I spent Halloween in the hospital- with a momma, beginning at 06:00 for an induction. She was already dilated to four- has been for weeks, so they started straight in with the Pitocin. Momma was 34 weeks, has a history of pre-term labors, and had been ruptured for 7+ days. She's also GBS+, so Pit and antibiotics were hung at the same time. She had an ultrasound at 6. to confirm Vertex- (baby was breech on Wednesday, vertex on Thursday, breech on Friday....) All was go, so at 7am, they started cranking up the Pit. It didn't take much to get her into a pattern of regular contractions, though the monitor was having a tough time picking them up, because her uterus was still fairly small, because she was pre-term. by 10:30, she was contracting every two to three minutes, in a good solid pattern. At 11, Doc arrived, checked, pronounced her "still 4 and less than 25%effaced" and placed an IUPC, which caused significant pain, and bleeding. After about an hour, mom insisted that the cath be removed, because it was not registering the contractions, and it HURT. They pulled the cath, and her contractions picked up. The resident checked and she ws "5 and 90%., and baby was at 0-+1. Nurse insisted that she shift to her side, and contractions stopped. I've never seen anything like it- pit cranked to 26, and NOTHING.Mom sent me downstairs for lunch, and got into bed from the chair. When I got back, mom was on the phone with her kids. They cranked the pit again, broke her forebag and contractions resumed with a vengeance. Mom requested meds, and they gave her one of the -phines- not morphine, but something close, I think Nalorphine.
Mom went straight into transition, within ten minutes of getting the drug. We got on the call button, and soon our nurse, the doc, and the NICU team were scrambling, because she was pushing. Baby came flying out, just before two- a lovely little girl, cried right away, the dock almost fumbled her, she came out so fast!Mom got to hold her for a few minutes before NICU took her away.
She's tiny, but a fighter. She's off of any breathing support, and off of the NG tube, and bottle feeding well. they expect her to be released soon. Mom was devastated at having to leave the hospital without her.
I'll let you know when she comes home.