Wednesday, May 14, 2008

Another (Suprise) Breech!!!!





Okay, so I was out for lunch today as I had the whole morning and afternoon off. I strolled around El Paso for awhile and decided to come back to the birth center at around 3:30pm. Talk about perfect timing...Right as I was walking in I saw Alison drive up and make a mad dash into the birth center, I thought it was a bit bizarre that she was running in like that and knew there had to be something interesting that either happened or was about to happened. I hurried in to find out what was happening and as I walked in I was immediately handed a lab coat and told that there was a surprise breech about to be born and they needed me to help out with appointments. The waiting room was filled with so may families that were waiting to be seen - everyone was tending to the Mama that was about to birth her breech baby. I tried to delay as best as I could and watch the birth on the monitor they have in the office - I was really bummed that I was about to miss this breech birth. I figured I would just get on with the appointments and do what I needed to do :-(

Five minutes into a prenatal visit the birth was coded!! It was music to my ears "Code one to the bear room, Code one to the bear room" That's the code we use hear at Casa when birth is imminent and the interns can observe. "Uno momento ,por favor" I said to the woman I was seeing and high tailed it out of the room as fast as I could. As I entered the birth room I could barely see that little purple bum making it's way out. With each push the baby came down more and more and within a few minutes the baby's entire butt was out. Alison, assisted with the delivery of the head. It was another beautiful & straightforward breech birth!! The baby had apgars of 7 & 9 and transitioned beautifully into the world.

Theres even more to this incredible story!! Shortly following the birth the placenta delivers. We have an amazing (and scary) Velamentous cord insertion. Check out the pics of this placenta!! For those of you that don't know what a velementous cord insertion is, these types of placentas/cord insertions can be fatal to the baby. The cord typically inserts itself into the fetal side of the Placental bed. This particular placenta the cord actually inserted and attached itself into the membranes (aka waterbag). As you can see in the pics the two arteries and one vein are both stemming off into separate directions at least a good six inches from the placental bed. Needless to say this birth was filled with surprises!!

Mom and baby and doing wonderfully and off to a great start! What an awesome experience that was!!

Well, I hope you all enjoy the pics. I said I wouldn't post again unless something exciting happened and it did :-) I need to get going as I'm 1st on tonight...Hopefully there will be more babies on my shift!

Hugs and love to you all,

Kim

5 comments:

Anonymous said...

That is just sooooooooo awesome Kim. It is so wonderful to hear about every breech birth that DOESNT end in a c-section. How exciting for you to be able to see them. Maybe my next will be breech and we can have our own HA HA just kidding i would prefer head first

Anonymous said...

O and that placenta is AMAZING, WOW not something you see everyday. Can that be detected through U/S or no?

Kimberly said...

Yeah, I'd still prefer your next be vertex, okay Alyssa :-)Isn't that placenta is something else, huh!? This woman had three sonograms during her pregnancy and it never picked it up. I dont believe that US typically picks up on things like that though.

~Kim

jen said...

amazing.

can't wait to see you! (you know i never did get that damn dvd... doh)

Anonymous said...

Hi to all!
I am a member of the International Vasa Previa Foundation. I wanted to give you some links to information on vasa previa, which if left undiagnosed has a fetal mortality rate as high as 95%. Antenatal diagnosis is made via ultrasound and even better, transvaginal color Doppler ultrasound. We haven't seen 1 prenatally diagnosed and appropriately managed baby die to vasa previa.
VCI is very detectable through ultrasound. All it takes is the technician/doctor checking the placental cord placement. Something not routinely done. Please see the links below to learn more about the risk factors of vasa previa. My son, Colton, survived VCI with vasa previa. I was diagnosed at 28 weeks.
Congratulations to the proud mama and healthy baby!

Sincerely,
Jennifer Munson, Director IVPF
Mom to Colton, Vasa Previa survivor
http://www.vasaprev ia.org/stories/survivors/ JenniferMunson.htm

Risk Factors, Testing, and IVPF Management Recommendations for Vasa Previa:
http://IVPF.org/education/recommendations.htm

Sign up to receive the free IVPF newsletter:
http://groups.yahoo.com/group/IVPF

Medical Resources on Vasa Previa
http://IVPF.org/resources/resources.htm

IVPF Slide Show about vasa previa
online - http://IVPF.org/Docs/ IVPFslideshow.htm

IVPF Brochure
http://IVPF.org/Docs/ IVPFbrochure.PDF

Frequently asked questions about vasa previa:
http://IVPF.org/faqs/faqs.htm

Sophie's Walk for Vasa Previa
http://SophiesWalk.org/walk

Save babies from an untimely death due to vasa previa by JOINING the International Vasa Previa Foundation, Inc. as a participating member! Visit http://IVPF.org/contact/member.htm