04/26/2013
Sin lugar a dudas es una de las fotos más
curiosas e impactantes que he visto en la vida, proviene del blog de una
doctora norteamericana -Erin Meier- que trabaja como misionera en Papúa Nueva
Guinea. Cuenta en el relato que el domingo
30 de marzo de 2008 luego de una guardia de fin de semana, llega una
mujer embarazada con 27 semanas de gestación y sangrado vaginal. El primer
temor fue placenta previa, pero en ultrasonido vieron que la placenta estaba en
buena posición, en el tope del útero. Como la mujer y el bebé estaban estables
inicialmente solo los monitorearon. Una hora después, llaman que la mujer está
sangrando mucho más y que las pulsaciones del bebé han disminuido. Se
encontraron a la mujer estable y con buena presión sanguínea, por lo que la
estrategia era mantener el bebé dentro. Hacen un tacto para ver cómo está el
cuello de la cérvix y la doctora siente lo que cree es la placenta y la mujer
expresa ganas de pujar. La doctora pensó que su diagnóstico haba sido errado y
que si tiene placenta previa, sale un momento del cuarto para discutir
brevemente con otro doctor y las enfermeras dicen que el bebé se salió, cabeza
primero, dentro de su saco intacto y con la placenta -que si se había
desprendido- todo como un combo. La mamá ya había dejado de sangrar para este
punto, los doctores rompieron las membranas y comenzaron a trabajar en el bebé,
quien comenzó a respirar por si mismo, lo envolvieron y lo llevaron a la
enfermería para ponerle calor y oxígeno.
sunday, march 30, 2008
Unusual
delivery
Still on call for the weekend. Josh
and I had a lady come in at 27wks pregnant with vaginal bleeding. One of the
concerns is placenta previa, but the ultrasound showed the placenta to be up in
the fundus. She was stable, so we initially just monitored her and the baby. A
few hours later a call came that she was bleeding a lot more, and the baby's
heartrate had dropped. I was at the Radcliffe's and so I discussed the
situation with Jim prior to heading over. We found a stable mom with good blood
pressure and pulse, and the FHTs were actually 120s. So our plan was
conservative management. Jim called over, as he often does to check on things,
so he recommended a pelvic exam to just see what we were dealing with down
below. So I do this and find what I think is the placenta coming out, with mom
wanting to push. So then I started to think I was wrong on the US, and she did
have a previa and now it is coming out and I am praying she won't bleed to
death before we could section her. I left the room quickly to rediscuss with
Jim and the nurse calls out that the baby came out. As I walked behind the
curtain I found the baby had come out head first, still wrapped in it's
membranes with the placenta all as one. Mom had stopped bleeding at this point.
We ruptured the membranes, and started working on our premature baby. He
started breathing on his own, we transferred him to the nursery and got him
warm and gave oxygen and prayed over him and then with mom that all would be
well. Mom, Janet, was very thankful and was praising God as we prayed with her.
He is very small, so we will just trust the Lord with his life.
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