Surprise in Labor and Delivery! Part 1

March, 1982- 11 p.m.-Labor & Delivery

Mary Lou, our assistant nurse manager, wrote our assignments for the night shift on the large white board at the nursing station after we listened to report from the evening shift. We only had 5 women in labor so far, so she gave me Helen in the birthing room and the first admission.  Helen had 2 children at home, was 28 years old, and was dilated 5 cm (halfway). She was at 37 weeks gestation, which was technically 3 weeks early, but typically the baby would have mature lungs and be over 5 pounds in weight.

I walked into the birthing room and introduced myself to Helen and her husband, Mike. Helen was a pretty blond lady with large blue eyes. Her dark haired handsome husband seemed quite attentive to her. She looked exhausted from labor and being pregnant. As a contraction began, she began to do her Lamaze breathing as Mike held her hand. I placed my hand on her swollen abdomen to feel the strength of the contraction.

After it let up, I asked, “Do you know if you’re having a boy or a girl?” Helen replied, “No, Dr. J. doesn’t believe in doing ultrasounds if the pregnancy is normal. We already have a boy and a girl at home, so we’re ready for either.” I checked her blood pressure which was normal,  and then did an internal exam. The amniotic sac of water around the baby had not broken yet, so we were not yet monitoring the baby’s heart beat internally. She was further along now.

I looked at the external monitor strip which recorded a normal heart rate and variation at an average of 130 beat per minute. I wrote my assessment and initials on the monitor strip, and said to Helen and Mike, “I’m going to call Dr. J at home and tell him to come in. You will probably deliver in the next hour.” Helen groaned and began her breathing as another contraction started. I left the room, wrote my new assessment on the white board, and called Dr. J. and then assessed another patient in labor whose nurse was in the delivery room.

When I returned to Helen’s room, I found Dr. J with her. He was in his scrubs, and said he just broke her water. Since she was fully dilated, he told her to start pushing. As this was her third baby, she would probably deliver quickly. I pressed the call light and asked the tech, Theresa, to come in and assist. I removed the bottom of the birthing bed, put Helen’s heels in the stirrups, raised the head of the bed, and gave her the steel handles on each side of the bed to grip. Theresa wheeled the sterile table out of the closet and uncovered the instruments so they were all ready for Dr. J.

Helen gave 3 pushes, and the baby’s head crowned, covered with blond hair. Dr. J told her to push gently, and a perfectly formed baby girl slipped into his hands. He suctioned out her mouth, she grimaced, and let out a nice cry. The beautiful sound of that first cry never ceased to amaze me! I pulled the Apgar cord and wrote down the birth time: 11:50 p.m. Her one minute apgar was excellent at 8/10 as Dr. J. placed her in the warmer. She appeared to weigh about 5 pounds, which is slightly small for 37 weeks. I congratulated Helen and Mike on their new baby girl and rubbed her dry with the warmed blanket and put a cap on her head to help her retain her body heat.

As Dr. J massaged Helen’s abdomen to deliver the placenta, he said, “You have another baby in here, Helen. You’re having twins!” Helen immediately began to cry and said, “Oh no, how will we ever pay for another baby?” Mike turned pale. My heart quickened as twins are always a high risk delivery, especially surprise twins. I had never delivered twins in the birthing room before, but it was too late now to move her to the delivery room. I pressed the call light and told the tech at the desk what was happening and asked her to get the resident in here and the Neonatal ICU nurse stat! The room quickly filled with extra staff so we barely had room to turn around.

Thankfully, the second baby was also head down and came out equally as easily 5 minutes later. She was also a girl! Dr. J placed her next to her sister in the warmer and we quickly dried her off. She also had excellent Apgar scores and appeared to weigh around 5 pounds. We handed one girl to Helen and the other to Mike to hold, and they both seemed to relax a little as they began to get over their shock of having not one, but TWO new babies!

Surprise twin girls!

Surprise twin girls!

