I watched the baby breathe. 1, 2, 3… 17 breaths. 3 second pause. 7 breaths. Pause. With a mighty sigh, she started breathing again. Her nostrils flared despite the teeny nasal canula in her nose. Her accessory muscles heaved out the breaths her ordinary muscles had grown tired of supporting. Her perfectly formed fingers were limp, pale, cold. There was a cyanotic ring around her mouth.
In utero, she had been in distress for hours. Her mother hadn’t wanted to have a C-section, despite the information that her baby’s head was too big for her pelvis. Finally with the doctor screaming at the mother-to-be, her fingerprint was pressed Into the paper, sealing her alleged consent. It took around a half hour to get the consent, and another half hour to secure proper anesthesia for the surgery.
My shift was complete, but I didn’t want to leave. I wanted to make sure the baby breathed. There was a miniature ambu-bag at the foot of the bed in case she stopped. Not that it would matter. Even if we do CPR, there is no way to correct the causative physiological factor(s). So the patient usually dies anyway. I touched her small chest, counted her heart beat and felt her lungs expand. I held her small cold hands to warm them and checked to see if perhaps she had any reflexes. She didn’t.
Finally, she moved her tiny limbs. The machine continued to pump oxygen into her starved lungs. She breathed. Her heart beat. So I went home to get some rest. In the morning, she was gone.