treeze
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Some of you may know that I have written off and obtained my hospital notes from the births of my daughter Josie and more recently little Emma who is now nearly 3 months old!
It took a few weeks but I now have all the documents back from the nhs (cost about £15) and I have typed them all up. Just thought you might be interested to see the sort of things they write / check whilst you're in labour... so here they are. It probably looks like alot of reading but my labour was a quick one and these notes cover my full labour. From arriving back at the hospital for the 2nd time to discharge was just 4 and a half hours. On paper the full labour was classed as 2 hours 50minutes.
EMMAS BIRTH - OFFICIAL LABOUR DOCUMENTS
29th May 2011 22:45pm
Came to Delivery Suite with history of irregular tightenings since 1400hrs. Mainly Supry pubic pain. T36 degrees BP 130/80 Unirnalysis NAD palpitation and Vaginal Examination performed with consent. (Long/Ceph/ ROL/ 4/5ths palp / slightly posterior, 1 cm long, med consistency, 1-2cm dilated) findings discussed and explained to Theresa plan for home but aware to call if tightenings increase ORM (waters break) or concerns about fetal movements. Theresa happy with plan and discharged.
30th May
00:10am Theresa admitted to Juno Suite with a history of regular tightenings since 23
0 Now contracting 3-4:10 Entonox given on admission. Urine NAD.
00:20am Care taken over by myself S. Berale. Introductions made. Theresa using Entonox. Contractions 4:10
00:30 Abdominal palpation with consent. Fundus term, lie longitudal, presentation ceph, 2/5ths palpable, position ROA / ROL. FHHR sonicaid 150 155bpm. Acceleration to 160bpm. Vaginal Examination performed with consent (cervix central, fully effaced, soft, application close, 6cm dilated, waters bulging) Findings explained to Theresa & Raymond. FHHR felt after procedure 155 160bpm. Theresa using Entonox to good effect. Contractions 4:10 moderate on palpitation.
00:45am FHHR before during and after contraction 135 -140bpm FH dropped to 120 at height of contraction but quick recovery. Contractions 4:10 palpate strong. Theresa coping well
01
0am FHHR before during and after contraction 155 -160bpm.No decelerations heard. Accelerations to 165bpm heard. Theresa now standing up.
01
5am Theresa out to toilet passed urine
01:10am Theresa now on birthing ball
01:15am Contractions lasting approx 45 seconds, strong on palpitation. Theresa remains on birthing ball good support from Ray
01:25am Bloody show seen. Theresa back onto bed. FH 170bpm. To observe.
01:30am Student Trotman now present. Theresa happy for myself to assist with care and delivery.
01:45am FH 170 175bpm. Theresa coping extremely well, contractions 4:10 strong on palpitation. Feeling some slight pressure with contractions now.
01:50am SRM (waters broke) clear liquor draining ++ Theresa distressed reassurance given. FH 160bpm. No decelerations.
02
0am Bloody show seen FH 160 165bpm. Theresa feeling pressure with contractions now.
02:10am FH 150 155bpm No decelerations heard
02:15am FHHR 145 150 bpm Theresa now pushing
02:17am Vertex (head) visible. Theresa pushing well. Encouragement given
02:20am vertex crowning
02:21am progressed to SVD of live female infant. Cried immediately. Cord round shoulder x 1 untangled and delivered straight up onto Theresas abdomen. Stimulated with warm towels and hat applied. Syntometrine . On AF Has own milk. To feed baby. Left to bond, has call bell.
03:25am Baby has taken approx 30ml C & G. Has had small vomit after. Pink, alert, good tone. Enjoying cuddles with Theresa. Theresa eating some toast feeling well.
03:45am PN Obs with consent. BP 130/80 p80bpm T37 degrees. Uterus w/c just above umbilicus to try to pass urine. Lochia moderate but within normal limits. Theresa helped up and out to toilet has passed urine. To shower. Baby with Ray no problems reported.
04
0am Baby pink, alert, good one, HR 136bpm Resps 54/minute T36.8degrees. Baby rooting for another feed.
04:10am Theresa out of shower, feeling well. Wishes to be discharged home from Juno Suite. Reassured I will prepare her paperwork.
04:30am Ray out to car to collect baby seat
04:35am refreshments provided. Baby taken approx 10mls further af. Now asleep.
04:45am ray back. Ready for discharge. Paperwork prepared and provided. To call if any problems. For community visit. Discharged home.
It took a few weeks but I now have all the documents back from the nhs (cost about £15) and I have typed them all up. Just thought you might be interested to see the sort of things they write / check whilst you're in labour... so here they are. It probably looks like alot of reading but my labour was a quick one and these notes cover my full labour. From arriving back at the hospital for the 2nd time to discharge was just 4 and a half hours. On paper the full labour was classed as 2 hours 50minutes.
EMMAS BIRTH - OFFICIAL LABOUR DOCUMENTS
29th May 2011 22:45pm
Came to Delivery Suite with history of irregular tightenings since 1400hrs. Mainly Supry pubic pain. T36 degrees BP 130/80 Unirnalysis NAD palpitation and Vaginal Examination performed with consent. (Long/Ceph/ ROL/ 4/5ths palp / slightly posterior, 1 cm long, med consistency, 1-2cm dilated) findings discussed and explained to Theresa plan for home but aware to call if tightenings increase ORM (waters break) or concerns about fetal movements. Theresa happy with plan and discharged.
30th May
00:10am Theresa admitted to Juno Suite with a history of regular tightenings since 23

