A new rotation

Today is my day 6 of tagging. During my early days of tagging, I was really energetic, but the graph is declining slowly. Sad to admit, but it's true. Usually, when I tag, I would sleep right away when I reach home, now that there is a new addition to the family, I play with Sofiya first then sleep at 12 am. I know that I am the one to blame, but I can't help it, I miss her at work. When I come home and hear her cry, I get excited because I know that her parents are up and I get to see her. Some nights, I SMS Tiyah telling that I am on my way back from the hospital, and she'll leave her door unlocked and I get to see Sofiya. Once, I slept Sofiya, to give some time for the two of them (Aiman and Tiyah) to rest and sleep... I awoken by Sofiya's loud cry. Then I quickly picked her up and knocked on Tiyah's door, poor Tiyah, she had to get out of bed and start nursing. Now, she has on calls every night!!! We try to help her out as much as possible. But I must admit, Aiman did a great job.

The MMS that makes my heart melt

Ok, back to my first day in the labour room. Since I had never conducted any labour during my days in the medical school, I was pretty nervous about catching up with the whole system. I am so blessed that I am the only tagger, so I don't have to compete for labours. The JM's (jururawat masyarakat) had been very helpful, whenever a patient is fully dilated, they'd call me and help with conducting. The first labour was horrible! I observed one labour then I felt like I was ready to start conducting. The process of conducting was not the horrible part, it was the smell of liqour... while I was conducting, I felt like throwing up. The nurses were so supportive and continued my halfway job and told me to sit down before I faint, hehe. The second one was better, the liqour didn't smell so bad, I just had to tie my mask a little tighter. Alhamdulillah, I got to conduct 3 deliveries on first day and a few repair of episiotomy.

Episiotomy repair was another issue... suturing was always my favourite part, I just love seeing the skin approximated nicely by the sutures, but... it wasn't that easy for episiotomy repair. The reason for that was, suturing in a tight canal was a big challenge! During my surgical posting, I was used to suturing on the external structures (eg. the abdominal skin), so it was easy... plus the patient was not awake! The current challenges are:

1. Uncooperative patients - I don't blame them, they just went through severe pain during labour, and next, having needle bites in their most sensitive part. The local anaesth given doesn't work 100%. I just encourage my patients to breath in the Entonox gas!

2. The tight space with so many structures surrounding, especially the vulvar vestibule with the bladder. So I'd have to be very careful so that I wont suture the bladder.

Insyallah I will get better with repairing episiotomy and tear. Anyway, I will blog more. A little tired.