By The Minute

We had quite the adventure getting our team member across the finish line. Throughout the process I was trying to keep track of major events, medications, and changes. I'm not really sure why this was impressed upon me, but it just seemed like a good idea. It's not one-hundred percent accurate or even complete (see the final hours), but it should help paint a picture.

Their Activity Log

Date/Time Event/Details Specifications Pitocin Interval

04/15/2024
- - 07:00pm: Arrived, Checked-In
  - 09:10pm: IV Inserted
  - 09:35pm: Cytotec (Oral) 50mg
    - - The baby's heart rate was dropping after every contraction in response to the new contractions, and it was believed the cytotec-induced contractions were too strong for the baby.
04/16/2024 Event/Details Specifications Pitocin Interval
- - 04:44am: Lactated R (IV) 125mL/hr
  - 05:24am: Pitocin (IV) 1mu/min (+1mL/hr)
  - 07:15am: Pitocin (IV) 2mu/min (+1mL/hr) 1hr 51min
  - 07:52am: Pitocin (IV) 3mu/min (+1mL/hr) 0hr 37m
  - 08:30am: Pitocin (IV) 4mu/min (+1mL/hr) 0hr 38m
  - 09:37am: Pitocin (IV) 5mu/min (+1mL/hr) 1hr 07m
  - 10:38am: Pitocin (IV) 6mu/min (+1mL/hr) 1hr 01m
  - 11:00am: Cervical Check 2cm, 60% effaced, -2 station (Amy)
  - 11:49am: Pitocin (IV) 7mu/min (+1mL/hr) 1hr 11m
  - 12:32pm: Fentanyl 100 micrograms
  - 12:34pm: Foley Catheter Inserted & Expanded
  - 01:16pm: Pitocin (IV) 8mu/min (+1mL/hr) 32mL 1hr 27m
  - 02:54pm: Pitocin (IV) 9mu/min (+1mL/hr) 1hr 38m
  - 04:21pm: Pitocin (IV) 10mu/min (+1mL/hr) 1hr 27m
  - 05:22pm: Pitocin (IV) 0mu/min (-10mL/hr) 1hr 01m
    - - The baby’s heart rate seemed to fall to about 72bpm for about a minute, and RN Laney felt uncomfortable keeping the Pitocin running as she believed the baby was not reacting well.
  - 05:49pm: Pitocin (IV) 5mu/min (+5mL/hr) 0hr 27m
    - - Per Ashliegh, we’ll start Pitocin slow, going up a mL once every hour.
  - 06:05pm: Pitocin (IV) 1mu/min (-4mL/hr) 0hr 16m
  - 06:05pm: Lactated R (IV) 999mL/hr
  - 06:24pm: Lactated R (IV) 125mL/hr
  - 07:32pm: Pitocin (IV) 2mu/min (+1mL/hr) 1hr 27m
  - 08:05pm: Pitocin (IV) 3mu/min (+1mL/hr) 0hr 33m
  - 08:32pm: Pitocin (IV) 4mu/min (+1mL/hr) 0hr 27m
  - 08:56pm: Foley Catheter Removed
  - 09:02pm: Pitocin (IV) 5mu/min (+1mL/hr) 0hr 30m
  - 09:05pm: Benedryl (Oral) x2 25mg
  - 09:15pm: Cervical Check 5cm, 60% effaced, -3 station (Laney)
  - 09:32pm: Pitocin (IV) 6mu/min (+1mL/hr) 0hr 30m
  - 10:05pm: Pitocin (IV) 7mu/min (+1mL/hr) 0hr 33m
  - 10:32pm: Pitocin (IV) 8mu/min (+1mL/hr) 0hr 28m
  - 11:06pm: Pitocin (IV) 9mu/min (+1mL/hr) 0hr 34m
  - 11:34pm: Pitocin (IV) 10mu/min (+1mL/hr) 0hr 28m
04/17/2024 Event/Details Specifications Pitocin Interval
- - 12:04am: Pitocin (IV) 11mu/min (+1mL/hr) 0hr 30m
  - 12:37am: Pitocin (IV) 12mu/min (+1mL/hr) 0hr 33m
