February 2012 Moms

RNMama12

I didn't want to bog down the UO with this, but I was really interested in your post about birth plans. You specifically called out FTMs. Are they okay from STMs? I'm not sure mine would have been different (note - we actually forgot our birth plan at home, so I guess it doesn't really relate to me at all. We just told the nurses what we preferred when they asked, and they generally left me alone). I just thought your comment was interesting, because our preferences won't really change after having given birth now.

Do you enjoy working with STMs more? Are they generally a more reasonable bunch? 

I'm a little fascinated by your job, if you hadn't noticed.

Pass the sheet cake.

BabyGaga

Re: RNMama12

  • Ah, that makes sense.

    Some day you'll have to do an "Ask me anything about my job!" post. I always wonder what the nurses think about all the stuff that goes on here on TB.

    Pass the sheet cake.

    BabyGaga
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  • I get where you're coming from rnmama and agree for the most part.
    How long have you been a nurse? I've been one 12 years and I know I've encountered quite a few dr's and nurses who don't neccisarily do the best thing for the patient but more like the easiest thing.
    I think educating yourself and having some kind of plan is good. I know the hospital system I work for pushes pit like crazy, not because the mom needs it, but to push patients on through quicker. I'm no Ld nurse but we both know pit has it's own set of side effects.
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  • imageRNmama12:
    imagekleMcK:

    Ah, that makes sense.

    Some day you'll have to do an "Ask me anything about my job!" post. I always wonder what the nurses think about all the stuff that goes on here on TB.

    When the board was all pregnant women I would sometimes have a strong opinion about what people were saying, but I hardly ever shared it because this isn't a medical advice board and most people come to the board not looking for medical advice, but to vent/look for actual mom experience.   I call my pediatrician just as often as any mother would.  I was great taking care of DS while we were in the hospital.  Once we got home I didn't have "policy & procedure" to follow and was at a total loss!  My pediatrician is a very close friend, so I was texting her constantly that first day/night asking silly FTM questions.  I think the only part of the bump that upsets the nurse in me is the stories people post about their delivery that didn't go "their way" and act like the nurses were awful and ruined their whole life.  If a nurse was that bad, she wouldn't have a job.  

    Well, I got the delivery I wanted but I hated the nurse that took over after the shift change (and I could tell I wasn't exactly her favorite patient ever). I was difficult, though - I tend to get that way when I'm uncomfortable. She was trying to do something, and mashing on my belly while I was having a contraction. I said to her (in my head, it was very calmly, but I admit I have no idea if that's how it came out): Could you please wait until the contraction is over? I really need you to not be touching me right now.

    To be honest, I got the feeling that the nurse was probably rolling her eyes at me a lot, because I was obviously uncomfortable and didn't want her touching me and all that jazz, but I didn't want the epi. Does that happen with moms who want to go med free? It's possible it was imagined, but it is the impression that the nurse gave me.

    Anyways, I only came out of that situation cursing the OB resident who told me I was complete and should start pushing before I really was. He was smart to not come back into the room after that. I probably would have tried to crush him between my thighs. I know I was difficult and that the nurse probably had better things to do than deal with my attitude, I can't really blame her.

    Pass the sheet cake.

    BabyGaga
  • imageninthgirl:
    imageRNmama12:

    I totally agree about the pit overuse.  The normal labor curve is "once in active labor, the patient should dilate one cm per hour".  Most doctors follow that and most often, the patient does not follow that curve!  It is very important to educate yourself beforehand, but the nurse is there for 8-12 hours no matter whether you deliver or not, so they are in no time rush.  The doctors, on the other hand, are only there until you deliver so they certainly have an alterior motive to getting you delivered fast via pit or a c-section.  I believe there is an OB resident on this board too- chime in!  I am not trying to place the blame on the doctors either, but the nurse carries out the doctors orders- we don't make decisions on pit, c-sections etc.

    I have been a nurse for almost 3 years and have worked in maternal child health for 5 years.

    My mom was an L&D nurse back in the '80s and she said that she remembers rolling her eyes a few times about "failure to progress" diagnoses that resulted in c-sections because she knew it was jsut the dotro wanting to go home.  Do group OB practices not hand deliveries over between doctors to reduce the pressure?



    Not a doc or a nurse, just chiming in!

    My OB was one of 5 in a practice. They told us up front, our very first appointment actually, that if our specific OB wasn't on hospital duty on the day I delivered, that another OB in the practice would deliver the baby. As my due date approached, I was introduced to the other OB's so I would "know" who was delivering my baby. This made me feel good, knowing that they wouldn't rush me into a csection if I didn't deliver fast enough.

    As it turns out, my OB wasn't on hospital duty the day I delivered. For that matter, it was his day off. I'd been induced two days earlier though, and was having a rough time. [The day I was induced he was inoffice, which is connected to the hospital. The next day he was on Hospital duty] He came to the hospital at 6 the morning I delivered, and stayed to deliver Aria at 11:07 because he was so concerned about us. He made me feel so cared for, as did his nurses [two of them came to visit and see Aria in the hospital after she was born!].

    I don't know if this is relevant, I just had to share.
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  • I know the md orders the pit, sections, etc. That was my example of the md doing what's easiest for them.
    Ive worked with some phenomenal dr's and nurses in my 12 years. I'd say most have the patients best interest in mind. But those others stick in my mind.
    I
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  • imageRNmama12:
    If a nurse was that bad, she wouldn't have a job.  

    I agree with what you're saying but I don't think this is true.  I was in L&D quite a bit towards the end and a couple of the nurses were AWFUL.  Just rude, condescending, and bad attitudes.  After a shift change I said to the new nurse "well I guess someone woke up on the wrong side of the bed this morning" and she muttered under her breath "try every morning".  Just because a nurse is competent medically and knows her stuff doesn't mean she has any business in that profession if she can't have a little patience.  But this is true of every single job in every single industry, I'm sure we all have worked with a few bad apples.

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  • imageJen0204:

    imageRNmama12:
    If a nurse was that bad, she wouldn't have a job.  

    I agree with what you're saying but I don't think this is true.  I was in L&D quite a bit towards the end and a couple of the nurses were AWFUL.  Just rude, condescending, and bad attitudes.  After a shift change I said to the new nurse "well I guess someone woke up on the wrong side of the bed this morning" and she muttered under her breath "try every morning".  Just because a nurse is competent medically and knows her stuff doesn't mean she has any business in that profession if she can't have a little patience.  But this is true of every single job in every single industry, I'm sure we all have worked with a few bad apples.



    I agree! While I absolutely loved my LD nurses, I hated the nurses on the maternity floor. They were lazy and really not helpful when I was trying to breastfeed or when I needed something. It was frustrating because I supposedly delivered at one of the top hospitals in NYC, but I was not at all impressed!
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  • I just want to say my nurses were awesome! I was so nervous about my med free birth in the hospital, but every nurse I had was great. During labor my nurse pretty much did all the work my doctor came in like the last hour. She was just awesome and they worked together to help me push and explain how everything was going. I honestly could not have planned it better. The nurses in nursery were awesome as well, and I credit them for my breast feeding success. They made sure I fed Jorge every two hours and helped me get my latch right. I was all around amazed and grateful with my med free hospital birth. I have utmost respect for those ladies dealing with my yelling and apparently my dad asking them every hour why they did not give me meds.
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