So today I got my unblocked patient to practice all the things that all the smart nurses and mom's out there have been telling me! G4P3 age 21 was my induction stats this morning. Wowza! I'm 22, and I'm a Gzero and planning to stay that way for a while! Anyway, this gal was much more "normal" than I was expecting, and she said she'd had all 3 of her other babies unblocked and had been induced with two of them, so this wasn't a new process at all for her.
I have 100% confidence that she could have done the whole deal without me sitting in there by her bed all day, but after a few minutes of watching how the dear FOB was acting, I felt too sorry for her to leave. He sat in the recliner (all 400lbs of him), with a box of doughnuts and the comments I heard (when SportsCenter was below a dull roar) were "Want a doughnut...oh wait, you can't have one!" "Hurry up, just push and get the baby out!" "This is taking way too long, it's been 2 hours already!" "I'm tired, I've been up since 6am!" "This contraction feels good, just think that it feels good!" 'I've been waiting 20 years for this moment, hurry up already!"
So by the bed I sat really for about 5 hours. I've never done such thorough charting in my life! This gal had amazing control, and actually would fall asleep in between contractions. She was never on much pit, and got a total of 2mg of Stadol the last two hours. I was almost 100% happy with how her labor went.
Things once again seemed to fall apart right at delivery time. It was 1430 and I had taken a 2minute break after her 2nd dose of stadol and a check that said she was still about 4-5cm, to shove some food in my mouth when one of the doc's for the same group as my pt's doc finished a delivery. He was the same doc that had AROM'd for me that morning per my doc's request. J suggested that we have him check her. Now wouldn't you go figure, as I'm telling him that I had just given stadol and checked her about 15 minutes earlier and she was 5, his magic fingers appear and she's 9cm with a rim. Really? Why...
I know that's how multip's do it, and I know that's normal. But I'm sick and tired of looking like the idiot who checks her and she's 5cm and 2 minutes later when the doc's check, she's complete and has a baby 5 minutes and 1 1/2 pushes later over an intact perineum. It makes me feel like a complete moron, and I'm just sure that the docs are all getting really good impressions of this new nurse who has no idea what shes doing. I was a little surprised though even when I'm drawing up pH's and I'm trying not to cry because I'm so frustrated at myself. I know I have to get over it and know it's not my fault, that I'm always harder on myself than anyone else is and that I have to remember that I am new, and I'm NOT supposed to get it perfect every time. All those things that are easy to tell yourself after the fact but hard to remember at the time :) I know it could have happened to anyone, but why does that someone have to be me!? I should be counting my blessings that he was there to check her because once she pushed, the baby was there. I would have REALLY been in trouble if nobody had been around when she "made the move" and went from 5-complete in 10 minutes. And I should also be counting my blessings that I'm not 21 and going home with 4 kids under the age of 6. I couldn't handle that right now!
2 busy days, now I don't work again 'till the weekend. My friend from church is supposed to have baby #3 any day and she asked for me as her nurse. 1st time I've been "requested" by a patient! Now she's just got to deliver on a day that I'm working. What are the chances...
Babies today: 1M
Babies total: 22M/15F = 37
Vag:16M/14F = 30
C/S: 6M1F = 7