While waiting, I try to read a book, unsure of things I'm supposed to do.
Quarter past, Dr.T came. He asked if I could run in my shoes. I answered yes.
We run past people, bypassing elevators, using stairs and running through the secret underground passage. During this brief morning exercise, I can feel my brain being picked at and learn about Dr.T's clinical philosophy.
We arrive just in time for the delivery.
In absolute awe, I'm not sure if I introduced myself properly to the parents. I'm not sure how I'm perceived, but I'm there, looking at the whole labor and delivery process with my own eyes, real-time.
The baby almost looks alien as his head peeks out, blue and purple.
umbilical cord cut, baby's first cry is heard, he turns to red and the neonatal unit measures baby's birth weight. Numbers I would often ask parents of the ped patients at Dr.J's office.
Placenta comes out and blood is drawn.
I wonder if any genetic tests are done with those blood?
After the delivery, we go back to the clinic. Everything is electronic and surreal.
The awe of birthing process still not washed away. I noticed sweat marks on back of Dr.T's shirt.
And I take notes on things that I don't understand.
Hereditary spherocytosis
Description:
- inherited, clinically heterogeneous red blood cell membrane disorder characterized by spherical erythrocytes, hemolysis, and anemia(1, 2, 3)
Intrauterine device (IUD)
- expulsion most common in first year of use(1, 3)
- intrauterine devices (IUDs) are a type of long-acting reversible contraceptive (LARC) method (along with implantable contraceptives)(1)
Postdates pregnancy
Description:
Also called:
- postterm pregnancy
- prolonged pregnancy
- overdue
Dating of pregnancy
Last menstrual period (LMP):
- LMP is most reliable clinical estimator of gestational age if known with certainty
- Naegele's Rule: estimated date of delivery (EDD) = LMP + 7 days - 3 months + 1 year
- assumes 28-day cycle, ovulation on day 14 and average length of pregnancy 280 days (40 weeks)
- accuracy within 2 weeks in 85% with optimal menstrual history and 70% with suspect menstrual history (Obstet Gynecol 1985 May;65(5):613)
*For >40 y.o deliver at 39 weeks the LATEST.
