Moved that section recovery and took a ROL who walked in 3cm and ruptured. 20 minutes later she was 6cm so I called the doc and said "you better head this way..." and she did. Then as I'm hanging up the phone "the scream" happened. I ran in, patient was easily complete, thank goodness the laborist followed me in. We got her in stirrups. Someone called the doc who was on her way and she said "don't let her deliver, I'm on my way!" Far be it from me to tell a multip who's complete, unblocked and +3 not to push. Doc walked in as the laborist was delivering the placenta. Thank goodness the laborist backed me up 100%.
I'm half way through my vag recovery when one of the breech PPROM (preterm premature rupture of membranes) started having very ugly decels. The laborist who had just walked out of my delivery went down to check her and there was a foot in her entrotis (vaginal canal). Time to head back to a C/S! I was really the only one who could take her, so I (kind of) handed off my recovery and ran down the hall with the new C/S. She was still contracting away so they slept her ( I went from never doing a general anes C/S to 2 in a week!). I went to go put in a foley and when I spread her labia, the ENTIRE foot was sticking out. There is just something all wrong about that. I didn't think I could get the foley in, and the laborist said " just push the foot out of the way..." so I did and somehow got the foley in. Not really sure how that happened, but if I NEVER see a foot hanging out of a vagina again that will be OK with me...
So finished section #2 for the night. There was another ROL that I should probably have taken but another nurse already had her started, so I took the next one. The first patient delivered, mine didn't. I gave the nurse a hard time and said that I should have taken that first ROL because then I could have beat a personal record and had 4 babies in a shift. But looking back, 3 babies is MORE than enough, considering that I didn't admit my vag delivery 'till after she was already over on postpartum. I'm sure I missed something on charting, but everyone was breathing when I left, so I'll fix charting tonight if I need to. I'm getting on a role here, I'm not gonna know what to do if I go a night with less than 2 or 3 deliveries!
Babies today: 1f/2m
Babies total: 56M/61F = 117
Vag:42M/46F = 88
C/S: 14M15F = 29
Babies 'caught' = 2f0.5m