00:20am Care taken over by myself S. Berale. Introductions made. Theresa using Entonox. Contractions 4:10
00:30 Abdominal palpation with consent. Fundus term, lie longitudal, presentation ceph, 2/5ths palpable, position ROA / ROL. FHHR sonicaid 150 155bpm. Acceleration to 160bpm. Vaginal Examination performed with consent (cervix central, fully effaced, soft, application close, 6cm dilated, waters bulging) Findings explained to Theresa & Raymond. FHHR felt after procedure 155 160bpm. Theresa using Entonox to good effect. Contractions 4:10 moderate on palpitation.
00:45am FHHR before during and after contraction 135 -140bpm FH dropped to 120 at height of contraction but quick recovery. Contractions 4:10 palpate strong. Theresa coping well
01

01

01:10am Theresa now on birthing ball
01:15am Contractions lasting approx 45 seconds, strong on palpitation. Theresa remains on birthing ball good support from Ray
01:25am Bloody show seen. Theresa back onto bed. FH 170bpm. To observe.
01:30am Student Trotman now present. Theresa happy for myself to assist with care and delivery.
01:45am FH 170 175bpm. Theresa coping extremely well, contractions 4:10 strong on palpitation. Feeling some slight pressure with contractions now.
01:50am SRM (waters broke) clear liquor draining ++ Theresa distressed reassurance given. FH 160bpm. No decelerations.
02

02:10am FH 150 155bpm No decelerations heard
02:15am FHHR 145 150 bpm Theresa now pushing
02:17am Vertex (head) visible. Theresa pushing well. Encouragement given
02:20am vertex crowning
02:21am progressed to SVD of live female infant. Cried immediately. Cord round shoulder x 1 untangled and delivered straight up onto Theresas abdomen. Stimulated with warm towels and hat applied. Syntometrine . On AF Has own milk. To feed baby. Left to bond, has call bell.
03:25am Baby has taken approx 30ml C & G. Has had small vomit after. Pink, alert, good tone. Enjoying cuddles with Theresa. Theresa eating some toast feeling well.
03:45am PN Obs with consent. BP 130/80 p80bpm T37 degrees. Uterus w/c just above umbilicus to try to pass urine. Lochia moderate but within normal limits. Theresa helped up and out to toilet has passed urine. To shower. Baby with Ray no problems reported.
04

04:10am Theresa out of shower, feeling well. Wishes to be discharged home from Juno Suite. Reassured I will prepare her paperwork.
04:30am Ray out to car to collect baby seat
04:35am refreshments provided. Baby taken approx 10mls further af. Now asleep.
04:45am ray back. Ready for discharge. Paperwork prepared and provided. To call if any problems. For community visit. Discharged home.