Monthly Archives: September 2014

Delivery room!

Whoa! Last Monday I started the practical training in labor/delivery room and I feel so inspired every day after practice. When I have been able to witness a totally different ways to treat the delivery, I am most impressed about the fact that in Finland we have this amazingly talented group of professionals who have so much knowledge and wisdom about the most important moment on ones life. Midwifes. In Taipei, there is no profession called “midwife” and the tasks that Finnish midwifes does are here done by doctors and nurses from labor/delivery room, surgery, pediatrics and maternity ward.

Let me tell you more about the normal vaginal birth. When the first part of the labor starts (with labor constructions, water breaking etc.) the mother will come to the labor room. Father and supportive persons are allowed to be with the mother in the labor room (I don’t think there is a limit for the amount of supportive persons that can join the mother in the labor room). In the labor room, mother has a possibility to use a birth ball and move a little, but not too much because the room is quite small. When the cervix is fully dilated the nurses will guide mother how to push and she can start pushing. In my experience this part of the labor is very similar that in Finland.

When the top of the baby’s head starts to peek out, mother will be rushed to the delivery room. Father can also join after he has put on a protective clothes, hat and a mask. Delivery room in Taipei VGH looks like something between Finnish delivery room and a surgery room. As soon as the mother is inside the delivery room, nurses will wash and disinfect the whole genital area with Petidine and cover the mothers legs and belly with sterile cloths. The doctor who delivers the baby will also be wearing the sterile clothes, mask and gloves. Doctor will cut the episiotomy wound always for every mother. I think that the baby is born very fast and because of the big episiotomy, the baby’s shoulders are born almost immediately after the head. No one will wait for the second rotations of the baby. Mother can see a glimpse of her baby (depending on doctor I guess..?) before the baby is put to the heated baby bed. At the baby bed one nurse will suck baby’s respiratory tracks while the other nurse is drying the baby.   Nurses will also check baby’s palate, spine, clavicles, hips, fontanels and anus. They will also check Moro reflex immediately after birth. After all these checkups, baby will be put to skin to skin contact for mother. Mother and baby will be transferred back to labor room in skin contact right after the doctor  has finished sewing the episiotomy wound. Nurses will observe the mother for one hour before moving her to maternal ward. Baby will be transferred to neonatal ward (also the healthy babies!) for bathing and measurements. After one to two hours baby will be given back to the mother for breastfeeding.

There seems to be so many differences between delivery by doctor and delivery by midwife and I feel interested to see and learn more everyday. Remember that these texts are all based on my experience and the things I see, hear and try to understand in a foreign country with a foreign language. I hope there will be no major misunderstandings 🙂

Now I’ll leave this cafe with free wi-fi and start my journey towards food! Bàibài!! (as they say it in Chinese)

Training in hospital and… Babies!!! Finally!

I can’t believe it’s already a third week here!? How come the time goes by so fast?

Last week I started my practical training at the Taipei Veterans General Hospital (VGH) and unlike I thought and said at  the previous post, I didn’t go to the labor room. Instead I ended up going to the pediatric oncology and hematology ward for two weeks. When I first heard about going to the pediatric ward, I felt very off place because pediatric oncology has a little to do with my studies. However I soon noticed that the ward is an excellent place to learn! The nurses have introduced us to their procedures and some of them seems a lot better than what we do in Finland! For example in the pediatric ward, safety of the patient is the most important thing in everything. Nurses have this “double check” system in medication, chemotherapy, blood transfusion, lab samples, doing procedures…. even when taking vital signs! Double check means they’ll have to open all the electronic patient papers with bar code found from the patient bracelet. That’s how the nurse will always check the patients identity by herself and the bar code reader/computer confirms it. It seems for me that Taipei VGH is extremely advanced hospital and very high in technology.

Still it has not only been pediatric oncology for the last week. At Thursday we got to see the neonatal ward and a tiny glimpse of maternity ward (I’m so excited to go there after few weeks!). There were also healthy mature babies in neonatal ward so it seems that all the newborn babies go there at first…? I’ll have to check that fact later. It was amusing to notice that babies are babies no matter of country. There were A LOT of crying, eating, pooping and sleeping in a neonatal ward. But one thing was somehow different compared to Finnish babies… Taiwanese babies they all have so much hair!!! 😀

 

So what else has been going on in my life besides practical training… Not much I guess. Just a lot of eating and eating and eating and eating. In Taipei one truly have to eat all the time to get really into the culture, so my goal is to taste everything! At the moment I have eaten stinky tofu, dumplings with beef, pork, vegetables and shrimp, fried chicken, hot pot with basically everything you can imagine, lot of different noodles, sushi, fish balls, a million soybean jelly textured things in delicious sauces…. The list will continue to eternity! >:)

Little crabs, stinky tofu, pork and rice something and an omelet...? I don't remember the names but delicious!!!

Little crabs, stinky tofu, pork and rice something and an omelet…? I don’t remember the names but delicious!!!

 

Good night y’all! <3