June 21, 2012
Throughout
my time in the maternity ward there has always been the same beautiful woman in
bed 10. I’ve never known her name and I’ve never fully understood why she was
in the hospital for so long. What I do know is that this is her first
pregnancy, she has poly-something (to much amniotic fluid) and we had to drain 500cc off
her. She was always in her bed with her medications laid out waiting for me
when I came around at 5am and she had the most beautiful smile when she greeted
me. From the way she was built I would have to say that she about 18-20 years
old, but no one around here really knows their true age.
She
went into labor before I got to work. When I checked her progress she was 2cm dilated.
She stayed in her bed and labored until about 1 am when we moved her to the
delivery room she was 5 cm. Her water still hadn’t broke so Jo got out a
internal fetal heart monitor that is normally screwed into the baby’s head
hooked up to monitor but they don’t have a monitor so they just use the screw
tip to pop the women’s water. When Jo finally broke her water it rushed out so
far it seriously looked like the rapids. I’m pretty sure my month was hanging
open in awe of home much and how fast it all came out. Jo had to jump back
because there was so much. But not before it drenched the front of him.
She
progressed slowly and by 4 am she was finally 10 cm and I could see that head
just by spreading the labia. She strained for about an hour pushing with
everything she had and finally at 5:15 am the most beautiful boy was born. As I
clamped the cord and began to suction the baby was flaccid, no crying, and
cyanotic. I suctioned more and tried to stimulate the baby.
Within seconds Jo grabbed the ambu
bag and started CPR. I don’t know if he even knew what he was doing, he just
started pumping air in rapidly and by the way the chest wasn’t moving I knew
that nothing was getting in. I pushed him out of the way checked for a pulse
and lifted the chin and began again. The time there was movement I went to do
chest compressions and as I pushed down I could feel the babies rib bow with
every thrust and I thought I was going to snap each one of them. (I’ve never
done CPR on a baby). I checked for a pulse again there was nothing…. More
air…more chest compressions…..more suction….more anything!!!! Nothing was
helping.
I’ve never been in a situation like
this. You read about what your suppose to do in nursing school, but never
really get to experience it. In my mind I kept thinking about what the next
step would be…intubation….monitor….oxygen… This is Africa, there is NOTHING! If
only we had some equipment we could have seen this coming.
I knew coming here I would see
death.
I knew coming here I would be faced
with a scary unknown.
I knew I would have to go outside
my well organized, clean, safe and time oriented bubble.
I knew I would have to stand on my
own knowing the only way I would ever make it through this year would be to
rely on God to pull me through.
What I wasn’t ready for was the
sight of what should have been a happy new mother sitting in the maternity ward
with a brand new baby, but instead this
women was babyless crying curled up on a mattress bed surrounded by a whole
room of happy health mothers and babies all starring at her.
It broke my heart in a million
different ways and I wanted nothing more than to rewind time and try again.
June 29, 2012
Today this lady came back to the
hospital and I was able to spend some time with her while she talked to the
doctor (Danae). I about burst into tears
as soon as I realized who she was. Danae was able to tell me alittle bit
about this women. Her name is Beatrice and she thinks she is 19 years old. Her husband
left her before the baby was born and the reason she was in the hospital for
long is because she had nowhere else to go. I was having a really hard time
keeping it together while I was listening to how horrible this young girls life
is. This baby was the last thing she had of her husband and I tried so hard not
to blame myself for ruining that for her but its hard not to when you know that
if only we were some other country we could have the equipment we need that
could have saved this babies life.