I silently prayed that Helen and Mike would realize that God could give them His love, strength, and finances in Christ Jesus if they would only trust Him. I thought of many childless Christian couples who would absolutely love to raise those beautiful twin girls in the nurture and admonition of the Lord. Children are so precious to God because He creates all of us.

Lo, children are an heritage from the Lord; and the fruit of the womb is His reward. Happy is the man who s his quiver full of them… Psalm 127:3, 5

The father of the righteous shall greatly rejoice, and he that begets a wise child shall have joy of him. Your father and your mother shall be glad, and she that bore you shall rejoice. Proverbs 23:24-25

After I woke up the next afternoon, I was glad it was my day off, giving me some extra time to think and pray. I continued to pray for the new twins to be healthy and receive Christ as Savior at a young age. Sometimes it’s difficult to be content and be single since most of my friends are married and having children. I wonder if God will ever give me a husband and children? I know His will for me today is to simply fix my eyes on Him and be content. I opened my Bible and read,

Not that I speak in respect of want; for I have learned, in whatever state I am, in this to be content. Philippians 4:11

It always encourages me to read this and think of the great Apostle Paul who God used to write these words. Apparently he was  a widower during the last part of his life and had to learn contentment also. I decided to get out my cassette tape on “Social Relationships” by Dr Stephen Olford to review Biblical principles of companionship, comradeship, courtship, and singleness. I always feel better after listening to it. Especially when he says, “You dear young people, if God wants you to marry, He will NEVER allow you to miss meeting your life partner!”

Dear Lord, Help me to rest in You in sweet contentment and just live one day at a time. Thank you that I am single today and that Your ways are so much higher than my ways and that You make no mistake. Amen.


I was thrilled to find Dr. Olford’s message at the following link:

I think every single person and parent would greatly benefit and be encouraged by this message. The Lord has allowed me to continue to be single. I no longer fear being single as I did when I was younger, because God has been so kind and gracious to me over the years and has provided for my every need. I praise Him for His precious gift of contentment.

Some years ago, God guided me to the wonderful verse in Isaiah 54:1

Sing. O barren, you who did not bear; break forth into singing, and cry aloud, you who did not travail with child; for more are the children of the desolate than the children of the married wife, says the Lord.

After I read this verse, the Lord showed me that there was no limit to the number of spiritual children I could have. How wonderful!

Next week I will continue with the next surprise of that very busy night in Labor and Delivery.



Is It Broken?

Volunteer Camp Nurse, Midwest, USA – July, 1980

The various Bible churches in the state have joined together to have a Bible camp for one week for children who attend Bible Clubs and teen Bible classes ages 8-18 years old. We rent a state park that has a group campground with a large lodge with dining hall and kitchen, clinic cabin. The 32 cabins each houses 8 children and one counselor. The camp sits among the forested hills with a refreshing lake for swimming.

We split the children into two separate camps. Junior camp is for ages 8-12, and senior camp is for ages 13-18. All the speakers, counselors, kitchen staff, and nurse volunteer for the week. It is very exhausting and hot and humid this time of year, but it is worth it all when we see children receive Christ as their personal Savior and others yield their life to the Lord. My sister, Marsha, tried to be the junior camp Bible teacher and camp nurse last year, but it was too much for one person. Often the nurse gets awakened at night. So I volunteered to be the nurse this year rather than a counselor as I was last year.

Lake where I was lifeguard and nurse at Bible Camp.

Lake where I was lifeguard and nurse at Bible Camp.

I began to prepare by reading through the manual for camp nurses from the American Camp Association. We copied their health information sheet to hand out to the campers to have their parents complete and give us on the first day of camp. I also replenished our first aid supplies from the previous year, made copies of the medication administration sheets, and read all the treatments for the most common injuries that were likely to occur. I prayed that God would give me wisdom in handling every situation. I was so glad Marsha would be on the grounds as a backup consultant. She has years of experience with pediatric nursing, whereas I have none other than my experience in nursing school.

