O&G, 2nd day - my 1st experience of childbirth
Friday, October 27th, 20062nd day of O&G ..
I decided to get up early so I dont have to fight for the changing room with the girls at the maternity house (apparently, Russians have a very keen idea about unisex..they’ve got unisexual changing rooms, wards, and even toilets)
I have no idea Mrs Vejay-jay already waiting for me at the front door
Here’s what happen
My Attendance (At) : Ahh..u arrived early, where are the others?
Me : No one arrives yet, should I get change first?
At: Quickly, change into your surgical suit..today you’ll be my main assistant (WHAT ?????)
I gulped to the occassion..wondering why…on earth, had I decided to come early today???
Me : (after changing into Surgical suit) Yes Dr, how could I be of any assistance to you ? (this civilised conversation upfront can be simplified in RUssia into these : "Vam pomoch shto-nibud?")
At: Of course..follow me
We stepped into the labor room 2, and…
Att : Dr Helmi, this is our beautiful women, you can call her Natasha, 19 years old (Gosh!! is that how a-19-yo Mrs Vejay-jay look like? )-. As you can see, she is already in the end of the first stage of pregnancy . There is contraction of uteris and its dilatation accompanied by the cervix full dilatation. We expect a delivery soon
Me : Uhuh ("OK,..so, am I suppose to understand anything since I just started my cycle yesterday and the only thing I knew about OBGNY is the layout of the department?")
Att : Today you will assist me and the other midwives, as you can see, there is no other miwives around because this is a busy morning. I want you to feel her uterine contraction (and she stretch my arm towards the woman’s belly), and whenever you start feeling the contraction..ask her to take a deep breath, push, and then rest to catch up her breath..
Me : Oh…ok..I guess I can do that, but….
Att : Excellent !!! I will then leave you up here…we expect a beautiful pregnancy soon..good luck, I will go and find your colleagues
and then she just LEAVE…leaving me here all alone with the poor mother..
WTF just happen ??? am I really am going to conducting this delivery??..I got so many questions in my head that I never had thought before..I mean, I knew that the dept is all divided into several wards and our professor name is Zharkin, but..how do I know :
1. How does it feel when the uterine started to contract?
2.Where should I palpate to feel the contraction?
3. What is the Russian word for "PUSH"??
4. WHen do I ask her to stop?
Ok…I’m panicking..someone please come and save me??
uh…MRs veejay-jay started to smling wickedly at me
I took my post beside the pregnant women and absent-mindedly put my hand onto the epigastric region, assuming that is the correct places where I could palpate the fundus uteri.
Mother : Is it going to be long??
Me : Uh..its gonna take some time
(after 20 seconds)
Mother : Is it going to finish soon?
Me : A little bit later..u just hang in there..
(after another 5 seconds)
Mother : its gonna end soon, right ?
Me : Of course (me giving her my award-winning fake smile) oh..cmon already
then I felt a kinda vibration on her belly, which I ignorantly assume as a sign of uterus contraction, since her face contract as well, (what I dont realise is that my gut contracted as well, giving me the rush of feeling that I really need a pee at that particular moment)
Mother : Uh………..
Me : Ok Natasha, I want you to take a deep breath..and push..
( i somehow managed to formulate all this word into Russian languange since I remember the sign PUSH in the door face, written there as OT SEBYA - which is actually a hillarious line for an intern student since it sound like this " Kharasho Natasha, delaite gluboki vidokh, a patom, ..uh..ot sebya..silno") p/s : OT SEBYA is not even a verb
Mother : UH………….
Me : OK…good…good …you are doing good
Mother : AAAAAAAAAAAAAAAAHHHHHHHHHHHHH !!!!!!!!!!!!!
Me : OK…enough… ( I dont know when she need to stop actually, but since she started screaming like hell, I figure out it might be the best sign indicating that she need a break)
THis cycle of unsure orders and lucky guess ,- filled with guilt emotion and increasing hatred towards Mrs Vejay-jay and her partner Mr Peter-pen-ess (why couldnt they just keep a lil bit proximity between them?)- continue for up to 20 minutes
Then a junior midwives came in, and gave me a weird look
From her eyes : "WTF are u doing here?"
From my eyes : "I was asked by some mad Dr to conduct a delivery"
From her’s : "Do u even know how to spell delivery??"
From my eyes : I think I can guess it from the Pizza-Hut box I religiously ordered every Saturday night during my summer holiday in Malaysia" p/s : no pizza-hut in Volgo
She then took a fetal stethoscope (do not even imagine how it looks like!!) and start auscultating something
She to the mother : "Natasha u are doing great..cmon..cmon..push some more"
She to me (I guess) : "…and u are not even being helpful"
Me to her : "Of course, she is superb"
She to me (while spinning her eyes) : Good, then u can rot in here and help her through this misery
then..she leaves..and again..I was all alone
* the "to me" part is mostly my own monologue
40 minutes later…
Mom (at 20th contraction) : "Uh….."
Me : "OK..breath..push…cmon..cmon (I was just following the Jr Midwives)
then a senior midwives came accross and shout at me
Senior midwives : "What cmon-cmon!!! ask her to stop!!!"
Me : "uh??? ok…uh…ok…stop2"
(shit!!! what should I do actually???)
I heard the buzzing of conversation out there, and realised that my colleagues were already there outside the labor room. Strangely enough, Our attendant asked them to stay outside while enjoying kicking my ass with the guilt and nervous feeling. At that particular moment, I knew a janitor perhaps knows much more about how to conduct a delivery rather than me…and…I hate Mrs Vejay-jay a little bit more than before..she seems really enjoying rubbing it on my face..
Mom : Is the baby coming out?"
(SHit !!! what is that?? OMG!! its the baby head!! or is it just feces?? Im really not sure)
Me : UH…yeah.a lil bit more
Mom : Is it coming out at all?
Me : Of course, when the time is right (I dont even know how I manage to slip off all this comforting-sounds words..I guess my dad’s psychologist thingy does run in my blood)
Soon, a group of midwives comes, and after asking me to help lift the woman onto the Labor bed, one of them asked me to stay beside the woman. ITs already the second stage, and I could see the vagina dilate more, and the uterine contraction was more intensive..
Mom : AAAAHHHHHHHH!!! (and she grabbed my wrist)
Me (thinking) : Something bad gonna happen
Mom : AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAHHH (and she scratched my wrist with her French-manicure nails)
Me (in my heart ) : AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA!!!!!!
soon all my friends come in, and several minutes later the delivery was a complete success (except that we need to cut a lil bit of the women perineum to give more space for the baby to come out)
With her hand still grabbing the newborn, covered with amniotic fluid, she looked at me and said "Thank you"
Me : "No..you did it all by yourself" (trying to be kind)
Mom : (extending her amniotic-covered hand and grasped me by the arms) "But, you helped"
Me : "Uh..of course" (YUUUCCCCKKKSSS!!!!)
so, the whole incidents conclude with the usual happy ending and they-live-happily-ever-after type of stories. And while walking back to our classroom, I managed to glimpse back at my medal-of-bravery today : yupss…a bleeding wrist due to the nail cut, covered with amniotic fluids from Mrs Vejay-jay
uh…I’m really gonna kick Mrs Vejay-jay ass….(does she even have any??)







