First night on call 22.01.2020

This Wednesday night started with a primi para at one day over term (40+1) and a very prolonged delivery. She had been induced since the day before with signs of preeclampsia and her water broke in the evening. It was green. Given there were no further signs of infection (temperature or a tachycardic baseline) we waited as she developed contractions. Towards midnight dilation had come to a standstill and oxytocin was started. She fully dialed by the early hours of the morning but the CTG started showing signs of fetal distress. The indication to do a c-section with a pathologic CTG was made and off to operating theater we went. Operation went well but the baby showed signs of infection already at delivery and needed ventilation, CPAP as well as chest compressions for some minutes. My highest respect to our nurse anesthesia, Nosy, who took care of the mom while I operated.  Nosy also managed to put a tiny i.v. in this newborns hand that needed antibiotics, fluids and glucose. We don't have any pediatricians here. We spent the rest of the night keeping his temperature and oxygen saturation up, without support he was down to a range between 77-84%. We took turns in the team watching the monitor and adjusting parameters if necessary. We are many helping hands at the moment, this is good. 

Baby Velonjara 3001g