The children all arrived with their parents Sunday afternoon. I sat at the registration desk with the camp directors and reviewed each health information form with the child’s parents. I collected all the prescription medications and marked on my record the child’s name, medicine, time, and dose so I could bring it to him in the dining hall at mealtimes. Only two children had asthma with inhalers. We gave their rescue inhaler to their counselor so they would have it in the cabin at night in case they had an asthma attack. All the cabins were at the top of very long hills, so it would be too long a hike at night to the nurse’s cabin in the valley near the lodge.

I knew from experience that none of the campers or counselors would get much sleep Sunday night because of their excitement and the occasional mice and bats that invariably came in the cabins after dark. The rest of the week, they would sleep well  from sheer exhaustion despite the critters. Monday we all began to settle into the routine of wake-up, personal devotions and Bible memorization, breakfast when I administered the majority of the scheduled medications, cabin clean-up, Bible lesson,  swimming, lunch, rest period, group games, crafts, dinner, and evening Bible lesson concluding with a group activity.

The most common complaint was homesickness, especially among the 8 year-olds who would complain of a “stomach ache” if they couldn’t quite admit they were homesick. I prayed with them and encouraged them to keep busy so the time would pass quickly. Sometimes it worked, but sometimes it didn’t. Occasionally, the camp director had to call parents who chose to pick up their child and take them home.

One of the campers, Becky, stumbled over a log and fell on her arm. Her counselor brought her to the clinic and I cleaned her abrasion and applied a dressing. Her wrist was bruised, swelling, and very painful when she tried to move it. I suspected a fracture, so the camp director called her parents while I applied a splint and sling. The director drove her to the closest emergency room 45 minutes away where her parents met them. Sadly, it was broken, so Becky went home after getting her cast put on.

Other things I treated were bee stings, splinters, abrasions, headaches, and upset stomach. It was exhausting as I felt like I was on call the entire week with no down time. But overall, I enjoyed it and was thankful for the opportunity to serve the campers so they could hear the Bible and learn about the Lord Jesus Christ.

But Jesus said, Permit little children, and forbid them not, to come unto Me; for of such is the kingdom of heaven. Matthew 19:14

My fun duty was to be cabin inspector along with one of the cooks. After the morning Bible lesson, we would announce each cabin’s score from 1 (filthy) to 10 (sparkling clean). The kids were very competitive and began making elegant signs by the end of the week to welcome us to their cabin. On Friday, the cabin with the highest score for the week was presented a beautiful cake at lunchtime. I also enjoyed being the camp lifeguard during the swimming sessions.

As the week progressed, the Bible lessons began to sink into their hearts and several children received Christ as their personal Savior. On Thursday night, they had a group campfire which was very moving and quite a few more received Christ, including Amanda, one of the teens from the Bible class I taught. Friday night, the campers’ parents arrived for the closing program. The speaker had a clear gospel message followed by a fun time where each cabin did a funny skit. We all laughed so hard that we were in tears!


I am thankful I had the opportunity to be a camp nurse where many children received Christ as their personal Savior over the years. About ten years ago, when I was between jobs as a nurse practitioner, I interviewed to be a camp nurse for the entire summer.  But somehow, in my middle-age years, I decided it didn’t sound quite so appealing nor did I have the energy to do it.

In doing some online searching, I came across an excellent book called The Basics of Camp Nursing by Linda Erceg and Myra Pravda. I also found some excellent tips on how parents can prepare their children for camp and prevent homesickness.

The Atheist Physics Professor

Diabetes Nurse Educator – Midwest, USA -1980

I exited the elevator on the cardiology unit and asked the head nurse if they had any patients with diabetes they would like me to see? She said Richard was admitted with congestive heart failure (CHF), but also was newly diagnosed with diabetes. I knocked on his door and entered his room.

He was a stout 70 year old white haired man sitting up in bed who appeared weak and weary. I sat down in the chair next to him and began to teach him about his diabetes and how he could control it with diet, exercise, and an oral medication which his doctor had prescribed for him. He paid good attention and asked some very specific scientific questions.

