Saturday, May 31, 2008

All my paperwork is in!

Hey Ya'll!

I am officially a toddler midwife! Graduation ceremony, check. DEA number (this means I can prescribe), check. One month of a realistic call schedule, check. Better with IUD placement, check. Hospital privileges, almost check. So far so good and my partners have been awesome! They have welcomed my questions and always made me feel supported. I will say this. When choosing where to work make sure its an environment that is conducive to your learning. This includes people that are patient and willing to teach. It makes a huge difference in your development.
One thing that I am finding interesting is how many of my folks really don't understand what I am doing. I find myself constantly explaining my role and duties as a modern day midwife. I am even more encouraged to promote midwifery and write a letter to Oprah! She should do a whole show about midwives and give us all free cars!! Doubt that would happen but a girl can dream.
The best thing that did happen this month is a birth I did with my mom present. She was in town for graduation while I was on call and as fate would have it she watched me deliver a baby. No HIPPA violations, the family requested to meet her and allowed her to stay for the birth. It was a really big moment for my mom and me because I have been telling her I how I wanted to deliver babies since I was 6. Of course she cried and I played tough, but I knew this was a special blessing.
Recent news, I have been made co chair for my local ACNM chapter. Couldn't believe I won, so I gotta bust my tail to make sure I do a good job! For those who know me, you know I love to juggle 5 different things at one time anyway so an added responsibility will be fine. Stay tuned for my next entry in which I will be completely by myself with hospital privileges!

Sunday, May 4, 2008

Lobby Express!!

Well gang, I am entering my second month and I am still having a ball! I was granted another gift from the birth goddess and got to deliver one of my faves.....in the lobby. I was at a staff meeting when the front desk attendant announced her arrival. I jumped up with excitement only to greet her in the lobby with the classic precipitous statement,"the baby is coming!". I ran past her to a exam room and grabbed a pair of gloves. I ran back to her pants being pulled down and she simutaneously delivered the head. We laid her down on a blanket then she let the rest of the baby come out. Technichally, the baby and her body did all the work. I just made sure my piece of love muffin didn't hit the floor!

Got to place my second IUD, this time a paraguard. Had some difficulty sounding and I later found out it was because her uterus was retroverted. Question, any of my midwifery mothers out there have any tips on properly assessing this? I should have know there would be some issues when I sounded her to 5 and 1/2. Anywhoo, after my attempted placement, I felt the ball of the "T" in her cervix. Bummer! I really need to practice advancement with the demo model because I am sure I pulled it down on the way out. I am going to seek out all the placements on the schedule this month so I can get some practice.

This is a big month for me. I am starting a full schedule this month! A bit nervous, but everyone has been totally patient with me so they can't stop now!