CASE STUDYThe Twins

first service encounter

By Group 2

The Twins’ journey into the world….

• The case talks about a couple that was living in California. The wife was 6 months pregnant with twins.

• The twins, Emmy and Maddy, were due on Nov. 16, but the wife’s water broke 13 weeks early!!!

• It was a complicated case of premature , multiple – birth pregnancy.

• The wife had to be rushed to the hospital in rough weather(as hurricane Helix was approaching).

On reaching the hospitalIn the emergency dept.

• The husband was told to leave the wife with the triage nurse by the security guard

• The wife’s encounter with the triage nurse was short and sweet

• However, the orderly she met in the emergency dept. told her “ no way (she was) having a baby that early that(would) survive” .

In the the maternity ward

• The maternity ward was located on the 3rd floor.

• Here the wife was attended by a very nervous doctor( Dr. Baker’s assistant).

• Dr. Baker arrived late ( between 7 and 7:30 am) and informed the husband that if the labor pains subsided, they would deliver the babies 10 days later.

• However, at 8:30 am, Dr. Baker informed that the twins would be delivered that day itself by caesarean section.

In the delivery room

• The first of the twins , Emma, was born at 9:15 am , followed by the second, Maddy, at 9:16 am.

On the fourth floor• The next 4 days were spent by the wife in a private room on the fourth floor where the quality of care was sporadic.

In the NICU• It was located on the 4th floor and provided care for

premature babies and for full –term babies requiring special care.

• Throughout the girls’ 7 weeks stay in the NICU the quality of care was exceptional.

• As for the babies’ progress , some days were good and some weren’t that good.

It was located in a converted patient room in the back corner of the second floor.

It was a big letdown!!!

In the grower room

Finally after 9 weeks• The last night in the hospital was spent nesting• The nesting rooms were located on the 2nd

floor of the hospital• During the 22 hours of nesting the couple was

in- charge for all the needs of the babies.• Throughout the period they were visited by

neonatologists, nurses social workers, etc.

Discussions