Had a primip last night, thought she wanted as little pain medicine as possible, wanted to start with just IV meds. didnt want the epidural if she could help it.
the resident kept pushing her to get it! Seriously, every time he went in the room! "do you want your epidural?" and blah blah blah its going to become more painful, etc. blah blah blah. i got her ont eh birth ball, in teh rocking chair, sitting on edge of bed, etc. i explained to her that she could have the epidural if she wanted it, or iv medicine, or nothing. that whatever she picked was the right answer.
the resident of course tells her he can see she's in a lot of pain (yeah, bud, b/c you've got your hand in her vagina trying to put in an IUPC) and she's laying down for this.
later on, before he goes in her room i tell him not to ask her again if she wants an epidural. he says why not? i said b/c she doesn't want one. she is a grown woman who knows what she wants, knows she can have one if she wants one, and she doesn't want one. he said but she's in so much pain. i said that was because she was laying back like that whileyou checked her, she wasn't like that before you walked in the room. i dont think he believed me.
i said, look, she knows her options. then he says i doubt that.
she did end up asking for an epidural, on her own, a few hours later, with no one bugging her to get one.
ugh. one other resident we have is really bad about pushing ladies to get epidurals, but he'll at least listen when yout ell him to cut it out.
Would you like to comment?
