***I am sorry if I was not able to post what happened last Saturday, here it is...

When I went to the Hospital at 2 (my duty is 3-11PM) I was able to see RJA who was in duty at the DR at 7-3. He told me that I should not put my hopes high about handling a case (attending a delivery) because there were only two laboring women inside the labor room. I was really disappointed.

When I went inside the Nightingale hall (hall for student nurses from different colleges) I was surprised to see the majority of my groupmates cramming about our assignment about some labor and delivery medicines. I was at school at 9AM and did the assignment there.

Our Clinical Instructor beckoned us in front of the delivery room, he asked NFA and AxA to go with her inside, someone is giving birth inside.

I took the chance. I also took off my smack gown that covers my scrub suit,and wore my DR shoes, mask, and cap. I knocked at the door and asked if I can observe.

My CI let me in and told me that I was going to assist AxA in delivery while NFA was making the interview to the patient.

My CI ordered AxA to wear a pair of sterile gloves, I asked her if I should also put on some but she told me that it was unnecessary for me, since I would be just assisting. Neverthelesss I decide to wear when she said that I can if I want to protect myself.

The woman was 28 years old. her vulva was pulsating while she was complaining of the pain. My CI checked between her legs and found out that the BOW (bag of water) has  not yet explode. She ordered NFA to get her a piece of sterile needle. She then punctured the BOW with it and a cloudy fluid squirted from the inside.

After some time, when the pain was already swelling, our CI grabbed the lower portion of her vulva and spread it. The fetus started to move out. My CI instructed AxA and I what to do.

When the woman felt that the baby was coming close to her vaginal opening, our CI and the midwife told her to push harder. Although she was pushing really hard, the baby would still not come out so the midwife used her elbows to push her tummy but she was not exerting enough pressure so she told me to do it instead.

Whenever the woman's tummy contracts, I'll put all my weights on my elbows and push it really hard (imagine a wrestling match).

I kept on shouting, "Mrs. kaya nyo yan!" (MRS. you can do it!)... which she incessantly replied with "anak lumabas ka na!" (child, get out now!)... while my CI, the midwife, and AxA returned these  with chorus of "sige lang, ire pa!" (push!).

When the baby's crown was outside, my CI performed the episiotomy, which is according to wikipedia, is a surgical incision through the perineum made to enlarge the vagina and assist childbirth.

When the baby's full head emerged, half of the body immediately fallowed. But it was still difficult to get the baby out so they have to really pull the baby. I saw their teeth clenched while they pull the neonatal with all their forces combined.

When the baby was finally expelled, AxA cut the umbilicus. I then held the baby on her (it's a baby girl) feet while her body dangled at the bottom supported by my other hand. I hurriedly carried her to the nursery.

I was so glad. it was rewarding, and not in anyway the same with D&C.

But before I can exit the place, I was asked to interview a new patient. NFA was going to handle her case while RAA was bound to assist the delivery.

After taking the Personal info about my client, who was my schoolmate (she's older that I am), I then took her Vital Signs.

I admit, I have never been good in taking vital signs. And I have never tried taking the BP with a mercurial sphygmomanometer.

A mercurial sphygmo by the way is different from the aneroid because it uses mercury and a ruler-like scale, unlike the aneroid that has an arrow.

The left and right side of the scale has numbers. I didnt know that the numbers in the right were of tens (10, 20, 30) while those in the left were of five (5, 15, 25), so i loudly asked my CI what number to look at, before I even discovered that this was the case.  So the midwife made some spectacular comments about, us, my CI's students, brains.

I managed to take the BP anyway, so I resumed the interview. But then the midwife felt hot, as in warm not the one youre feeling when youre with Paris Hilton, so she asked me to turn the electric fan on.

I looked around and saw a blue wall fan. Thinking that there were other fans inside the room, I again loudly inquired "maam yung blue po?" (is it the blue one?), the midwife replied, "aba! ano pa ba yung kulay ng electric fan dito?!" (what other color does our fan have?!). So I diligently pressed the buttons, but its blades did not rotate, so I pressed the next one, and then the next but nothing happened. So I asked again, "maam ayaw po." (maam it wont work.) she yelled "aba isaksak mo kasi!" (plug it.).

SIGH... I was so stupid....