8/18/11

  The day after my 7th girl was born, I was on Swing shift.  I was endorsed a p.p. patient & Kamarie was endorsed a labor.  My patient didn’t need anything for a few hours, & Kamarie was busy assisting a birth (ended up getting transported), then taking care of her labor patient, so I began a baby check that came in for Kam.  I was more then 1/2 way done when a labor came in.  She looked fairly active, so I began taking vital signs right away. By examination, Malia was only 3 cm, so we encouraged her to walk around at Victoria mall, but her contractions were coming every 3-4 minutes, so she asked to stay. Malia sat outside for an hour, then laid down in her cubicle. 

  Kamarie’s patient began pushing, so I was called in to assist.    Went well & a baby girl was born!  After we completed a few five minute checks & everything was stable, I left to go take V/S on my labor & pp. 

  Things were progressing well with Malia, but she was having a lot of back pain, so I massaged her back during contractions.  I wanted to stay, but my p.p. patient needed checked now. 

  I heated up water for the baby’s bath & took the tub into the p.p. room.  I accidentally stepped into the wrong cubicle.  I knew that something wasn’t quite right, but couldn’t figure it out.  (the beds are numbered & we have clipboards with numbers on the back to keep everything straight.)  Turned out I had miscounted…. So, anyways, she told me that it was the one on the bed over, so I peeked in & asked.  “No, that’s not me.”  Then I asked the patient on the other side.  “Yes, that’s me.”  Phew! :)

  After bathing the baby & giving Jacqueline her p.p. instructions & schedule, I checked on Malia.  I asked her if she wanted her bana to come in.  She said yes, so after she told me his name, I went into the hallway where the bantays & banas wait. After finding him, there were a couple people out there, I asked him to follow me.  Malia’s name slipped my mind, so I said, “your wife wants you”, knowing full well that he probably didn’t know what a “wife’’ was, but I couldn’t think of what else to say.  He followed me, then said, “I didn’t know I had a wife.”  Oh, the joys of trying to communicate & neither person really understand the other language! :) 

  Most patients are ready to go home 6 hours after delivering, so I took all of Jacqueline’s p.p. vitals, hoping that she could go home now.  Everything was normal for her, but the baby was breathing really fast.  I had her nurse him, but his breathing remained high.  I rechecked about every 10 minutes, hoping that things would stabilize & she could go home.  It was hard to have to tell her that her baby wasn’t ready to go home.  She was really worried.  I prayed with her & soon after Khent’s breathing normalized & she was released to go home!!  The joy & relief when I said that she could go now & everything was normal, clearly showed. 

  After I discharged her, I returned to Malia.  She was spontaneously pushing during contractions.  I encouraged her to breathe.  She tried, but still would push at times during the contraction.  I asked Vania if it would be ok for her to do a trial push.  She said that would be fine, so I told Malia that she could push now.  Progress was not being made, so I told her that I wanted her to breathe again & not push.  As soon as a contraction began, I would begin saying “ginhowa, dili utong, ginhowa, good job, inhale, exhale, dili utong, ginhowa, maayo, good job”  (forgive my spelling or grammar on the Visayan words – still learning!)  Translated it is, breathe, no push, breathe, good job, inhale, exhale, no push, breathe, good, good job.

  After a couple contractions, the baby began to move down well, so we encouraged her to push – not hard for her to do!  Baby was born 2 minutes later at 9:19 pm.  Another boy!

  He did very well in immediate postpartum & throughout.  Malia needed an IV, due to 750 cc blood loss, but her vitals remained stable. 

  After thinking about names & asking me what my name was, they settled on naming him, Jordan.  That made my day!

  Endorsements were at 10:00 pm.  I endorsed everything, but charting & logbooks, but ended up wanting to do almost everything, so didn’t leave until 12:15 am!!  

Jordan & Jordan!! :)

Isn’t he precious???

Kamarie, Ate Jobee, & I with our babies!    

Ate Jobee is so much fun!!

 

Pictures of Cristhel & her baby Hazzel.

Cristhel is 15 years old, but is doing a great job of caring for Hazzel! Her bana is 16.

 

Children are a blessing!