It was a caesarean section at 10 pm. The condition of the foetus was not good, so I was to be very quick with spinal anaesthesia.
But God has helped me and the procedure
took only a few minutes.
Scrubbing was done at an unbelievable
speed, and the time between cutting the skin and removing the baby was about
five minutes only.
In spite of thick meconium the baby girl
started crying immediately and I felt very relieved. But, while continuing with
the stitching of the uterus, I was called to the labour room because the new
born was not able to breath.
It was a terrible decision for me: do I
continue the operation because I am the only doctor in theatre, or do I rush to
resuscitate the baby?
The decision came quickly: I have asked for
warm saline solution; I have soaked a green towel and covered the wound of the
mother.
I have told the people helping me for the
operation to hold on and to call me in case of any anaesthesiological problem
for the patient. Then I have rushed to the labour room: the infant was not
breathing at all and the heart beat was very slow.
But probably a miracle took place in front
of my eyes: I have started pumping oxygen into the lungs of the new born and I
have performed a cardiac massage.
I really don’t know which of the two
procedures was more effective; the fact is that in no time the breathing
started and became regular, while the heart beat restarted as well.
My joy was great and I rushed quickly to my
cooperators in theatre: the patient was calm; there had been very little
bleeding and we could continue with our operation without problems. It is a
happy story because both mother and child are alive and good, but it is also an
example of the dire challenges we face in Chaaria, above all at night and
during the weekends.
Dr. Bro. Giuseppe Gaido
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