Tuesday, December 23, 2008
Day 10 ...I think
Well, for the first time since we arrived we have internet access in the house we are stayin in....never thought it would excite me so much, but here I am back connected with the real world. I finished my observed births here on Sunday (they require you to observe 10 before beginning to deliver yourself). So yesterday was my first day delivering....I delivered (caught) 3 babies but worked 2 shifts to get it done. Only one today, but she was a primip so labored for quite a while, and there I was by her side. When she finally began to push I put off alerting the midwives because once you start pushing here you have about 20 minutes to get baby out or they cut an episiotomy...or in this case make me cut one. Luck was on my side, by the time the Midwife got there the baby was low, and mom was pushing well. The midwife mentioned the need to do an episiotomy and I just told her I thought things were fine. Episiotomies are done here more for the midwives than the moms. It means sewing up one area (large area) instead of searching for tears. This particular patient did have some small labial tears and a small tear in her pelvic floor, but in the states they would have just been left but the midwife wanted me to stitch. I began but she didn't like the style I was using so ended up taking over. Fine with me. Another grand day here. 4 catches dwn 16 to go.
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