Oncall …
Earlier this morning I spend few hours holding a patent’s hand while she was having uterine contraction in the delivery suit. When I started my oncall arround 8.30 pm, she was already there and was in labor for 4 hours before i arrived. I plan to put my things and prey Isyak first but since there are lots of patient in the delivery suit I had to postpond. I just knew tonigh I’m going to prey Isyak around 2 o’clock in the morning … It was my last week in ObGyn posting and I had 2 more delivery to conduct and 2 more cesarean section to assist to complete my portfolio…. And so she’s the 4th or 5th delivery then hehe … She was admitted for her 3rd pregnancy and so far her cervical opening is only 6 cm after 4 hours of labor.. Based on my little experience its going to be another 4 hours atleast before she reach 10 cm… While I was counting her contraction, another patient came in for delivery. This is her 10th pregnancy and she is only 34 weeks of gestation.. She was earlier admitted for leaking liquor and was discharge, then she went to market to buy grocery and had little argument with mother in law and suddenly feel like she about to deliver … My other college were busy with their cases so I took the case also .. Again based on my little experience the more you deliver the easier it gets so I would aspect she’s going to deliver in 1-2 hours time … Now I have 2 mothers to take care simultaneously … Hero huh … hehehe … 10 minutes counting her contraction then go to the next patient … so i was like a very busy husband taking care of two of my wife hahahahaahahah …. both are in pain but the second patient was a bit more comfortable … As I aspected she delivered not long after that and i had my 4th delivery … She delivered a healthy baby boy and it was an easy delivery … Alhamdulillah ..There were no injury hence no suturing needed … After I send her to the ward, I rush back to my first patient … As the labor progress the contaction become stronger and of coz the pain become more unbarable … Initially while i was counting her contraction she suddenly grab my arm, then I took her hand and hold them everytime she had a contaction .. I guess in this moment of terror, the rightful person to be there would be the husband … however since the condition of the delivery suit is not condusive enough to allow this.. so husband were called in to assist when its time to push the baby out which is during the second stage of delivery … She reach full dilatation at 12.30 in the morning and a healthy baby girl were delivered at 12.45 …. She had a few tears on the vaginal wall and suturing is needed … While I was assisting the midwife suturing the vagina, we were told that there was a patient need for emergency cesarean section due to fetal distress and she (the midwife) is needed in the operating theater …. I needed the case, so I ask a college of mine to take over and rush to the operating theater .. There I look at the case note and inform my lecturer i’m assisting the surgery … Then I meet the surgeon incharge and thanfully he allowed me to scrub in … It was a complicated surgery as there was adhesion between the uterus and the abdominal wall .. The surgery lasted for 1 and half hour and I finally went out of surgery at 2.30 am in the morning … It was my last delivery of the day … I went back to the delivery suit and it was less hactic then before so I took the opportunity to prey Isyak … As I expected earlier .. In the end I needed another cesarean section to complete my portfolio and hopefully got it before end of this week …