  - 01:10am: Pitocin (IV) 13mu/min (+1mL/hr) 0hr 33m
  - 01:41am: Pitocin (IV) 14mu/min (+1mL/hr) 0hr 31m
  - 02:15am: Pitocin (IV) 15mu/min (+1mL/hr) 0hr 34m
  - 02:45am: Pitocin (IV) 16mu/min (+1mL/hr) 0hr 30m
  - 03:18am: Pitocin (IV) 17mu/min (+1mL/hr) 0hr 33m
  - 03:48am: Pitocin (IV) 18mu/min (+1mL/hr) 0hr 30m
  - 04:28am: Cervical Check 5-6cm, 60-70% effaced, -3 station (Laney)
    - - EARLY ACTIVE LABOR -------------------------------------------------------------
  - 04:43am: Fentanyl 100 micrograms
  - 04:44am: Pitocin (IV) 19mu/min (+1mL/hr) 0hr 56m
  - 05:39am: Pitocin (IV) 0mu/min (-19mL/hr) 0hr 55m
    - - Per Bri, with how intense the contractions are for Leila, a break may be good to allow Leila to sleep and recover.
      - Prior to the break Leila was wanting to move forward with an Epidural, provided the options to start at a lower dose and adjust the effect as needed.
  - 05:55am: Fentanyl 100 micrograms
  - 06:35am: Lactated R (IV) 999mL/hr (500mL)
  - 06:45am: Epidural Inserted
  - 07:08am: Lactated R (IV) 125mL/hr
  - 07:08am: Epidural 8mL/hr
    - - Bupivacaine 0.125%
      - fentaNYL 2mcg/mL
      - Continuous Rate 8mL/hr
      - PCAE Dose 5mL
      - PCAE Lockout 15min
      - 1 Hour Limit 28mL
  - 07:49am: Lactated R (IV) 999mL/hr (250mL)
  - 07:55am: Epidural 12mL/hr
  - 08:00am: Catheter Inserted
  - 08:07am: Lactated R (IV) 125mL/hr
  - 08:14am: Lactated R (IV) 999mL/hr
    - - Baby’s heart rate dropped.
  - 08:15am: Lactated R (IV) 125mL/hr
  - 08:30am: SHE SLEEPS
  - 09:08am: Pitocin (IV) 2mu/min (+2mL/hr) 3hr 29m
    - - Expecting +2mL/half-hr
  - 09:27am: Pitocin (IV) 0mu/min (-2mL/hr) 0hr 21m
    - - Baby’s heart rate dropped to 72bpm, for about 5 minutes.
      - Position changed to the side, then hands and knees.
      - Expecting 0mL/hr Pitocin until noon
  - 09:30am: Terbutaline (IV) 0.25mg
    - - Use to stop contractions.
  - 09:30am: Lactated R (IV) 999mL/hr
  - 09:54am: Lactated R (IV) 125mL/hr
  - 12:21pm: Position Change Throne, Right Leg Peanut
  - 12:30pm: Cervical Check 7cm, 90% effaced, -2 station (Amy)
    - - ACTIVE LABOR --------------------------------------------------------------------
  - 12:35pm: Position Change Flying Cowgirl, Left Side
  - 01:01pm: Position Change Froggy
    - - Eating Chicken Broth
  - 01:23pm: Position Change Flying Cowgirl, Right Side
  - 01:48pm: Position Change Froggy
    - - Eating Chicken Broth
  - 02:00pm: Position Change Side-lye, Left Side
  - 02:10pm: WE SLEEP
  - 04:55pm: Cervical Check 7cm, 90% effaced, -2 station (Amy)
  - 04:58pm: Rupture Membrane Completed
  - 05:02pm: Position Change Seated Frog
  - 06:14pm: Ampicillin 2g
    - - Antibiotic (Penicillin Family) to treat potential GBS infection.
