Vanessa saw me for her first antenatal visit of her second pregnancy when she was 8 weeks pregnant. She told me her first pregnancy was uneventful. She went into spontaneous labour at 37 weeks. Labour lasted about 15 hours. There was a lack of progress in the second stage despite one hour of pushing. Forceps […]
A patient said to me at her first antenatal visit of her second pregnancy that she wanted an attempt at a VBAC (Vaginal Birth After Caesarean section). She was ten weeks pregnant at the time. I had not met her prior and I was not the obstetrician for her first pregnancy and I did not […]
On December 1st 2016 driving rules in NSW changed for learner, P1 and P2 licence holders. Learner, P1 and P2 licence holders are now not permitted to use a mobile phone at all while driving. “These laws encourage learner and provisional drivers and riders to concentrate on developing their vehicle control and hazard-perception skills. Mobile […]
I was woken by the midwife at 12.30am. A patient had arrived in labour at 6cm cervical dilatation. She was 39 weeks’ gestation and she had had two uncomplicated vaginal deliveries. She still had intact membranes. The midwife asked me to come as she was starting to get pressure. She concluded the conversation by saying: […]
Two recent cases of placenta praevia It was a Thursday afternoon. I took a patient to theatre for a Caesarean section delivery because of placenta praevia. Placenta praevia is when the placenta develops in the lower aspect of the uterus and in close relation to the cervix. In this case, the ultrasound scan indicated the […]
I was woken at about 12.30am by a midwife working in the Birth Unit. A patient had arrived in spontaneous labour and her cervix was now fully dilated. But the baby’s head was very high. The midwife told me the head was still at the level the brim of the pelvis. Membranes were still intact. […]
Last night a patient had an intact perineum after a spontaneous vaginal delivery. It was her first baby. There was some minor vaginal tearing only. I said to her she can expect to have a much better recovery because her perineum was intact. I often get asked by patients: “How can I avoid stitches?” The […]
Baby’s hand was below the baby’s head in labour.
Labour have unexpected and uncommon developments. In this case it was a compound presentation with a good outcome.
Prompt management saved the lives of a 33 weeks pregnant patient and her baby when the patient had internal bleeding from a liver tumour.
On Saturday afternoon a patient who was 28 weeks pregnant arrived a hospital fully dilated and with her baby having an oblique breech presentation.