Friday, May 23, 2014

A month and a day

A month and a day may quickly pass by, yet at other times it drags slowly onward.

I arrived to shift with many hopes and prayers that I would be privileged to welcome a sweet baby into the world. It had been over a month now! However, I knew that God's timing would be perfect and I had better be patient.

Endorsements revealed that there was a 3rd time mother in labor. "Bing" had a history of precipitous labors, yet this one appeared to be going a little slower. Her labor had started at 5am when her bag of waters ruptured. At 8:30am she was 1cm. The midwives encouraged various methods to help get her labor going. Around 1pm she was 3cm dilated. Some progress... we would monitor her closely for any signs of infection and see what would happen.

I labored with her for a little while awaiting time for the next exam to evaluate progress. At 4pm she was 6cm. However, all signs pointed to progress. Her contractions were now strong, steadily 2-3 minutes apart and lasting about 60 seconds. I again prayed with her and the supervising midwife decided to delay transporting a little longer in hopes she would deliver. (It was almost 12 hours after ROM which can increase risk of infection and would generally indicate transport per protocol here).

A recently arrived intern was shadowing me. I explained that we should prepare the birth cart and cubicle as she was a multipara and had a history of fast labors. I told her that we did not know when baby would come, but we should prepare anyway. As I pulled the cart into the cubicle, "Bing" told me she wanted to push. At first logic questioned, but past experience led me to believe her as I looked at her and observed various "clues". I had her prepare as I alerted the supervising midwife and moments later, black hair slowly emerged. A few short, beautiful minutes later a sweet baby boy was born. 4:29pm.

I was filled with thankfulness! Not only had I been blessed to be a part of a breathtaking birth, but the Lord had answered my many prayers! He is ever faithful!

After moving "Bing" and baby "Andrie" to postpartum, I finished up paperwork and decided to later take pictures. When I went over again, "Bing's" 2 year old daughter was there. We had a fun time playing together. I loved to hear her little laugh and see her smile. Such an adorable girl! God had greatly blessed my evening!

A month and a day... it may seem like forever at times, but as I am constantly learning, the Lord's timing is perfect. It is always worth the wait!







Saturday, May 17, 2014

Timing

Timing- God's timing is perfect!
Sometimes the midwife does not make it in time.
Sometimes babies come on their own schedule.
Sometimes Momma just does not have enough warning....

I was reminded of timing the other night. I had a continuity patient "May-May" whom I had been providing prenatal care for. In 2012, I had attended the birth of her 2nd daughter "Precious Jane". When I "randomly" met her in prenatal clinic, I knew God meant for us to work together.

We enjoyed the time we spent together during prenatal care. We wondered together if this would be her first boy or another beautiful girl. I talked with her about labor and delivery. She had a history of fast labors and we joked that I may not make it in time so she needed to text me right away.

It was during a birthday party for my friend that I received a text saying "it hurts a lot ma'am". It was a little after 6pm. I asked if she could come to the clinic or if she would stay home. There was a pause and no response. I went to change into scrubs and packed my bag. A moment later I received another text which translated. "The baby has been born already". After texting back and forth, I requested that she head to the clinic immediately. I hurriedly ate the last of my salad and texted the clinic.

Not long after, the guard came to get me and I met my patient at the clinic. She had already arrived by ambulance. The EMTs had delivered the placenta and provided basic care. I continued with her postpartum care and confirmed for myself that both she and baby appeared to be doing well.

Her first painless contraction had been at 11am. "May-May" decided to wait as she did not know if it was really labor. Around 4pm, the contractions became more regular she said, however they still were widely spaced and not painful. "May-May" reports that around 5:45 or 6pm she had her first pain. As she called for her husband to come and for someone to watch her young children her water broke. She laid down just as her husband came and the baby was quickly birthed into his waiting hands around 6:30pm.

I am proud of this strong Momma. I was equally honored to discover this little girl was named "Princess Jane". I count myself blessed to be the supporting midwife to a woman who found an inner strength, calmness and beauty in the midst of a difficult situation. No, babies do not always come on our time, but their timing is perfect and beautiful because it is from the Lord!



*Note: Princess is the closest I have for a namesake here... no one seems to want a Sarah, but when I tell them it means Princess, they love to choose that instead. :)