Tuesday, December 29, 2009

Crazy day in Labor and Delivery




Well today was definitely a day to get experience. We had a crazy day from the very beginning. To start out the day we arrived to two women who were both in labor, both 10 centimeters dilated, and both pushing!! One of the women was showing her pain very loudly, which is very uncommon here in Mali. This was her fourth pregnancy and she was very high risk because the last tow babies were delivered c-section. This is a risk because we were worried that if she pushed too hard she could rupture her uterus. It was too late to take her into a c-section as she was fully dilated and the head was down so the doctor grabbed some forceps and tried to get the baby out without the mom pushing. I will be honest I don't ever want the doctor to use forceps when I have children...so scary!! It basically looks like the doctor is yanking the baby out, but it's completely safe for the baby if it's done correctly. So not only is this women a high risk delivery but she was completely out of control. Every time the doctor tried to do anything she would kick and scream(like I said VERY uncommon here). We had 4 different people holding her down so that we could finally deliver the baby, a healthy baby boy! Next we turned to the other lady who was at 10 centimeters as well. Olive asked me to get something and I turned around and there was the baby! One push and the baby came right out, crazy! We got things calmed down a little bit when two more women 15 minutes apart came in. One was 37 weeks pregnant and having labor pains but she wasn't really too serious at the moment. The next was a 30yrs old women who was probably 4'8' and she was ready to give birth. We thought that we would have to section her because of her size, but yet again it was too late and the doctor had to deliver. Luckily everything went smoothly and she delivered a healthy baby. Then a few hours went by...we had a few more cases come in but nothing serious and no one in full labor. Then Olive decided to check the lady from earlier who was beginning labor. That is when she discovered that the baby was presenting with the cord, which means the cord was coming out before the head. This is a very dangerous situation and could kill the baby fast because the cord could get squeezed by the head, not allowing the baby to have oxygen. Everyone immediately screamed for a c-section. I have never seen people move so fast. They all ran around trying to get everything ready and they brought the lady in. The baby heart rate was decreasing rapidly and we were really concerned that we were losing the baby. Dr. Dan was finally able to cut and get the baby out. He was a very healthy baby boy!! Praise Jesus! It is so incredible how the hand of God truly is working through these people. That baby was losing oxygen fast and was in this situation for a good 10 minutes, honestly he probably shouldn't have made it, but we serve a mighty God!! It is so great to see victory here, God is truly working through these people and his name is being glorified more and more because of that! My delivery count is up to 12...crazy!! I got to sit and just hold some of these babies who were born and it was such a blessing! The best Christmas present ever!

I am very sad to report that the twins that were brought to us yesterday went to be with Jesus today. They died this afternoon because they were not able to breath on their own. The nurses and doctors did everything they could, but given their situation and how cold they got the day before at the city hospital really decreased their chances. We still serve a good God though and those times of victory over death really out weights these times of sadness.

I praise Jesus for such a great day and I am excited to see what else he has in store for tomorrow!

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