I have a few photos of interesting babies and medical/midwifery goodies (and not so good-ies) that I'd like to share, especially with students. Some things you might not see very often; others you see all the time, but it's good to have a picture in your head of what it looks like anyway. I have found even the most obvious malady can be overlooked when the midwife/apprentice is looking too hard.
Comments are welcome, of course.
THE COMMON MEDICAL REMEDY FOR THRUSH
Nystatin typically is made with sugar as an ingredient, but the client can ask the doctor or CNM to prescribe Nystatin without sugar.
FRENULUM THAT HINDERED BREASTFEEDING AND NEEDED TO BE SNIPPED
PUMP THAT DRAINS THE AQUA DOULA
CLOSE-UP OF AMNIOHOOK'S HOOKIE PART
BABY BORN IN THE CAUL (with THE AMNIOTIC SAC INTACT)
I learned to pull the sac off the face from mouth to nose because a baby can breathe in the sac once the nose is able to breathe. Apparently, that happened to a midwife in our area... it made sense to me, so that is how I do it.
CORD BLOOD COLLECTION KIT
CUTTING THE CORD (CORD HAS STOPPED PULSATING AND IS WHITE, BUT NOT TERRIBLY FLACCID YET)
MONITOR SENSORS - CLOSE ONE IS FOR BABY'S HEART BEAT; BACK ONE IS FOR CONTRACTIONS
Note the center button... it is pressed down onto the belly during a contraction, giving the monitor the reading of the depth and length of the contraction. Variations/Incorrect readings from this monitor come from incorrect/sliding placement on the belly. When there is a question about the strength or length of contractions, the internal monitor is much more accurate. The description that made the most sense to me is: The external monitors are the tv's with antennas and the internal monitors, while much more invasive for mom AND baby, are like having Hi-Definition channels.
ELECTRONIC FETAL MONITOR
Keyboard is for notes to be made on the strip. In the old days, and occasionally now, nurses write directly on the strip if something like "mom off monitor" or "mom on hands and knees" demonstrates a variation in the fetal heart tones or contraction length or strength. It's important to know that the contraction monitor is zero'd out (or is supposed to be) when mom gets on the monitor or changes positions. Some women will see their contractions "off the charts" - above the top of the paper, but that usually means the monitor wasn't zero'd out at some point of change.
DELIVERY SET-UP IN HOSPITAL
From the front: Tenaculum forceps (used to stop a "bleeder" - an artery that opened during the delivery. A bleeder can kill a woman if it isn't taken care of by suturing. If suturing doesn't stop it, cauterizing does.) Dressing Forceps (These are used when something is hard to hold, usually because of blood.) Straight and curved scissors (Used for an episiotomy. They look like sharp/sharp ones, but it is hard to tell for sure. I use blunt./sharps and put the blunt side inside, close to the baby and the sharp side on the outside of the perineum.) Forceps (A wide variety of lengths of the forceps, usually used to clamp off the umbilical cord or to pull out some "trailing membranes" [when the placenta has been delivered, but there are still some membranes hanging out of the vagina). It is really important to get trailing membranes out intact, so the manuever is usually very slow and each person has their own method. I tend to go side to side, very gently. Sometimes up and down. I have seen others twirl the membranes around the forcep.) Ring forceps (up at the top, turned lengthwise on the tray, are the ring forceps. Some people use the ring forceps to get trailing membranes. We can also use the ring forceps to close off the open artery. Placenta Tray The blue tray at the top right is used to catch the placenta as it is delivered. The open, flatness allows for the placenta to be seen as a whole - to see if anything is missing. I rarely see anyone in the hospital look at a placenta. Light blue and dark blue Sterile Drapes These are used to cover a variety of areas from the thigh to using them as a protection between the sterile gloves of the doctor/midwife and the unsterile stomach of the mom when rubbing up the uterus is done (routine). Bulb Syringes Two sizes to account for the different sizes of infants. Blood Tubes Used to get cord blood to Type the baby's blood and sometimes used for drug testing and/or infections in the baby (including sexually transmitted ones). Gauze Lots of gauze used for a variety of things, usually mopping up blood to aid visualization of the area. I can't tell what the dark blue long things on the gauze are... Dr. Jen? Some docs/midwives prefer to use the Silver Placenta Bowl, but that can be used to catch hemorrhaging blood so it can be measured.
Okay, that's it for now! I hope these things were helpful.