I was on Labor and Delivery Unit. I expected to observe a vaginal birth, but there was none going on. The unit was slower than usual. There was only about 4 clients in the morning, and one of them did not want to have students. I was hanging around for a while, and then helped Kim prepare for a C-section of twin.

I observed tubal ligation with spinal anesthesia. The doctor gave me a quiz. Unfortunately, I forgot what 5% solution mean, so I got it wrong. Now I would remember for life, hopefully, that 5% solution means there is 5 g of drug in every 100 mL solution. He also taught me a way to calculate the dosage quickly. The surgeon made a short cut at the client’s umbilical area. I imagined after the incision healed, no one would notice any scar on the client, as it would be hidden with the umbilical skinfold. “That’s nice,” I thought. After pulling the tube out on one side, the surgeon tied it 3 times, cut it off, and did the same to the other side. I guessed the woman would have a lot of pain after all this pulling.

I also went into a ultrasound session. The parents came to have their fetus checked because they suspected their son was arrhythmic. The doctor said he was fine. He just turned around a lot. It was interesting for me to look at the ultrasound monitor. I could not tell one thing from the other, as everything was just black and white. Then while the doctor was explaining what was on the screen to the parents, I could see the fetal heart beating. That was eciting.

After lunch, I went to my third C-section. The client had twin. The same anesthestist gave the client an epidural anesthesia. Spinal and epidural anesthesia procedures looked the same for me. I could not tell which one is which by observing only. I took care of baby B and gave her medications. I did not have a chance to do her first bath, as her temperature was still low when I left.

Although there was not much going on in the early morning, it was another good day for me toward the end. So far, I haven’t done any Foley Catheter insertion, and haven’t seen hearing test, and vaginal birth. I hope I’ll have a chance next week.