I asked, “Richard, what kind of work did you do before you retired?” He replied, “I was a physics professor at the University for 35 years.” I replied, “That was my Alma mater where I graduated from the School of Nursing! I never took any physics classes since I was so busy with my nursing courses. I really loved attending the Bible class on campus and meeting students from all over the world.” We continued our conversation which I concluded a few minutes later.

As I was leaving, I asked Richard if I could give him something to read with some Bible verses that told how he could have a personal relationship with Jesus Christ? He answered, “Well, Pam, I have to tell you that I’m an atheist. I don’t believe God even exists. But I will take it and read it.” He put the gospel tract on his bedside table.

As I left the room, I silently prayed, Dear Lord, You know all about the poor condition of Richard’s physical heart. I pray He would read those verses and receive You as his personal Savior so He can have a new spiritual heart.” I wondered if he would throw the tract in the trash can as soon as I left. I also thought about Psalm 14:3:

The fool has said in his heart, “There is no God.”

Richard was discharged home the next morning, so I didn’t have an opportunity to visit him again.

A few months later, I was sitting in my office in the diabetes classroom when my phone rang. The man introduced himself and said, “Pam, do you remember me? I’m Richard, the retired physics professor who told you that I’m an atheist.” “Oh, yes! I remember you Richard. How are you doing with your diabetes?”

“Pam, about a month after I came home, I was readmitted to the hospital because my heart failure flared up again. But while I was going for a heart test, I had a heart attack and my heart totally stopped. They did CPR (cardiopulmonary resuscitation) and brought me back from the dead! I was so terrified to die again. I couldn’t wait to get home and read that little paper you gave me with the Bible verses. As soon as I read it, I knew I was a sinner, and I prayed and received Christ as my Savior. I am so happy now and full of peace and joy! I know the next time I die, I will go straight to heaven to be with Him! I just wanted to thank you for giving me that paper.”

I listened in dumbfounded silence, hardly able to believe my ears. Then I told Richard how thrilled I was that he now knew Jesus Christ as his own Savior. I asked him a few more questions, and it appeared that he truly understood the gospel and had done business with God. He certainly sounded like a totally different man. I asked him if I could visit him at home to meet his wife and study the Bible further with him? He said he would absolutely love for me to visit him.

The next evening I entered his spacious lovely home and met his wife. We all sat down at the kitchen table and began to read Bible verses together. It was such a delightful time of fellowship as Richard asked me many questions as a newborn babe in Christ. I asked if one of the elders from church could come and teach him the Bible? He said that would be marvelous!

Richard grew rapidly in the Lord in his spiritual walk, but his physical heart continued to decline. About a year later, his wife called me and told me through thankful tears that Richard had passed on and was now home with the Savior in heaven above. We rejoiced together that he was no longer suffering physically. She sent me a beautiful note which said, “I feel good I know he has gone to join the Savior above and is at rest.”

I wrote in my journal that night “Richard is the first person I know of that is in heaven as a result of my testimony. What a privilege to be used of the Lord. May I labor in love more zealously and sacrificially.”

“Salvation is of the Lord.” Jonah 2:9


It still amazes me how God allows us sinners who are saved by His grace to share the good news with others. Like Paul said:

“I have planted, Apollos watered, but God gave the increase. So, then, neither is he that planteth anything, neither he that watereth, but God that giveth the increase.” I Corinthians 3:6-7

Some of my favorite gospel tracts to give to people.

Some of my favorite gospel tracts to give to people.

I always carry gospel tracts in my purse so I’m ready to hand them out at restaurants, the airport, to store clerks, etc. The following are some good websites where you can obtain gospel tracts.

Moments with the Book:

Print My Tract:

Good News Publishers:

Gospels of John in several languages can be found at the Pocket Testament League at

I would love to hear of your opportunities God has given you to share the gospel with your patients. Please email me at