
"Dok, do I need to find a referral hospital for Ms. Tya?" tanya Winda spread the thoughts that were in my head.
I shook my head while looking at Tya's pregnant mother's manual that was in my hands.
"It won't be, Win!"
I turned the book back to see Tya's pregnancy history. It contains only one row in that column. Judging from the gestational age listed there when the gestational age of Tya is still 7w. I still remember it was the first time she came to me again in her second pregnancy. Come showing off her pregnancy with a sense of pride to show the fruit of her love with her husband who incidentally is my ex-lover.Not only that she also insulted and scorned me saying how could obgyn doctors like me yanh even never pregnant and giving birth, even married yet yet pretentious to handle pregnant women and help labor?
Because she was so very upsetting and offensive to me as a woman I was angry and forbade her to control me again later on.
But not Tya name if it does not come constantly bothering me every week. I always refused him every time I came to me because he was just a troublemaker to me. But who would have thought that this annoying woman actually does not seem to control at all to other doctors.
When I did the ultrasound on Tya, she was still grimacing whining in pain so it was a little difficult for me.
"Call Ali! Call him ...!Owen .... Aaaf ...." He turned his body to the left and to the right.
"Hey, just calm down, Tya!" myrag. "If the operation's over, he'll be here soon."
It's not that the calmer he's the more he's become.
"Why does he care more about others than his own wife??!!" his screeches. "I'm also betting my life to give birth to her child."
I choose silence rather than answer. Worried that his blood pressure would rise if the answer I gave made him stress.
I frowned looking at the ultrasound monitor in front of me. Now I have to make a decision.
"Win, get the midwife and some nurses to set up VK!" my orders.
Winda was surprised, but immediately did what I told him to do. Call the midwifery section of the hospital and prepare Verlos Kamer which means delivery room.
I've decided that Tya is going to have a normal delivery and Tya knows that right away. He also had time to study medicine although decided not to continue it again because he was married to dr.Ali. So he must know the terms of medicine let alone just VK.
"What do you mean, Rayaaa?!!" he yelled while pulling my shirt.
"You want me to have a VBAC in hypertensive condition? You crazyaa??? You want me to die???" he shouted furiously while still continuing to wrangle the end of my clothes.
"Pacify yourself, Tya .." I said trying to be patient. "Try to relax for the sake of your baby too!"
"How can I relax?? How can I calm down? You tried to kill me Raya? You know I was SC. Then now you're telling me to have a normal delivery in hypertension??? You're nuts!You're going to kill me?! There's not even a husband here yet You've decided I have to VBAC? Oguuuhhh .... You're so mean, Rayaaaa!!" his screams still continued to hurt.
"Yes, listen ..." I said frustratedly. "I don't want to make your blood pressure go up, so let's make peace! I don't have a choice. Full operating room. One of them is even being used by your husband for patient surgery. Referral is no longer possible. It won't be time anymore, Tya! You've opened 8 earlier, maybe now it's more! Please understand! If you are taken to another hospital, how about you go on a trip without adequate medical equipment? Even more berabe later!" said explain.
"Then, tell the patient to get out of the operating room! Prioritize me and my baby. Later after I've just them!" whining.
I swear by anything, you're getting more and more absurd, I grumbled.
"Win, is VK ready?" I asked the Winda.
"Already, Doc!" reply Winda.
"Relayaa!!" scream Tya. "How you! I don't want a VBAC!"
I didn't heed his refusal. "Have the children take Bu Tya to VK, soon I will follow," my orders were immediately confirmed by Willa.
"You're just saying that you actually want me dead so you can take my place next to Ali, right?Don't dream!!!" his screams were strong between his pain.
"Doctor, Miss Tya is bleeding like that!" he said as he helped Tya get out of bed and into a wheelchair.
On the examination bed the patient looks blood on the sheets. And that seems like a lot, as well as in Tya's clothes. Seeing that, Tya was getting hysterical when he saw his own blood was seen pooling in the mattress. So did the blood that flowed between his legs.
