A month in the UST-Obstetrics felt really fast. We only have 4 days to go before our group leave the lively, lochia-tic and hectic ward of UST-OB; then we will be assigned into another department which in my case is still vajayjay-related, the UST-Gynecology department. First half of our group where I apparently belong to will go to the UST-Gynecology dept for the next 2 weeks while the second half will be transferred to the so-called factory of babies, the Fabella hospital, also for 2 weeks. Then later on, after 2 weeks, Fabella here I come!
In OB, we basically deal with anything pregnancy-related. We were taught how to deal and take good care of pregnant patients from the moment they had their first pregnancy check-up up until they give birth and then recover from the miraculous 9 months of being gravid.
The tension is always there, keeping always in mind that we are not only dealing with a single patient, but 2 patients; the mother and the baby she treasures inside her womb.
The OB out-patient department taught us how to struggle to bring the fetus to term and to make the fetus viable to live in the future. As early as during the first trimester, we make sure the baby is in good condition and we keep the baby safe from any insults such as infections and the harm the mother may bring to the baby through certain medical conditions.
In our duties, AM or PM, we deal with patients who are in labor and ready to bring the fetus out into the real world. Here, we witness the pain the mother has to go through the labor process. So, we basically give our ultimate care and understanding to these patients the best way we can. Here I learned how to do normal spontaneous deliveries (NSD), cesarean sections (CS) and make use of certain instruments such as forceps and vacuums to facilitate the delivery of the baby.
Of course in our department everything is pregnancy-related. Although rare, we encounter cases of spontaneous abortions wherein we just cannot do anything for the mother but be sympathetic, teenage-pregnancies as young as 14, and premature labor which we sometimes fail to admit cos they cannot afford an incubator. Sometimes graver cases such as planned or induced abortion are also brought into our institution, but we don’t tolerate this kind of act, however the patient is sometimes already in serious and dreaded condition so we cannot just help but admit the patient to save and keep her away from death.
When we do our ward works, we basically monitor mothers who just gave birth to make sure they fully recover from which most of the time a long birthing process. We keep them safe and shy them away from the most common complication which is bleeding. In the wards, we see unconditional love between a mother and her child; breastfeeding even in the dreaded time of the night, light pat when the baby spontaneously wake up and shriek, and sometimes sweet lullabies for a good night sleep.
Obstetrics can be very intoxicating but in every duty we have, we see miracles happen. We hear heart tones in the mother’s belly, we feel fetal movements, we see crowning of the head in the birth canal, and most importantly we witness inexplicable births of innocent lives. Kudos to all obstetricians!