  - 06:19pm: Position Change Fire Hydrant
  - 06:48pm: Position Change Throne
  - 06:48pm: Position Change Exaggerate Runners (Extended Sideline)
    - - A sharp pain right below the sternum wasn’t suppressed by the Epidural so hopefully a position change will help.
  - 08:52pm: Position Change All Fours
  - 09:19pm: Position Change Exaggerated Side-lye, Right Side
  - 09:53pm: Ampicillin 1g
    - - Antibiotic (Penicillin Family) to treat potential GBS infection.
  - 10:00pm: Position Change Throne
  - 10:08pm: Cervical Check 9cm, 100% effaced, -1 station (Amy)
  - 10:00pm: Position Change Throne
  - 10:38pm: Bupivacaine 10cc
    - - Single increase of pain medication through the Epidural for some pain that was moving down, in the front.
  - 10:45pm: SHE SLEEPS
  - 11:45pm: Intrauterine Pressure Catheter
  - 11:50pm: Lactated R (IV) 999mL/hr (HER)
  - 11:50pm: Lactated R (IV) 999mL/hr (BABY)
    - - They changed positions to bring the baby's heart rate up, but it’s believed to be due to the lack of liquid inside her belly.
      - Contractions are continuing regularly without influence.
04/18/2024 Event/Details Specifications Pitocin Interval
- - 12:09am: Lactated R (IV) 125mL/hr (HER)
  - 12:10am: Lactated R (IV) 250mL/hr (BABY)
  - 12:26am: PUSHING BEGINS 10cm, 100% effaced, 0 station
  - 12:30am: 12 Hours Active Labor -------------------------------------------------------
  - 12:47am: SHE SLEEPS… ish
  - 02:25am: Ampicillin 1g
  - The spacetime continuum collapsed somewhere.
  - 05:00am: Bupivacaine (EP 10cc
  - 05:00am: Precedex 25mcg
  - 05:16am: WE SLEEP
  - 06:00am: Ampicillin 1g
  - 06:35am: Pushing Resumes
  - 07:12am: Vacuum Begins
  - 07:56am: 19 Hours 26 Minutes Active Labor Complete ------------------------------

His Activity Log

Date/Time Event/Details Specifications Info

04/18/2024
- - 07:58am: Weight 7.5lbs
  - 08:17am: Breast Feed L17/R0
  - 08:17am: Diaper Both
  - 09:48am: Blood Sugar 85mg/dL
  - 10:20am: Breast Feed L0/R15
  - 12:00pm: Breast Feed L15/R15
  - 01:12pm: Blood Sugar 54mg/dL
  - 01:15pm: Breast Feed L?/R?
  - 03:57pm: Blood Sugar 34mg/dL
  - 03:57pm: Blood Sugar 31mg/dL
  - 04:38pm: Glutose15 1.7mL
  - 05:30pm: Similac NeoSure 02mL
  - 05:53pm: Blood Sugar 61mg/dL
  - 06:15pm: Similac NeoSure 11mL
  - 08:21pm: Blood Sugar 52mg/dL
  - 08:30pm: Similac NeoSure 15mL
  - 11:13pm: Blood Sugar 55mg/dL
  - 11:17pm: Breast Fed L7/R5min Colostrum
  - 11:29pm: Similac NeoSure 12mL
04/19/2024 Event/Details Specifications Info
- - 02:25am: Blood Sugar 38mg/dL
  - 02:32am: Glutose15 1.7mL
  - 02:40am: Similac NeoSure 13mL 30min
  - 03:15am: Diaper Poop Transitional, Little Brownish
  - 03:58am: Blood Sugar 81mg/dL
