Clinical Observation Essay
On an early Thursday morning in January I was introduced to Patient Y, a 30-40 year old female who was being induced with her third child. She was 39 weeks and 1 day and was having an elective induction. She was very willing to have a nursing student present through her laboring process and therefore I was able to experience the complete birth and eventually use her for my OB paper.
Patient Y had diabetes, hypertension, and depression prior to her pregnancy. She did not have any major surgeries. In regards to her GYN/OB history she had two previous pregnancies which resulted in two full-term newborns. With her prior two deliveries she received spinal epidurals. She was allergic to Penicillin and the side effect of taking it was a rash. …show more content…
The doctor artificially ruptured her membrane at 0745 and she was 4 centimeters dilated with minimal pain. She was planning on having a spinal epidural once the pain became more intense and she was a little further along with the laboring process. Around 0930 the doctor rechecked her and she was still 4 centimeters dilated with minimal pain. At 0949 the doctor decided to insert an IUPC to monitor the intensity of her contractions. Within not even an hour, my patient was calling for her nurse that she new her baby boy was going to be coming. The doctor went in at 1020 and she was 10 centimeters dilated and was ready to begin pushing. By this time it was to late for her to receive the epidural, so she was delivery with no pain medication. Patient Y was pushing for about 25 minutes when the pain became unbearable and since she had no pain medication prior to delivering the doctor suggested she change her laboring position. After pushing in the lithotomy position she changed to the hands and knees position, which was more comfortable for my patient. She also used the side-lying position for quite some time. Once the fetus passed the pelvic bone the doctor suggested she return to the lithotomy position to give birth. After a little over an hour of pushing a healthy baby girl was born at 1138. My patient and her husband, as well as the doctor, nurses, and myself, were in
Patient Y had diabetes, hypertension, and depression prior to her pregnancy. She did not have any major surgeries. In regards to her GYN/OB history she had two previous pregnancies which resulted in two full-term newborns. With her prior two deliveries she received spinal epidurals. She was allergic to Penicillin and the side effect of taking it was a rash. …show more content…
The doctor artificially ruptured her membrane at 0745 and she was 4 centimeters dilated with minimal pain. She was planning on having a spinal epidural once the pain became more intense and she was a little further along with the laboring process. Around 0930 the doctor rechecked her and she was still 4 centimeters dilated with minimal pain. At 0949 the doctor decided to insert an IUPC to monitor the intensity of her contractions. Within not even an hour, my patient was calling for her nurse that she new her baby boy was going to be coming. The doctor went in at 1020 and she was 10 centimeters dilated and was ready to begin pushing. By this time it was to late for her to receive the epidural, so she was delivery with no pain medication. Patient Y was pushing for about 25 minutes when the pain became unbearable and since she had no pain medication prior to delivering the doctor suggested she change her laboring position. After pushing in the lithotomy position she changed to the hands and knees position, which was more comfortable for my patient. She also used the side-lying position for quite some time. Once the fetus passed the pelvic bone the doctor suggested she return to the lithotomy position to give birth. After a little over an hour of pushing a healthy baby girl was born at 1138. My patient and her husband, as well as the doctor, nurses, and myself, were in