Case #93 "Ready Or Not, Here He
Comes!"
by Charlene Babcock Irvin, MD, FACEP
A patient presented for transport to
labor and delivery by EMS. EMS notes she is
a G6P5, with contractions every three
minutes. Labor and Delivery is on the 4th
floor, about seven minutes away (and that’s
assuming the elevator is available), so I
decided to check her before authorizing the
trip in the elevator. She didn’t have a
doctor and said her due date was ‘soon’.
With a quick exam, I determined she was
dilated to about 9 cm, and station +2.
I asked her if she felt any urges to push.
“No, but this baby is coming fast, just like
my other babies!”
Questions:
1. What are the different stations of labor?
2. What quick test will tell you if the
patient has had premature spontaneous
rupture of membranes (SROM)?
3. What are the risk factors for placental
abruption?
4. Name the 5 components of the APGAR score.
5. How do you deliver the baby?
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