A blog from an
Australian field doctorexcerpt:
"Yesterday the international staff midwife, Mimansa, and I were involved in a very difficult delivery - premature twins. The woman came to us so late, and the first twin was delivered within minutes of her arriving. The baby was so, so tiny, but amazingly it was doing pretty well. I was resuscitating the first twin with the premature baby-size oxygen mask, but even that was too big for this baby. This tiny little thing was opening its eyes and clutching my finger while I was giving it oxygen. The second twin, who in a best-case scenario, would have followed the first very quickly, did not come out. Mimansa examined the woman to find out what was wrong and found, instead of a head, a hand. We were faced with a worst-case scenario, the second twin being in a transverse position, which means it was lying horizontally instead of with its head facing down. Mimansa was amazing. It felt like an eternity had passed, and she was pulling so hard, and the mother was pushing so hard and trying not to show how much pain she was in.
We were pretty sure the second twin was already dead by this stage, but then she finally got hold of a foot and pulled some more, and then a second foot, and then at last the baby was out. It was so tiny and floppy, and it was purple. We brought it over to the newborn table, and I put a stethoscope on this baby's chest and heard a heartbeat. It was slow, but there. I said, 'Mimansa, there's a heartbeat,' and we started ventilating and the baby became pink, the heartbeat increased, and she started trying to breathe. It was amazing – the resilience of these tiny human beings is incredible. "