I can't remember now who mentioned Cycle Savvy, the book for teens by the same author as TCOYF. Anyway, we have it and I thought it was pretty good and more interesting for a teen who isn't likely to be as interested in fertility issues. DD1 has read it and thought it was useful, too. I thought it was pretty balanced on sexuality. I haven't read it in a while, but I don't recall being worried about it anyway when I handed it over to dd.
I did a little updating of the results and race list - I know I missed the last person who posted, but hopefully I'll get back to that later today.
NRR - I caught 2 babies yesterday. The first was one of my teen clients, who I'd actually seen in the office on Monday afternoon. After her appointment with me, she'd gone home and played Wii with her siblings and mother - and spent some time doing the Wii-fit hoola hooping. Her mom took her out to supper, and while they were out, my client started to get uncomfortable - just achy, couldn't sit down comfortably, nauseated and couldn't eat her supper. By the time they got home, she was having regular contractions. She came in around midnight finally, and was 2 cms dilated, but the labor nurse said she looked like she was serious, so we had her stay. An hour later or so, her water broke, and she was obviously in good active labor. Around 3:30, she was grunting off and on with contractions while soaking in the tub, and so the nurse called me to come (they'd tried to do an exam, but couldn't reach well in the tub, especially since my client couldn't comfortably lean back.) When I arrived, she was soaking with the whirlpool jets on, her mom was sitting on the side of the tub, and she had her arms around her mother and her head buried in her lap. She was just deciding that she wanted to get because she was getting too warm - so we helped her up. By this point, she was laboring pretty actively - in the time it took us to dry her off and help her back to bed, she had about 5 contractions that we had to stop for. Once in bed, she wanted to know how close she was, so I did a quick exam and she was about 8 cms. She was obviously having a lot of pressure and still grunting and pushing with the peak of each contraction, but not pushing in earnest. She's a tall, skinny kid, and we were amazed at how well she was able to move around, both between contractions and even during a contraction. She rolled from side to side, then would sit all the way up, then move to squatting and leaning forward, then kneel and lean over, then flop down for a while. After about an hour, she started pushing through every contraction and couldn't hold back. At this point, she decided she just couldn't push in the bed - and she needed to go sit on the toilet right now. Partly, I'm sure she could feel a lot of rectal pressure and she mentioned a few times being worried about pooping - which we kept assuring her was a non issue for us, and partly she just felt better more upright. Finally, I told her we could move to the toilet, as long as she didn't mind her baby being born there, and she basically sprinted off to the bathroom. By now, I could see a little wisp of baby hair when she pushed, so I figured we wouldn't make it back to bed, so we got some pads for the floor and a couple of towels and I put gloves on to wait for the baby. She was much happier on the toilet, and pushed great with each contraction. Within a couple, baby's head was visible even between contractions. I was still amazed at how much she was able to move around - with one contraction she'd put her right leg up on the garbage can and push, and the next, she'd prop her left leg up on my knee and push (I was kneeling in front of her.) Baby had a lot of caput and molding, and it took quite a few contractions for the baby to crown and be born. Her mother, the nurses and I all had a good laugh as baby was at the peak of crowning when the mama suddenly said "Now this is starting to hurt!" - apparently the rest of labor, during which she'd barely said a word, wasn't painful? Fortunately, as soon as the head was out, she stood up, and the rest of the baby easily slid into the bath towel I was holding. Baby was a little guy - 6 lbs 5 oz, with a ton of dark, wavy hair, born at 5:15 am. Mom wasn't ready to hold him right away - she was sort of scared by his very molded head, and purple toes, and initial raspy breaths, so we wrapped him in a towel and a couple warm blankets, and helped mom back to bed. The cord was so long I could hold the baby and walk ahead of her back to the bed! Once in bed, she was happy to put him skin to skin. Her primary labor nurse had just finished her orientation, and this was I think her 3rd birth on her own - but definitely her first birth involving a road trip to the bathroom! I love teenagers sometimes, because not being indoctrinated into how things are supposed to be, they just do whatever needs to be done to get the baby out!
My second baby for the day actually started off early in the day. This was mama's second baby, and he was breech for the last few weeks of pregnancy. We have some newer OBs who are willing to do external cephalic versions, so after discussions of options with the client (and in my community, options are pretty much deliver by cesarean, or have a version) she decided to try to get the baby turned. The OB preferred to attempt the version with an epidural, since he feels his success rate is higher if mom can truly relax, so mom came early in the morning for IV fluids and an epidural. We knew this baby was likely to be decent sized (her first was 8 lbs 11 oz) but fortunately she had good amniotic fluid levels, and a relatively roomy uterus. Fortunately the version was successful - even though it was quite a bit of work. The OB worked on pushing the head flexed and down, and had me push the butt up and to the side, and after several tries, much sweating, and several breaks to rethink stategy, baby turned! Because she had so much fluid, and baby was still moving around a lot, we were worried he'd try to move back, so since the plan was for her to be induced anyway, the OB went ahead and broke her water while I held the baby's head still. Fortunately, that settled the baby nicely into the pelvis, and we figured he'd stay there. After the version, the mom, who'd been rock steady all morning and such a trouper putting up with needle sticks, and epidural sticks, and all that pushing on her abdomen and turning her different ways, burst into tears and had a good cry - she'd been so worried that she was going to end up with a cesarean anyway, and so relieved. The rest of her labor was pretty straight forward (if more medicalized since she already had an epidural going, and we started pitocin to get contractions as well.) Around 2 in the afternoon, she was 3 cms dilated, but by 4:45, she was completely dilated and feeling a lot of pressure and a good urge to push. She was worried at this point, because in her first labor, she'd pushed a long time and finally had a vacuum assist, but this time baby moved down well with each push, and was born at 5:23 pm. 8 lbs 10 oz, born over an intact perineum - which should make for a lot easier recovery than having a cesarean!
RR - well, as you can guess, I didn't do any yesterday! Hoping to get a decent interval run on the treadmill today.