Sunday, July 13, 2008

The twin Experience

Soooo Thursday my client was confirmed to have two boys in uteri! Breech, breech Thus far she, the client, has held stud fast to the idea of a homebirth.
OK, babies appear healthy in so far as growth 2.10 and 2.11 by ultrasound estimation. Unfortunately one baby appears to have what is possibly a dilated renal pelvis, however it is located low in the pelvis, which begs the question “is it really a dilated renal pelvis”. Anyway client has a consult with neonatal medical specialist soon, as well as a second ultrasound.
My prospective? Scared, yes, I said scared! Concerned, excited. I want to risk her out now! I what to give her every opportunity to have a good healthy birth and provide personalized care, provide nutritional counseling, I want to scare her into transferring care. I want to tell her she can do this. I want to see her make it to term with her precious baby’s. Do I emphasis all the rare but possible risk that could leave her babies’ dead, or worse, severely injured during an out of hospital birth? I want some one to mentor me through the experience, someone to hold my hand.
So, just say that I fail to transfer care and she goes into preterm labor next week. Well If I did transfer care she could still go into labor next week, end result will be the same, they will either stop the labor in a hospital setting or not stop the labor and she will have preterm boys. At this point I’m resolved to just taking it one day at a time. After all nothing is wrong till it’s wrong, right!

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