A Day in the Life: OB-Gyne Exposure

Wednesday, November 30, 2016

My OB-Gyne Rotation started last August and ended in September. Here, I share some of the highlights of my rotation.


There are days where we have our conferences together with the residents and consultants of the department. We discuss updates of guidelines, review the theoretical, and apply them in our everyday rotation in the department. One of the lectures we had with our consultant was about the updated FIGO system of classification of abnormal uterine bleeding and how it can be managed.


This was one of my very firsts in the rotation - the first placenta I delivered. It was a big placenta; I forgot how much it weighed but all I can remember was the ecstatic feeling I felt after holding it with both hands. In our rotation, we are tasked to weigh and classify the placenta based on the attachment, completeness of the lobes, and the mechanism of separation of the placenta we deliver.


This was the picture of the first ever Total Abdominal Hysterectomy with Bilateral Salphingo-Oophorectomy (TAHBSO) I assisted. We get to have the privilege of observing the operations being done --  how they are executed and how we in the near future would do such procedures by God's grace. More often, our task as clerks in the O.R. is to retract the organs away from the surgical field and give the doctors a better view of what they're operating. 


I find O.R. exposures really fascinating! It's better when I get to read on the theoretical beforehand so that I could appreciate what is happening in the field in front of me. But when times do not permit that I read before the procedure starts, I make sure to do so after. I learned that deed from my first departmental rotation at Surgery. It helps me a lot to remember the things that MUST be remembered; makes me appreciate more the ins and outs of the topic as well. 

On our outside rotations, I was able to assist more procedures - for Low Segment Casearian Sections, more TAHBSO, tubal ligation, preparation for transvaginal salphingosonography, dilatation and curettage procedures. and numerous normal deliveries. My favorite experience was the Caesarian Section via Pfannenstiel incision aka the bikini type CS.



There are also moments when we need to be at bedside with the patient. That basically means we go to their rooms and be there at their side as we monitor their vital signs for any derangement and/or observe their stability from time to time.  There, we observe the patient -- how she responds to the transfusion or medications being taken, etc. From there, we refer directly to the attending physicians every hour or sometimes every 5 to 15 minutes as the need arises. This was the first time I received a token of appreciation from a patient and patient's family. That food reminded me of my parents, to be honest. I got teary-eyed to receive it with open arms and heart.

We also conduct Non-Stress Tests and do Labor Watch. We learned how to decipher intensity of contraction as mild, moderate, to severe and be able to recognize their duration and interval. For instance, true labor happens when there are regular contractions with increasing intensity whereas false labor is associated with irregular contractions of long intervals, and unchanged intensity. In this rotation, we have learned to do our Friedman's Curve and get better histories from the patients, from their LMP, PMP, EDC, MIDAS, etc.



There are also quiet times when I can just sit at one corner and self-study. The 2-month rotation helped us to reinforce what we have learned a year ago in our theoretical classes.


On free days, I still find time to be with my family. Here, we had a visit at a nearby cafe, Via Mare, for a quick merienda after a tiring day of shopping preceded by a Sunday Mass.


Of course, quick breaks! Who wouldn't LOVE food from Jollibee all set at the pantry after a hard day's work???


Here's to a memory I'd like to very much keep  -- my first ever hands-on delivery from first to last stage of labor -- to the delivery of the baby, cutting of the cord, delivering the placenta via Schultz and repairing a right mediolateral episiotomy. 09/18/2016 Thank you, Lord!So there. I'll be having my rotation for another department in December. Until next time! 

xoxo.

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