower at 8cm dilated!
On a less stressful note, I get to spend the evening having dinner with the local CNM's. I really enjoy getting together with these ladies, they are such a wonderful group and always keep me encouraged and pushing forward.
Last night was a total zoo at work! Our unit typically has 165-200 deliveries a month, so we are fairly steady. On the busiest night we will admit 5 or so scheduled procedures and have maybe 3 or 4 triages, that mostly go home. Well, last night we had 10 triages and I think only sent 1 or 2 home and had to call off the scheduled procedures because we had no more nurses and no more rooms! When I left this morning I had just put a laboring patient in the last empty room, the morning's scheduled c-section was being pre-opped in the PACU and we still had one patient being triaged in one of our three triage rooms. I hate to even think of what dayshift is like today!
The one bright spot was a great little couple I had the privilege of laboring. It was their fourth child and she came in to "just get checked" she said she had been having contractions every evening for the last three nights and just wanted to see if they were doing anything, she fully expected me to send her home.....NOT happening. She was 6cm! She was so surprised when I told her, it was great!
She had a wonderful unmedicated birth, two hours after she arrived at the hospital. She didn't get to labor in the shower like we had planned. I was warming up the water for her and getting her towels laid out when she started vomitting (she stood by the bed the whole time leaning over the bedside table) and her water broke, puddling between her legs. This is when she started getting some pressure during the peaks of contractions and we felt it best to hang close to the bed, she really didn't want to move much at this point anyway, it seemed like an insurmountable task to to her to get in and out of the shower at 8cm dilated!
On a less stressful note, I get to spend the evening having dinner with the local CNM's. I really enjoy getting together with these ladies, they are such a wonderful group and always keep me encouraged and pushing forward.
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