Yay for her!!!!
When I first started working at a new high risk hospital I came on shift (l&d nurse) to a woman who had been pushing for about 1 1/2 hours. I had a paramedic student with me that day who was very green about childbirth, so I'm sure he didn't even think anything of the situation
. After about another 1/2 hour I could see a bit of the baby, but it didn't look like occiput, so I put on a glove and felt around a bit. Yup, brow (anterior). Did I mention that the patient, her husband, and the pt's mother were all physicians? Well, I stayed very calm while the you know what hit the fan. I called for the senior resident who did nothing. Then I called her GP, who didn't even come. So, finally I called the OB on call, who is very old school. He walked in the room and asked the resident if the baby was mentum anterior or posterior, but since he had not even examined her he did not know. I was trying to talk and he finally listened when I said anterior, anterior. He calmly picked up the scissors and cut a huge episiotomy
. The baby came right out. There was no problem at all and no emergency. In hindsight, I would have just pretended nothing was unusual, since the baby was obviously descending. That much MD in the room was too stressful for me and after it was all over I went to the changeroom and had a good freaking cry over everything. Lesson learned-babies CAN come out in brow presentation!