Booked to see thirty two reviews and two new antenatal patients on a day when no one else is working.
Woken at six to start the day with an emergency Caesarian Section for a heavy smoker admitted on the night before with a kidney infection - flank pain and heavy nitrites in the urine. She also had a productive chest infection. Foetal monitoring detected a slow foetal heart rate and decelerations with contractions. The baby girl cried vigorously at delivery.
Labour ward is empty but I am prevented from inducing labour for a high risk patient at term who has had repeated small placental abruptions, and has already been postponed twice. She weighs nearly one hundred and sixty kilograms. The theatre staff fear she may have a complication when they have reduced resources but tomorrow they will have elective surgery and a whole new range of obstetric complications to deal with as well.I believe they are being punitive over her weight, but they wouldn't admit it.They will feel no remorse if she has a major abruption while she is waiting but I have been overruled by the Medical Director.
Now for the clinic.
External cephalic version( turned a breech around): the only case of interest. Then review after review. Slower and slower as the day progressed, until the clinic finally petered out, no longer caring about much at all.
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