On call this weekend and find myself bouncing between the ICU and L&D today. Upstairs is a woman in her early thirties dying from the alcohol and tylenol she used to heal the physical and emotional wounds from her boyfriend's beatings. Downstairs another young woman has walked in to have her baby without any prenatal care. Best estimate she's about 36 weeks, or a month before her due date. Preterm labor and no prenatal care unfortunately is almost diagnostic of drug use during pregnancy. Her last child was taken away from her and is in foster care.
I find myself playing a sick guessing game. Which will happen first? Will the baby be born or will the woman die? The cycle continues in many ways.