A Very Fine Whine

Musings of a Conservative Christian Resident Physician.

Quick Update from OB-GYN

Shoulder Dystocia.

It’s one more reason, seen personally by Yours Truly, that I cannot in any way agree with elective deliveries away from a recognized health-care institution.   (Now don’t you”natural people” go get all upset at me.)   Simply put, a shoulder dystocia is defined by the anterior shoulder of an infant becoming entrapped behind the pubic symphysis, thereby disallowing a normal delivery.  So there you are: baby is not moving anywhere, its head is saying “hello world” (fetal distress is, needless to say, strongly present) but shoulder is stuck securely behind the maternal pelvis.  So, third-year-medical-student, what do you do?  A simple easier-said-than-done process:

  1. DO NOT TRY THIS AT HOME, OR ALONE, OR HOME ALONE. BADBADBADBAD!!!!
  2. Pray. Seriously.
  3. Check your pulse. The first pulse to check in any emergency is your own.
  4. McRobert’s Maneuver.
  5. Suprapubic pressure. That’s PRESSURE, not a light touch.

Yup, glad I read about that before it jumped me all-of-a-sudden yesterday.  Scared me to pieces,but I’m SO GLAD there was someone with more training than I in the room, quarterbacking the situation.

It gave me time to check my pulse.

No grins.

Resolution: Baby lived, but took a few minutes several seconds to show any signs of life.  I’m getting practice at swallowing my heart.

Relieved smile.

————

NEWSFLASH #1.  Obstetrics has a litany of things involved in it that aren’t pretty, or fun to deal with.  It has its exhilarating moments, sure, but it’s not all fun and games.

NEWSFLASH #2.  Gynecology is not entirely an enjoyable field either.  There’s…never mind, I won’t go there.  Just believe me.

NEWSFLASH #3.  I’m enjoying OB-GYN more than I thought I would, but not enough to do it for the rest of my life.

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November 2, 2010 - Posted by | Rotations, School

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