August 26, 2010
Awesome, and a Bit Unusual Birth
This past weekend, I took care of a mom who said she hoped to deliver without an epidural. With her other kids, she had been induced, water broken early and she said she ended up screaming for her epidural around 6 cm. This time, she came it for some bleeding and an exam revealed she was in fact in active labor...very close to transition. She was surprised. She said she was only a little crampy, but never would have guessed she was in labor. Her bleeding was just bloody show. So I got her admitted, called the midwife and she decided to get up and walk for a bit. Her midwife wanted me to recheck her in an hour - she was now 7-8 cm, still looked more comfortable than any of us nurses! The dad actually asked me if they were going to get sent home because she wasn't feeling contractions! So her midwife comes in, sees how comfortable the patient appeared and I start to wonder about the accuracy of my exam. The patient decides to lay down for awhile. After a bit, the midwife decides to check her. We go in, she's on her side, in the middle of a contraction according to the monitor and she's breathing slowly with her eyes closed. Aw, that looks like she's getting ready. Nope. She was sound asleep. And she was 9.5 cm dilated! I've seen women seemingly labor effortlessly, but I've never seen anyone sleep at almost 10cm! Her midwife had never seen that and a couple of other nurses working who have 30+ years of experience had never seen that! Unless of course they have an epidural and she hadn't had anything, no pain meds, nothing! And no, she wasn't on any drugs or anything like that. Once her water broke, she did get uncomfortable as she delivered her baby. She did fabulous, although since she labored so easily, she was stunned after it was over because she went from sleeping to pushing her baby out without medication in 15 minutes. She didn't really have time to prepare is what she said afterward, but she was glad she finally was able to do it. I'm sure that happens more often than I have seen, but it was a first for me. Amazing!