We woke up today and there was still no water, so no shower today. We got ready and went to worship by 8:00 and then down to the ward by 8:30. When we walked in there was a woman on the delivery table. We asked what the situation was and found out she came in bleeding and they were waiting for the Dr. to come and do an ultrasound. The Dr. came and it was decided that she had placenta previa, so off to c/s we went. Linda and I went in to do take care of the baby when it came out. The baby did fine with apgars of 9/9. The mom had general anesthesia and it took them all of 10 min to get the baby out once the mom was out. What an experience to be in the OR here. Linda and I were trying to set up O2 incase we needed it for the baby but the O2 was on the other side of the room from where the baby was to be cared for. We tried to move the O2 closer but there was no other plug. We were running out of time, and they were started to cut so be bagged the O2 and hoped that we would not need it. Everything turned out good and the mother and baby are doing good. ( poor mother they have no pain meds for her)
At about noon we went back to the house to talk to our cook about the cooking and cleaning and ate a very good lunch that she had prepared for us. Potatoes, cooked greens and fresh baked bread. After lunch we took a quick nap and then had to be at the hospital about 3:45 to start our assigned shift from 4-9pm. We waked in and there was a woman on the table who was groaning and looking like she was pushing. But there was no one there. We went and got the nurse and asked about her and they said she came in about 1:30 with PIH and was 6cm. They gave her some diazepam and then let her labor. When we waked in she was pushing. So I quick put on some gloves and caught the baby. It was a small baby 2.4 kg but did well, lots of vernex!! She did have a 2 degree tare so I watched and learned from Linda how to repair it. After the repair back to the ward she went. Her BP was still high 180/90 so we decided to call the Dr. and get her stated on Mag. What and experience starting a mag drip here. There is no IV pump, so we had to calculate it all out and figure out how many drips a minute the IV should be at and then count it out to make sure it is the correct drops. Then trying to explain to the other nurses how often her V/S need to be taken and DTR checked was a joke. It seemed like nobody cared. So we kept and eye on her for the first 5/6hrs and then we had to go to bed and we really hoped that they would continue to take her V/S. The next morning the pt was still alive even though no DTR’s had been done and only a few V/S taken. Things are so different here it is hard to adjust. Having some previous knowledge in OB and all the meds has been a huge help, thank you LLUMC!!!
Please continue to keep us in your prayers as we face new challenges everyday, but by the grace of God we are being able to help the people here and train their medical staff to better care for the pts.
At about noon we went back to the house to talk to our cook about the cooking and cleaning and ate a very good lunch that she had prepared for us. Potatoes, cooked greens and fresh baked bread. After lunch we took a quick nap and then had to be at the hospital about 3:45 to start our assigned shift from 4-9pm. We waked in and there was a woman on the table who was groaning and looking like she was pushing. But there was no one there. We went and got the nurse and asked about her and they said she came in about 1:30 with PIH and was 6cm. They gave her some diazepam and then let her labor. When we waked in she was pushing. So I quick put on some gloves and caught the baby. It was a small baby 2.4 kg but did well, lots of vernex!! She did have a 2 degree tare so I watched and learned from Linda how to repair it. After the repair back to the ward she went. Her BP was still high 180/90 so we decided to call the Dr. and get her stated on Mag. What and experience starting a mag drip here. There is no IV pump, so we had to calculate it all out and figure out how many drips a minute the IV should be at and then count it out to make sure it is the correct drops. Then trying to explain to the other nurses how often her V/S need to be taken and DTR checked was a joke. It seemed like nobody cared. So we kept and eye on her for the first 5/6hrs and then we had to go to bed and we really hoped that they would continue to take her V/S. The next morning the pt was still alive even though no DTR’s had been done and only a few V/S taken. Things are so different here it is hard to adjust. Having some previous knowledge in OB and all the meds has been a huge help, thank you LLUMC!!!
Please continue to keep us in your prayers as we face new challenges everyday, but by the grace of God we are being able to help the people here and train their medical staff to better care for the pts.
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