I’m not usually the one to go crazy when I see a drooling baby. On the other hand, I had never really felt a growing baby in a womb. So when last Monday, on my first obstetric outpatient clinic, I actually touched the pregnant belly and felt the baby kicking, I felt so exhilarated!
I was the first to go of our little intern group. The woman was quite far on, about 34 weeks. Taking her history went quite well. In this setting, it’s very different from internal medicine for example, but I just kept to the structure that our teacher taught us and I think it went very well. I hadn’t taken someone’s blood pressure for almost a year, but that also just went very smoothly. I was quite surprised actually! Apparently, some actions become so much your own that you don’t have to think about how to do it anymore. Like biking. It has settled into a scheme in your brain.
Then, onto the physical examination. Leopold’s maneuvers had seemed very difficult to me, but with a little guidance on how to place my hands and on how much pressure to exert, they were quite easy actually. I could feel the height of the uterus, on which side the baby’s back was placed, and where the head was located. So with three simple maneuvers you can – without any imaging – deduct how the baby is sitting in the womb. Quite amazing!
The women who come to this student clinic are ‘rewarded’ with a fun ultrasound of their baby. As my mom is a vet, I have seen many ultrasounds of little foals in mares’ bellies, but Monday was again the first to see a live ultrasound of a human foetus. It was incredible to see the heart beating, little hands and feet, and the eye-sockets.
All in all, it’s great to keep coming upon such new and exiting experiences in medicine world. I know this will go on for a long time probably, and although I have seen quite a lot, I’ve not nearly seen enough. What I love about medicine, is the diversity of subjects. Even though I don’t really want to go into gynecology, I feel I’m really going to enjoy this clinic. One thing about it is also that it’s happy medicine: the women are not sick, they are not really patients, they just need their checkups and screenings to see if everything goes well. Of course there are also things that are going wrong or diseases involved, but mainly happy medicine!