17.03.2020 Night and Day

Baby Juldana our 3 am baby. First teaching C-section! (#12 and 103 overall :)

Absolutely a cutie, it's ok sometimes to have to get up in the middle of the night. This patient had delivered before but had a stagnated opening phase of labor this time around despite supportive measures with oxytocin. It was my first time taking on the assistent role during 80% of the surgery and teaching our new doctor Joselitto. He really did a great job, I was pleased all went well. I have a new appreciation for all my teachers at the beginning of my training. They were incredibly patient. It does make you nervous a bit! At the same time it's really satisfying knowing that you are able to pass your knowledge on. I'm thankful to finally have a young local colleague to train especially after the one who was planned was not able to come. 

Baby Stefany came earlier today with midwife Ando and our nurse anesthesia Hasina. They did a great job!  (102 overall:)

In the mid afternoon this mommy came into labor and delivery and we never found a heartrate above 70 bpm! While discussing new procedure for Corona virus preparation Tanja and I were informed by the midwives. We ran. Partusisten 3 ml in total didn't change the heartrate situation so an emergency c section indication was given. I'm so impressed with my team here, it's the second time we have this situation since I've been here and our total time between being informed of the patient and delivery of the baby was 13 minutes! 

On discharge day 20.03.2020. Too cute not to share this picture

Healthy and proud mom and baby :)

That's my team: Dr. Joselitto with midwives team (left to right): Pia, Tanja, Ando and our midwife trainee Nandriana for 3 months from Antsirabe, a city 3 hrs away, up front.