When I arrive at a birth, I try my best to think of the major things I need to do before I get there. Immediate needs:
- Fetal heart rate, contraction timing
- Maternal vitals
- Set up equipment and document
- Offer vaginal exam (VE)
Generally, as I’m washing my hands after arrival all I’m thinking about is how am I going to do this vaginal exam, steps to finding a cervix, and what different centimetres feel like. Oh ya, and where is the piece of paper that I need to write it down on?
Meanwhile the midwife has already washed her hands, is doing a blood pressure, counting contractions, setting up equipment, explaining the plan to the client, assessing the heart rate … wait, how did she end up sitting on the couch with her hands poised, handing me a piece of paper, waiting patiently for me … who only had one job?
She even has enough time to tell the client to position herself in the position I need to do the VE … damnit, I barely have one glove on … and I forgot to open the gel before I put gloves on so my preceptor has to do that for me … I was getting there I swear!
Is that going to be me someday? I wanna be like her, someday (in 9 months, to be exact). Right now that seems unlikely …
Slowly, slowly, catchy monkey …