Originally posted by Susy K
I will leave this for shay. She always replies so eloquently on issues like this!
BAHAHAHA!! ME? ELOQUENT?
Thanks for the compliment, Susy. Hee hee...I always see myself as more on the brash and tell-it-like-it-is side when it comes to issues like this....
I did indeed reply, but did so on the OB nsg section. Here's what I had to say, if anyone's interested:
You just DO. You just have to deal with it. There's nothing you can do about it except send the urine tox to the lab, notify social work, and pray the baby is breathing when it's born. I've taken care of so many crack moms that I've lost track. My first job was NICU, and my first delivery was a mom high on heroin during delivery. She was RAGING high. I actually had one patient who was a crack prostitute tell me she was going to keep having babies until CPS finally let her keep one....she'd already had 6 taken away from her immediately after birth....was in labor w/baby #7 when I had her as a patient. Did I want to smack her and tell her what a waste of oxygen she was? YES. Did I want to rip her ovaries, fallopian tubes, and uterus out immediately after she delivered so she could never again torture some poor innocent child with her toxic drug habit? YES. What did I do? I sent the tox, called social work and her CPS case worker, and prayed the baby would be breathing when it was born. That was it. I took care of her like any other labor patient. I comforted her in pain, got her relief when she needed it, and held her hand when the social worker came to take her to rehab....again.
The only thing I do is encourage BIRTH CONTROL and try to steer them towards STERILIZATION and things like DEPO that they can't 'forget' to take when they're high.
It sucks, but it's part of the job. Unfortunately.
That's my 2 cents....