  - 05:35am: Blood Sugar 49mg/dL
  - 05:44am: Similac NeoSure 18mL 15min
  - 05:45am: Diaper Pee
  - 08:00am: Blood Sugar mg/dL
  - 08:05am: Bilirubin TCB 9.8mg/dL
  - 08:05am: Bilirubin TSB 8.2mg/dL
  - 08:07am: Blood Sugar 49mg/dL
  - 08:20am: Cardiac Screen 93SpO2 Right Hand
  - 08:21am: Cardiac Screen 95SpO2 Left Foot
  - 08:23am: Cardiac Screen 91SpO2 Right Foot
  - 08:25am: Weight 7.3125lbs 2.5% Loss
  - 08:45am: Similac NeoSure 20mL 20min
  - 08:45am: Diaper Pee
  - 10:34am: Blood Sugar 65mg/dL
  - 11:50am: Breast Fed L9/R7min Colostrum
  - 11:15am: Similac NeoSure 13mL 15min
  - 02:40pm: Breast Fed L20/R20min Colostrum
  - 03:35pm: Similac NeoSure 5mL 10min
  - 04:20pm: Similac NeoSure 3mL 3min
  - 05:55pm: Diaper Pee Heavy
  - 06:01pm: Heartrate 102
  - 06:01pm: Cardiac Screen 93SpO2
  - 06:04pm: Temperature 98.5°
  - 06:05pm: Breast Fed L0/R8min Colostrum
  - 06:25pm: Breast Fed L10/R?min Colostrum
  - 06:35pm: Similac NeoSure 0mL 19mL, 2mL Loss, 17mL Left
  - 07:17pm: Similac NeoSure 11mL 17mL, 3mL Loss, 11mL, 4mL Left
  - 09:30pm: Similac NeoSure 20mL
04/20/2024 Event/Details Specifications Info
- - 12:10am: Breast Fed L16/R8min Colostrum
  - 12:45am: Similac NeoSure 5mL 10min
  - 01:50am: Diaper Pee
  - 03:25am: Temperature 97.9°
  - 03:32am: Similac NeoSure 16mL 10min
  - 06:38am: Temperature 97.7°
  - 06:35am: Similac NeoSure 20mL 14min
  - 08:25am: Bilirubin TCB 10.6mg/dL
  - 08:28am: Weight 7.1875lbs 1.7094% Loss
  - 06:38am: Temperature 98.3°
  - 09:45am: Breast Fed L15/R8min Colostrum
  - 12:46pm: Breast Fed L12/R16min Colostrum
  - 02:35pm: Bilirubin TCB 10.8mg/dL
  - 03:14pm: Breast Fed L11/R8min Colostrum
  - 05:45pm: Similac NeoSure 8mL
  - 07:15pm: Similac NeoSure 12mL
  - 10:30pm: Breast Fed L10/R10min Colostrum
  - 11:19pm: Similac NeoSure 4mL
04/21/2024 Event/Details Specifications Info
- - 12:45am: Similac NeoSure 20mL 30min
  - 02:00am: Similac NeoSure 9mL 10min
  - 03:00am: Similac NeoSure 8mL 10min
  - 03:50am: Similac NeoSure 12mL 5min
  - 05:05am: Similac NeoSure 13mL 5min
  - 06:40am: Similac NeoSure 15mL 10min
  - 07:50am: Diaper Pee
  - 07:52am: Similac NeoSure 15mL 2min
  - 09:15am: Similac NeoSure 20mL 7min
  - 12:25pm: Similac NeoSure 30mL 15min
  - 02:00pm: Similac NeoSure 28mL
  - 03:45pm: Diaper Poop Slight Tar, Mostly Brown
  - 04:00pm: Similac NeoSure 32mL 13min
  - 07:00pm: Pumping L30/R39mL
  - 07:10pm: Diaper Pee Heavy
  - 07:13pm: Similac NeoSure 32mL
  - 10:14pm: Breast Milk 35mL
  - 11:25pm: Diaper Both Heavy Pee, Through All Layers
  - 11:30pm: Breast Milk 34mL
04/22/2024 Event/Details Specifications Info
- - 12:15am: Breast Milk 30mL 12min
  - 01:30am: Diaper Poop Blowout