"Aduuuuuhhhhwi .... How'this?!Aliii ....!!" pekiknya hysterical.
"Come, Fud .... Hurry up you take Bu Tya to VK!" tell me to Mahfudz.
Mahfudz quickly responded and pushed the blood-soaked Tya into VK. While I before going to VK must clear my business with the three patients who are on the queue list and have not had time to consult with me. I apologize for the urgency I had to deal with first and was forced to go ahead with it first rather than consult with them. And I'm giving you the option of changing today's schedule to tomorrow or any day they want. And fortunately they wanted to understand because even then when Tya broke their membranes they saw it for themselves until they saw the woman was carried in a wheelchair in a blood-soaked condition. They don't mind if the schedule is changed tomorrow and it makes me relieved.
\*\*\*\*
I was just in front of the delivery room when I heard Tya's screams that instead of calling her husband's name, she was calling my name. Uh, that's weird, my mind.
"Yerome!!! Where is Raya ....??! Aduuh .... Mama is very sick!" his screams.
I entered the room, took off my white coat and replaced it with the green shirt I used to wear when I took action.
"I'm here! What are you fussing about anyway?Stop yelling, you better save your energy to push later!" I said while sterilizing my hands drying them and wearing gloves.
"Raya, why are so many people here?I don't want to be seen in a kayak-rame like this!" he complained while still whimpering.
I looked at the people in this room.They all wanted a midwife, nurse, intern, apprentice child, as well as a child koas.
"Bu Tya won't be in her opening check, Doctor!" report midwife Eni.
I looked at Tya pushyly. What the fuck is wearing a bashful show all. He usually doesn't even know shame, I thought.
"All right, let me check, open your feet Tya!" my orders half forced him.
Tya scowled a little though in the end according to. I did an internal examination, also called an internal examination, to check the development of openings in labor.
"It's already opening 9" I said as I watched Tya who seemed to start to limp whether it was because of the loss of a lot of blood or indeed because it was not strong enough to withstand the pain of contraction.
"Don't push, Tya!" when I saw his face like he wanted to push. "Take your breath, and throw it away slowly ..." I said.
He nodded while mimicking what I taught. Sweat seemed to flow soaking her pale skin. His breath looks dull. But occasionally when he did not experience contractions he yawned and looked sleepy.
"Please don't fall asleep!" I said remind.
A few minutes later, he pushed without being taught. It looks like he's having a great contraction. I checked again.
"Open 10!" I said that followed by some koas children and akbid children who came to see wanted to know.
The baby's head is already visible in the inner cervical cavity.
"Come, Tya! Arrange your breath!"
Tya looked weak but tried to follow my instructions. He adjusted his breathing, took a deep breath and threw it away slowly.
"Push!!!!" seruku ordered.
It looks straining. Trying to gather her strength pushed the baby with the muscles in her womb. But it hasn't worked either.
I let him rest for a moment to gather his strength again.
"Repeat again!" I said give aba-aba. "Pull your breath, push!!"
Tya did it again, and this time it seemed like his efforts were a little successful. The baby's head is increasingly visible from outside the cervix.
"Come, once again Tya, this time it definitely works!" I said cheering.
Tya looked very limp and pale, blood also very much flooded this bed of verlos. I looked at my slightly trembling hands and tried to hide them. This is not a good sign. However, I must keep fighting for this until the end.
"Come on, Tya once again!" I said that started to sound depressed seeing the change in his condition drop drastically.
With the remnants of strength still present in him finally Tya strained again with as much as he could.
"Yes, so! Push it!!!" I almost screamed.
The baby finally came out with feces that accidentally came out of Tya's anus. Yes, it's a natural condition to happen. However, what struck me was the reality that was happening before me. The baby did not cry and moved only occasionally as his fingers moved. I saw one of the koas boys seem to be vomiting either because of the feces that also came out along with Tya's blood.
"Clean!" my hardik doesn't like the kid's attitude.
I looked at the baby now in my hand anxiously. Hopefully not...