10.05.2020 Murphy's Law

Its Sunday and sunny but the days are getting shorter and noticeably cooler as we are headed slowly into winter time.  The afternoon was spent having a small grill party with the volunteers here.  A patient in the delivery room was having regular contractions and steady birth progress throughout the afterrnoon.  Towards evening I went up after to have a look at progress of the delivery which had been stagnating a while.  The patient I knew well.  She had been in on Friday at 38+3 weeks of pregnancy to our regular maternity visits and wished for a C-section!  This would not at all surprise me back at home as a fair amount of our patients have planned non-medically indicated C-sections.  She was the first patient I had here requesting this.  So we discussed the risks and benefits of the procedure and after careful explanation she had decided to try vaginal delivery.  It was her first pregnancy.  We told her that of course at any point if we were concerned we would always be able to offer her this option.  Well here we are on Sunday evening and exactly that situation has come to pass….Murphy’s Law!  Her delivery had stagnated, amniotic fluid had turned green and the CTG was showing signs of pathology.  It was off to surgery we went.  Thankfully procedure went well.  The best part though was that the team was entirely made up of locals and well me just guiding and assisting my resident Dr. Joselitto, who performed very well.  I’m so proud!

Baby Tiako 2740g 

I had a chance to step away from the table near the end of the surgey and had our newly trained operating room nurse Miora finish up the skin suture with doctor Joselitto.

Very concentrated to make the skin suture nice and intracutaneous 

I'm not good at sneaky picture taking.  Nurse anesthesia Hasina is tending to our patient. 

All three have done a wonderful job tonight.  

Tiako going home with mommy Francas after a few days with us 

(The advantage to my slighly delayed posting is I get to put in some pictures from discharge day!)

More posts coming up!  Its been busy :)