  - 01:40am: Breast Milk 15mL
  - 02:15am: Diaper Pee Seemed wet, no diaper marks
  - 02:00am: Pumping L65/R55mL
  - 02:30am: Similac NeoSure 15mL
  - 03:45am: Similac NeoSure 30mL
  - 04:35am: Pumping L27/R25mL
  - 04:40am: Similac NeoSure 12mL
  - 07:40am: Diaper Both Drier poop
  - 07:45am: Similac NeoSure 30mL
  - 09:40am: Diaper Poop Light, Seems Less Tacky
  - 09:50am: Similac NeoSure 30mL
  - 10:10am: Pumping L30/R45mL
  - 01:20pm: Diaper Both Very Light Poop
  - 01:30pm: Similac NeoSure 25mL
  - 02:30pm: Similac NeoSure 10mL
  - 03:30pm: Similac NeoSure 10mL
  - 04:45pm: Breast Fed L9/R10min
  - 06:47pm: Breast Fed L5/R10min
  - 07:42pm: Breast Fed L7/R0min
  - 09:40pm: Breast Fed L0/R10min
04/23/2024 Event/Details Specifications Info
- - 12:15am: Diaper Poop Tiny & Wet
  - 12:26am: Breast Milk 65mL 19min
  - 04:20am: Diaper Poop Huge
  - 04:35am: Breast Milk 64mL 26min
  - 07:20am: Diaper Poop Huge
  - 08:30am: Breast Milk 47mL
  - 09:45am: Diaper Poop
  - 10:04am: Pumping L70/R45mL 15min
  - 12:43pm: Breast Fed L15/R10-min
  - 02:15pm: Diaper Pee
  - 03:18am: Bilirubin TCB 1.5mg/dL
  - 03:45pm: Diaper Both
  - 04:10pm: Breast Fed L10/R10min
  - 04:32pm: Breast Fed L10/R0min
  - 05:33pm: Weight 8.1875lbs 13.91304% Gain
  - 08:08pm: Breast Fed L13/R12min
  - 08:36pm: Diaper Pee
  - 11:15pm: Breast Fed L10/R15min
04/24/2024 Event/Details Specifications Info
- - 12:50am: Diaper Poop
  - 01:40am: Diaper Poop
  - 01:45am: Breast Milk 60mL
  - 03:00am: Breast Milk 30mL
  - 04:30am: Diaper Poop
  - 04:35am: Breast Milk 60mL
  - 08:15am: Diaper Poop
  - 08:20am: Breast Milk 60mL
  - 10:13am: Pumping L85/R71mL 17min
  - 12:04pm: Breast Fed L13/R0min
  - 01:15pm: Breast Fed L0/R10min
  - 04:12pm: Breast Fed L16/R15min
  - 06:49pm: Pumping L15/R28mL 9min
  - 07:15pm: Diaper Poop
  - 07:36pm: Breast Fed L16/R17min
  - 09:10pm: Pumping L12/R5mL
  - 11:40pm: Pumping L46/R21mL 13min
04/25/2024 Event/Details Specifications Info
- - 12:00am: Diaper Poop
  - 12:05am: Breast Milk 60mL
  - 01:30am: Diaper Poop
  - 01:35am: Breast Milk 70mL
  - 04:50am: Diaper Both
  - 04:55am: Breast Milk 60mL
  - 08:00am: Diaper Poop
  - 08:05am: Breast Milk 60mL
  - 06:16am: Pumping L93/R50mL 16min
  - 09:00am: Pumping L65/R31mL 15min
  - 12:30pm: Diaper Poop Thin
  - 12:35pm: Breast Fed L16/R10min
  - 04:50pm: Diaper Both
  - 04:56pm: Breast Fed L12/R17min
  - 06:25pm: Pumping L21/R46mL 13min
  - 08:13pm: Diaper Pee
  - 08:16pm: Breast Fed L15/R14min
  - 10:30pm: Breast Fed L10/R13min
04/26/2024 Event/Details Specifications Info
- - 02:00am: Diaper Both
  - 02:05am: Breast Milk 70mL
  - 04:00am: Diaper Poop
  - 04:05am: Breast Milk 110mL
  - 07:11am: Pumping L117/R67 20min
