The 24-Hour OB Duty

All pictures were taken by the undeniably talent Julian Cañero. Well, except the ones with him on the shot.

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This folks, is the famous umbilical cord. I’m sure you’ve heard of it before but I bet you’ve never seen one - unless you have unreal memory that stretches back to your fetal life. The meaty thing on the upper right hand corner is a part of the placenta. This is the organ responsible for the blood supply of the fetus during the duration of the pregnancy.After the baby is expelled, you still have to deliver the placenta.

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This is Julian helping a mother delivery. You literally have to pull it out. The easy deliveries wherein the mom barely needs to do anything only happens in movies. Also, pag-ire or bearing down should not be done while making sounds. Alas, the movies got it all wrong again! Since bearing down is very similar to what you do when you try to move your bowels, certain… excreta may find its way out during the delivery. It’s very scary to pull out a baby’s head out. You’ll be instructed to pull as hard as you can and not worry about snapping the neck of the baby. And oh, look at Julian’s left arm! I sure hope mommy doesn’t have hepatitis or HIV. haha

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Awwww. Unfortunately, Julian was sleeping when I delivered my patient’s baby at around 6 AM - about an hour before we were to leave — so I have no evidence of helping out in the delivery room.

I’m sure not a lot of you know this, but most of the time, scissors *YES SCISSORS* find their way into the sterile field next to the delivery table. What are the scissors for? Well you  see, a baby’s head isn’t exactly small and the opening to the vagina isn’t exactly big to accommodate the passage of that head. So to facilitate easier passage, doctors cut from patients vagina towards the direction of the rectum to increase the passable area. This mangled up flesh is then apposed and sutured (i.e. stitched) together later on. If this cut isn’t made, the damage could be more grotesque and the welfare of the baby could be compromised. There have been cases where in the vagina and the rectum ended up being just a single opening because of… well, massive tearing. *go imagine that mental picture*

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If you haven’t noticed yet, we’re wearing scrubs, a  really fugly hair net and a mask that makes breathing a very tiring chore. I always wear black scrubs. On my neck are a sphygmomanometer (otherwise known as a blood pressure apparatus) and a stethoscope (handy for checking the  baby’s heart sounds while awaiting delivery. Decreased heart sounds and movement could be an indication for an emergency cesarean.

 

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I hear yupies whine about their job schedules like drama queens and I never really let my sympathy go out to such people. Med students have it worse. We’re on 24-hour duty EVERY THREE DAYS and we don’t get the next day off. We still have to be at the hospital from 7 AM to  5 PM the next day. And oh, we’re not getting the paid like those whiners. Haha.

These three show that sleeping in weird positions and the most unlikely of places is one of the most important skills that one can  learn in med school.

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