Thursday, May 16, 2013

The Unexpected


The birth room was teaming with energy. Just before coming on shift there had been a birth, however not joyous. The sweet baby girl was still born. You can read my friend's experience here. As I helped restock the birth room, I watched as the little bundle was placed in her lola's (grandmother's) arms. Although I had not yet heard the news, one look confirmed my suspicions as I glanced at the silent bundle.
Time moves on... The birth room continued to buzz with energy. There were 3 other laboring mothers, all with the same prayer- please don't let that happen to my baby.... They wanted reassurance, they wanted to hear, to know that their baby was alright.
As I helped one mother, I continued to reassure her that her baby's heart was fine. I looked at the mother's history... no problems noted.... Ultrasound- everything is normal, baby boy... check heart tones again... He was tolerating labor well and seemed to be doing ok. I prayed with her. She smiled and started to relax. Although this was her 2nd baby, with all the evening's events, I needed to stay close by her side and encourage her greatly.
She told me it was time to push. I looked down to see her intact bag of waters visible. I alerted the supervising midwife. Heart tones were good. Mother was pushing well. Everything was normal...SROM... Heart tones good... pushing... head visible... check heart tones... normal...
Baby's head became more visible... time to breathe and not push... Easy now... baby crowning, head out, nuchal hand, baby out... As the baby boy slid into waiting hands, the supervisor and I looked at the baby and again at each other... on the baby's back there was a protrusion... spina bifida.....
After the baby had breast fed we prepared to transport to the hospital... I would go alone as the birth room was still busy as now there were 3 other laboring mothers.... As the baby's father and I rode in the ambulance he asked me if the baby was ok, what was going to happen, is this normal for the baby... I did my best to answer... "the baby's vital signs are stable", "the doctor must evaluate further", "surgery may be needed", "no, this lump is not normal".... I felt helpless... I wanted to reach out, to tell them everything would be ok, but I couldn't... I endorsed the baby to the doctor who instructed the interning doctor to call for a surgery team for further evaluation... I left the baby and father in the doctors hands and returned to the clinic where I told the mother that the doctors were evaluating her baby, that her bana would call, that I would be praying for and with her...
No time to stop... babies are coming.... Another birth-no problems, another laboring mother transported to the hospital, another mother pushing....
 A few hours have passed from the first baby's birth... We hear a cry at the clinic door... a newborn cry.... I go to investigate as the other midwives are with the pushing mother... The bana has returned with his little hungry bundle... The doctor said surgery was needed, but they would not do anything till 9am as there was no pediatrician available to evaluate the baby... 9am... the baby needs care! I tried to not let my emotions show... Ok, time to have the baby breast feed again...
I had the family finish the birth certificate... the baby now had a name... Miguel...I took some pictures of the family and asked to take some of the protrusion... upon seeing it, it had over doubled in size... I reported to the supervising midwife and we prepared to refer the baby to another hospital for care.
Momma saying goodbye to Miguel the 2nd time
Transport... another ride in the ambulance, more questions from the bana... another explanation to the doctor... another prayer, hoping they would care for this baby.... back to the clinic....
Time to finish up paper work.... take new vital signs.... pray with the mama one more time.... give her my number.... prepare for the incoming shift.... the night is over....
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Baby Miguel
Around noon I received a text from the family saying that baby Miguel was scheduled for neurosurgery the next day. I continue to pray and wait to hear how he and the family are doing... please keep them in your prayers!

2 comments:

  1. I love you. I am praying for you, and for this dear precious family. Mom

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  2. I am lifting sweet little Miguel and his family up in prayers. God is wonderful and always has a plan. Praying for you as well.

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