  - 08:00am: Diaper Poop
  - 08:05am: Breast Milk 70mL
  - 11:48am: Breast Fed L12/R16min
  - 03:52pm: Breast Fed L?/R15min
  - 07:23pm: Breast Fed L15/R12min
  - 10:17pm: Breast Fed L12/R16min
04/27/2024 Event/Details Specifications Info
- - 02:35am: Diaper Pee
  - 02:40am: Breast Fed L11/R14min
  - 06:47am: Diaper Both Small Poop
  - 06:53am: Breast Fed L13/R6min
  - 10:40am: Diaper Both
  - 10:42am: Breast Fed L10/R13min
  - 01:00pm: Pumping L80/R53mL
  - 01:15pm: Breast Milk 80mL
  - 03:00pm: Diaper Pee
  - 03:04pm: Breast Fed L8/R5min
  - 04:31pm: Breast Fed L10/R12min

Her Activity Log

Date/Time Event/Details Specifications Info

04/21/2024 Advised 600mg Ibup/6hrs, 650mg Acet/4hrs
- - 04:16pm: Blood Pressure 139/91 p87
04/22/2024 Event/Details Specifications Info
- - 02:00am: Ibuprofen 600mg
  - 02:00am: Acetaminophen 500mg
  - 02:00am: Docusate 100mg
  - 02:00am: Magnesium 800mg
  - 08:25am: Ibuprofen 600mg
  - 08:25am: Acetaminophen 500mg
  - 08:25am: Docusate 100mg
  - 10:15pm: Ibuprofen 600mg
  - 10:15pm: Acetaminophen 1000mg
  - 10:15pm: Docusate 100mg
  - 10:15pm: Magnesium 800mg
04/23/2024 Event/Details Specifications Info
- - 09:15am: Ibuprofen 400mg
  - 09:15am: Acetaminophen 500mg
  - 09:15am: Docusate 100mg
  - 11:09am: Blood Pressure 133/95 p99
  - 05:01pm: Temperature 98.2°
  - 05:04am: Blood Pressure 150/119 p96
  - 05:06pm: Blood Pressure 143/108 p89
  - 06:52pm: Ibuprofen 800mg
  - 06:52pm: Acetaminophen 500mg
  - 06:52pm: Docusate 100mg
04/24/2024 Event/Details Specifications Info
- - 12:36am: Ibuprofen 400mg
  - 12:36am: Acetaminophen 500mg
  - 12:36am: Docusate 100mg
  - 12:36am: Magnesium 800mg
  - 05:34am: Ibuprofen 800mg
  - 02:13pm: Blood Pressure 147/106 p94
  - 03:48pm: Blood Pressure 146/106 p101
  - 04:09pm: Blood Pressure 136/100 p90
  - 04:32pm: Ibuprofen 400mg
  - 04:32pm: Acetaminophen 500mg
  - 04:32pm: Docusate 200mg
  - 11:14pm: Blood Pressure 141/106 p87
04/25/2024 Event/Details Specifications Info
- - 12:11am: Ibuprofen 200mg
  - 12:11am: Acetaminophen 1000mg
  - 12:11am: Docusate 100mg
  - 12:11am: Magnesium 800mg
  - 01:30pm: Ibuprofen 400mg
  - 01:30pm: Acetaminophen 1000mg
  - 01:30pm: Docusate 200mg
  - 04:44pm: Blood Pressure 135/92 p95
  - 11:10pm: Ibuprofen 200mg
  - 11:10pm: Acetaminophen 500mg
  - 11:10pm: Docusate 100mg
  - 11:10pm: Magnesium 800mg
04/26/2024 Event/Details Specifications Info
- - 10:35pm: Ibuprofen 400mg
  - 10:35pm: Acetaminophen 500mg
  - 10:35pm: Docusate 200mg
  - 10:35pm: Magnesium 800mg
04/27/2024 Event/Details Specifications Info
- - 10:55am: Ibuprofen 200mg
  - 10:55am: Acetaminophen 500mg
  - 10:55am: Docusate 100mg
  - 10:55am: Magnesium 400mg