Departure Day!

Good morning (at least here in the Philippines!)

It's 7:31am and in about 2 hours i'll be at the airport.  Which means, TODAY is the day to begin traveling back Stateside.  wow.  Here's some info on the trip, so you can just pray however the Lord leads you.

"Fun Facts"
- MD has no power currently (no pun intended)
- Flying there will take approximately 38 hours
- One night hotel stay in Manila
- Longest flight is from Tokyo to Atlanta
- It's probably the coldest morning in the Philippines and the hottest in MD

That's the basics!  God is so gracious for this opportunity to just relax and even to enjoy the flights.

Blessings!


"Surely goodness and mercy shall follow me all the days of my life; and I will dwell in the house of the LORD forever." - Psalm 23:6

Catch #35.

Lots of welcome to Cris Paul!  DOB: 6/17/12 @ 6:42pm. 

He looks a little lonely here, but he's not really.  There was only time for a quick snapshot and I haven't seen them at any baby checks.  So, we'll assume they are doing well.

Catch #36.

Happy Birthday to Alexander!  DOB: 6/22/12 @ 8:55pm.

wt: 2850g Length: 49cm Cord Length: 38cm

His momma came in fully, so it was only a matter of minutes before he was born.  She did super well and he's looking healthy.

Happy Birthday to June Mark!  He was born on June 15, 2012 at 7:42am.  

The labor was sure work, but she was only at the clinic for about 3hours before he was born!  :) And, she is my continuity patient. Praise the Lord, I was already scheduled to be on shift, so no extra time at the clinic.  She's only 16 years old and her bana (boyfriend) is 22 years old.

Thank you Lord for such a good birth!

Catch #33

Welcome Kent!  3100g (6lbs 14 oz.), 52 cm long.  Born June 12, 2012 at 8:53am.  

His momma is just precious.  She only pushed for a few minutes, then delivered this sweet babe!  Congratulations to the proud mom and dad!  What a blessing on day shift!

Catch #32

Congratulations!  This is my sweet continuity patient and her precious little baby boy!  Delivered on June 7, 2012 at 2:43pm.  

Just this past September I delivered her sister's baby.  So, one night, a text came from her asking if I would be her sister's midwife!  Wow, what an invitation.  I excepted and was so very blessed. Here she is, Mary Grace and her precious baby boy!!

Catch #31

Grab a hanky or a tissue and take a seat.  This is a precious story, that, well, it almost brought me to tears, but it definitely touched my heart deeper than any other birth!

Yesterday my shift was swing, from 2-10pm.  It was quiet except for one girls continuity patient (cont).  Then, just before 2:00 a labor walked in reporting BOW rupture at 12:30pm.  She was checked in by day shift and endorsed to us on swing.  I was first up!

Upon reviewing her chart there were two things that stood out.  The first was that an ultrasound had been requested back in March, but no report made and no copy of the ultrasound was anywhere to be found in her chart.  Second was that since her second visit (of five visits) her fundal height had not matched her gestational age (GA) by anywhere from 5-7 cm.  Quite odd.  So, i just asked, "Gang, Na'ay ang ultrasound?"  "Oo." (yes) was the reply.  Oh, "Can i have it?"  This was, hopefully a good sign, except nothing was really going for her.

She was already BOW rup, thus on a 12 hour time limit before we would be required to transport...she was only 2cm and a G1 (her first baby).  She was 70% effaced though, so that was in her favor.  Not in her favor, either was the continued discrepancy between current gestational age of 39 weeks and fundal height of 34cm.  Hmmm.  My gut was feeling a transport.

According to LMP (Last Menstruation) she was 39 weeks, according to the ultrasound she was 36 weeks.  Hmmm....  Normally we transport, unless they are 37 weeks.  We had a little problem though, we had made a little intervention.  Castor Oil.  This can help labor progress well and because she was 39 weeks and BOW Rup, this was good management.

So, my supervisor continued to struggle with the best choice.  We will give better care, but if the baby really is little, then we will have to transport.  Her fundal height was still small, even for 36 weeks...  still, she was stalling.  What's the best option.  At least she would see her little baby if it was born here.

She began getting active, so we prepared for birth.  Within about 20 minutes her little man was born.  Her bana had gone home at some point and was still not present, but we had a lovely time!  Her baby was sooo little.

Please pray for and welcome Robert Gabriel, 2000g (4lbs 7oz) length: 49cm