Dear All,
I want to share with you my most recent
experience,
I was looking after a client that was G4P3
the last child was to a new partner. I also delivered the last child and after
a prostin induction post dates; she rapidly progressed to a normal birth of a
male baby.There at no time was anything to highlight any concern during the
pregnancy or delivery.
The Last child nearly 2years old now, also has
some very severe disabilities, and has many hospitalizations, prior to getting
pregnant with a diagnosis of a type of Cerebral Palsy they received Genetic
Counselling. But during the pregnancy they were given another diagnosis as
well and that is of a type of Muscular Dystrophy. It is an understatement to
say that this woman and her partner was concerned. Everyday they spend in
hospital with their son, they see other sick children many of which have poor
outcomes due to a birth trauma so their veiw of birth is now very different
than during their last pregnancy.
The Question they asked me was whether to have a
normal delivery or an elective Ceasarian Section. I maintained that the
outcome for this child was already preordained in a way and that a normal
vaginal birth was still a safe option for them. The GP backup also had the
same veiws.But as they were very concerned I organized an appointment
with a specialist. (disappointed but very understanding of their position,not
sure i wouldnt make the same descision given the same circumstances). I was
very nervous about this babies health (although i never said so to the
parents) I was sure the type of birth would not change the health status of
this infant.
This Client was also my last caseload client in
a very successful program I had been involved with for the past 5 years(
being closed by the hospital administration)
The outcome was that the clients respite care
was cut back so other things influenced the parents descision plus the fact
that i was so certain the outcome in the babies health wouldnt be any
different... They opted for an induction and a vaginal birth... The induction
was to arrange for respite care for their other child which is having
palliative care.
This amazing woman had a normal birth after a
ARM and a 3hr 30min labour,.
AND THE MAIN THING IS THE BABY BOY IS
BEAUTIFUL AND HAS BEEN CHECKED OUT AS BEING WELL,
he holds his head up and is acting as he should
( the other child has atony of his muscles)
I am so pleased that the outcome was good, and
had a few tears shed with relief.
Now this woman is home with no wounds and her
other child returns in the morning, he is extremely heavy and takes up a
lot of time. I cant imagine how she would have managed if she had had an
elective C/S...
Janet
Finished now as a caseload midwife :)
Moving soon to the Kimberley's vive ala
change
---
Outgoing mail is certified Virus
Free.
Checked by AVG anti-virus system (
http://www.grisoft.com).
Version: 6.0.510
/ Virus Database: 307 - Release Date: 14/08/03
