Monday, August 27, 2007

what a day we had

We had heard about days like this! We had 9 women come in over the course of my shift.
It was a day full of experiences.
We delivered 6 of those babies, transported 3 I think. Actually I sort of lost track. but it was a day full of work and leaning new things. I was able to put in a catheter, I tried inserting 2 IVs, it's different then drawing blood because it' such a thick needle, I watched suturing (there wasn't time for slow people to suture) I had another chance to suture at 10 pm, but by then I was so tired, I didn't think I should try. One birth we saw the weirdest thing happen.(this is a little graphic if you would rather not read.) But one mom was pushing and the head was crowning, when suddenly her skin gave way below the normal hole and she ripped. Out came the baby shooting out all the way to the baby's navel, but not out where it should have. Hard to describe, but it was so weird and shocking, we paused for a minute not knowing what our next move should be. Assessing the tear later we realized what happened, that her skin was so poor in quality that instead of stretching it actually broke though. So she had a hole between her vagina and rectum. We had to transport for her to have surgery. It was possibly even a forth degree tear. We kept the baby at the clinic, and had a couple nursing interns feed the baby for a while. This is where the poor diet shows through. When the skin has no integrity. What a mess that I don't know if they have specialist in this county to fix right.
The funny thing is we had 3 moms pushing at once. We actually got to view one birth with our mom pushing in our cubicle,and we held back the curtain and peeped our head around to see the birth in the next cubicle. This birth had very tight shoulders and a baby who didn't breath right away, then 3 minutes later our mom gave birth. I know it sounds awful to give birth with only curtains between the birth rooms, but 1st of all if you compare this to the hospital here this is like a dream land. there are no curtain in the hospital. Just rows of beds. It's crazy at the hospital with people everywhere. Sherry keeps comparing it to India and saying how wonderful this hospital is, but keep comparing it to US hospitals and I wonder how we can transport anyone.
I had to transport one of my moms. Her water had been broken for only 12 hours, but she had no progress in 12 hours. She needed some pit. Sherry and I took her to the hospital and she was so scared. I felt so bad.
Sherry had been to the hospital I think 3 times that day. We were teasing her that she is the transport queen. The lady at the hospital said, "not you again". When you transport the guard drives us in the ambulance. Which is a van with a bed in the back. If he uses the siren it really doesn't do much good. The way they drive everyone just blends and merges constantly anyways. So you couldn't really drive fast.
The other reason that it's not so bad with curtain between is just the culture. They are in a way like one big family. there is a closeness in their culture not so much individuality.
Well I have some today so Monica and I are going to a crocodile farm.
I'm sure we will have pictures when we return.

1 comment:

  1. How was the crocodile farm? It sounds like it was a really hard day. Yeah, I do not think I would be thankful for a curtain, but you know, life without things does have a way of changing you.

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