I'm on a Lion King kick right now (the Broadway edition)... I can't sing it enough.
* I have talked about vaginas more this week than in ages! And done more vag(inal) exams than in the last year.
I have a woman who precip'd last time (had her baby damn fast) and is 36 weeks + and is way dilating and effaced and we are going to have a baby next weekend. There are major dilemmas at play. Balancing prompting the baby to come along with her history of precip-ing and hemorrhaging, she is extremely afraid to deliver alone. She was laughing and talking last time with tiny crampies... stood up... and the baby was there. Silent labors can be scary and the subsequent hemorrhages are worse. If the uterus doesn't have to stand at attention to get the baby out, it isn't as attentive at keeping the uterus tight after the baby comes.
We are going to put in a heparin (actually, saline) lock, have pit and meth in a small bag of fluids, and then strip her and see what happens. She was stripped twice last time and still she nearly delivered alone.
I asked my partner (who has assisted me before) if she would at least go and be with her (parnter is a cop) and she said she would... until one of the 4 midwives around the county we have at the ready for her. I was so touched she would do that! Surprised, too. She said she would call the fire department, too, because she won't just let her bleed, but I told her to just let them take care of her until we got there. I reminded her of this client's intense modesty, too, and she understands. I asked the client if she minded and she said, "No!!" that she would be a friendly face and I had to remind her that she looks imposing in her uniform with her vest on... she is huge! and she said she would remember that.
I am hoping that, with all this preparation, we have a 4 hour labor when everyone can get there and the birth be gentle and wonderful and no bleeding at all.
We want to do the IV pit and meth because it takes effect immediately as opposed to IM pit which can take 3-5 minutes to kick in. Just in case.
The mom wanted us to strip her this week. She was very convincing, but that head was a tad softer than I would have liked (she swears she is 37+ weeks), so we bargained for another week.
* Another client, a VBAC, continues having some pretty darn good contractions. She needs to stop it. She isn't due until Thanksgiving.
* Another client is screwing her head off with her man in South America and emailed to tell me she is having the most fun and sex of her life. Her vagina, too, is seeing some action! Her man lives down there and can't get up here... they are trying, but if he can't, they are working on getting a webcam set up so he can at least "be" at the birth in a cyber sort of way.
* I helped a doula client with nursing yesterday. The baby was clicking his jaw and was gnawing on mom... I am hoping that positioning will tend to it. He feels like he has a short palate, too, which will be better with age. He was also way small and yellow at 2 weeks postpartum. I weighed him and he was 2 ounces heavier than 3 days earlier (still 10 ounces from his birth weight, though); if he'd been the same, I would have sent her to the ped. The baby was some awake at one time, but kinda tired. The yellow this late is a tad disconcerting, too. She said he was better, then he was worse again with the nursing probs. I hope I helped. She goes to the ped on Monday for a weight and bili check.
She had me wear gloves to touch her baby. She whispered that others don't hold him right. She won't let anyone else drive the baby but her husband. She knows she is neurotic (her word) and I casually mentioned that it should go away, especially with another child someday. That no one wanted to break the kid's neck or crash the car with him in it. When she talked about supplementing with organic formula, I suggested another nursing mom (my co-teacher that she knows) and she was horrified. Inside, I wondered how she could justify a foreign animal's milk that she has zero knowledge of (or even if one can bet 100% on it being organic) vs. a mother she knows and likes loads and doesn't drink or do drugs. I would take my friend's milk over formula without batting an eye.
* So, we had dinner the other night with a friend and I was the odd woman out. All the others were major athletes from pro golfers to active surfers (who, for all I know, just sit on their boards in the water). Partner and I were the only parents in the small group, so I made sure to bring up placentas in the freezer and vaginas. Doubt I'll be invited back. I probably embarrassed my partner, but she was kind enough not to say anything. She didn't embarrass me even though she had some fine, fine wine we brought (Jarvis cab). I wasn't bored or anything, but it was just weird not having anything in common with a group of lesbians. Oh, except for liking vaginas... we do have that in common.
* Hired another doula.
* Met a midwife from New Zealand who is moving to our area in about a year. I am going to help her get her license to practice. There is a mechanism for foreign-trained midwives, we just have to figure out what that is. Liked the midwife LOTS and told her whenever she wanted to commiserate about homesickness, I was her gal.
Thanks for reading!