My last rotation and this rotation has been with other residents and interns, so they obviously get first priority to do everything.
But the delivery this evening was during sign out and it was an attendings private patient, so the residents were busy doing other stuff so he asked if I wanted to assist him with the delivery.
But he basically let me do everything! I coached her through pushing. We had to do a small episiotomy. I reduced the nuchal cord, delivered the baby and placenta (which caused blood to squirt on my face). Did all the checks and he let me repair the episiotomy too. I haven't done any suturing in awhile, so I was a tad bit nervous about that, but it went really well and the attending gave me several compliments.
I know the lifestyle sucks, but the past 3 nights I've been up until midnight helping with ob stuff and I seriously don't mind at all. Then, I love being in gyn or prenatal clinic all day with random vaginal or csection deliveries thrown in. I haven't been in the OR much, but my rotation next month will be more OR heavy, so I'm looking forward to that. This month has definitely confirmed my career decision!
Post by dexteroni on Sept 18, 2014 19:07:24 GMT -5
So cool! I remember when you were first considering med school that you thought you wanted to be an ER doc. What made you change your focus? Did you consider other paths after deciding against ER but before setting on OBGYN?
Post by thebreakfastclub on Sept 18, 2014 19:12:29 GMT -5
That is really cool. My OB was training someone during my c/s. While closing me up, I heard him say they needed to do something to my uterus so it wouldn't go splat. Then I quit listening.
Post by TrudyCampbell on Sept 18, 2014 19:13:39 GMT -5
That's really cool! If I ever go back to nursing, I'd love to work in L&D. That was always my plan but then I ended up taking other jobs and getting distracted .
That's awesome. When I had DS there was a resident (?) with my OB and I remember when they pulled DS out and put my on me, tears were coming down my face and the resident got emotional too. I'll never forget that. It was an incredie moment.
Post by missmaddie on Sept 18, 2014 19:45:37 GMT -5
Congrats! Was it a baby boy or girl?
I had a student midwife running the show for most of DS's delivery, including my epis and stitching. I had every confidence in her under my MW's watch.
I would go back to school to be a MW if it wasn't a 4 year program out of town that wouldn't suit our family, nor the lifestyle and hours you mentioned. We're a single shift worker only family, and even that can be too much.
So cool! I remember when you were first considering med school that you thought you wanted to be an ER doc. What made you change your focus? Did you consider other paths after deciding against ER but before setting on OBGYN?
I haven't even done my ER rotation yet, ha. Most schools you don't do ER until your 4th year. Unless you're considering doing that, then you can set up an elective at the end of 3rd year. I know I wouldn't like ER though because I didn't really like family medicine outpatient because a lot of times you would have to refer patients to specialists and I didn't like not knowing what was wrong with a patient and obviously that happens a lot in the ER. I also didn't like family because it was too broad and I didn't like not knowing about 1 topic area really well.
So I found obgyn basically through a process of elimination. I'll spare you the rest of the boring details, but I don't really like any other specialty at all. Obgyn combines all the things I enjoy in one nice little package and (mostly) doesn't contain all the things that make me want to poke my eyes out. So at the end of 3rd year after gone through all the specialties and not being interested in them at all, obgyn rose to the top.
Congrats! That's awesome, and I'm kind of jealous.
So does nuchal cord = cord wrapped around the neck? Because they said that during my delivery with E, but H said he didn't notice a cord wrap.
Yes. You can't see it typically so that's why your H probably didn't notice it. Right when the head comes out, we check around the neck with our fingers.
The head came out and I was like "uhhhh, I think I feel a cord, maybe you should check" So the attending checked and sure enough it was there and I pulled it around. I was going to feel like an idiot if I was just feeling the neck and there was no cord there, ha.
That is really cool. My OB was training someone during my c/s. While closing me up, I heard him say they needed to do something to my uterus so it wouldn't go splat. Then I quit listening.
Haha. Yeah I'm still super hyper aware of what is said during csections and I wonder if any mom's are freaked out by some comments that the attendings say or annoyed about the small talk that goes on.
Post by thebreakfastclub on Sept 18, 2014 20:14:48 GMT -5
Haha. Yeah I'm still super hyper aware of what is said during csections and I wonder if any mom's are freaked out by some comments that the attendings say or annoyed about the small talk that goes on. [/quote]
I didn't mind the chit chat. It is a good diversion. My baby came out silent so he was taken away with my H to get checked out, so I didn't have anything better to do anyway.
L was the first birth for a student in my delivery room; I thought that was pretty cool. She and my mom hugged each other and cried after L came out, lol.
I had a student shadowing my labor nurse, and it was cool. Which is funny bc I used to hate having derm med students see me strip, and this student was all up in my business.
Post by speckledfrog on Sept 18, 2014 20:21:11 GMT -5
Wheee! How exciting. I know moms feel like rock stars after the have their baby, it's fun to see a doctor being all, "I delivered the hell out of that baby!"
Post by speckledfrog on Sept 18, 2014 20:22:44 GMT -5
I had a HS student (they told me she was a student, I thought a nursing student) doing some sort of nursing work study observe my birth. My unintentionally unmedicated birth. My OB laughed and laughed after she left and told me she thought I helped prevent a teenage pregnancy. Lol