The Men in OB Debate: Help!

Nurses General Nursing

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Hello everyone!

I'll begin with a few caveats: first, I'm brand new here, and so this may or may not be the the right forum for my post. I see that there's a "men in nursing" sub-forum but a) I feel like people from all specialties and perspectives may want to weigh in on the question, and b) gender is more complicated than binary "male/female" categories. (I'm being personal and not political with that statement, I promise.)

So, I am a nursing student in a BSN program and I graduate on December 14. I went into my studies not sure what type of nursing I wanted to do. I never thought I'd enjoy my OB rotation but it ended being my favorite rotation. I loved it. My current clinical instructor for advanced med/surg is an OB nurse, and she arranged for me to shadow on the L&D unit and help out at a pregnancy fair. The nurse manager on the unit took notice of my work and asked me to apply for the nurse residency program once I graduate. "I want to hire you," she said.

Obviously, I was flattered and very excited. I didn't have any reservations about it until I posted an article about men in OB nursing on Facebook. While the overwhelming majority of responses were positive, there were those who professed a strong and passionate objection to men in the OB field. That childbirth is a uniquely female experience, and men can never relate to their patient as closely as a woman nurse can, was one reason given. The concern for women with a history of sexual abuse and trauma and how a male nurse could reintroduce feelings of trauma or open up emotional wounds was another. Finally, many women expressed that, in the current cultural/political landscape, women need more safe spaces where men are not present.

I think all of these concerns are legitimate. And so, I'm torn. I love the work of OB and the feedback I've received from clinical instructors and other nurses is that I would shine in this field. But bearing in mind the fundamental principle of healthcare/nursing praxis, "do no harm," I am concerned that a man in OB might be too controversial and divisive. Maybe it is the wrong time, culturally and politically, for it.

I'm throwing it out to this forum for feedback. I have heard from my friends, family, and colleagues, but I want to make the right choice. Please share your thoughts - pro, con, I want to hear all perspectives.

Thank you!

If a male nurse applied to my department because that's the area of nursing where he feels most interested/passionate, then I would have no issue hiring him.

Good to know, klone. :)

Specializes in Transitional Nursing.

It's going to depend on the individual patient. No one person can speak for the entire specialty and there is absolutely a place for men in OB, of course.

I can't understand anyone having a "problem" with this, aside from individually not feeling comfortable. I also think it's largely going to depend on you and your demeanor/beside manner, etc. Some will love you and some not so much, it's ok either way.

Specializes in L&D, OBED, NICU, Lactation.
Hello everyone!

I'll begin with a few caveats: first, I'm brand new here, and so this may or may not be the the right forum for my post. I see that there's a "men in nursing" sub-forum but a) I feel like people from all specialties and perspectives may want to weigh in on the question, and b) gender is more complicated than binary "male/female" categories. (I'm being personal and not political with that statement, I promise.)

So, I am a nursing student in a BSN program and I graduate on December 14. I went into my studies not sure what type of nursing I wanted to do. I never thought I'd enjoy my OB rotation but it ended being my favorite rotation. I loved it. My current clinical instructor for advanced med/surg is an OB nurse, and she arranged for me to shadow on the L&D unit and help out at a pregnancy fair. The nurse manager on the unit took notice of my work and asked me to apply for the nurse residency program once I graduate. "I want to hire you," she said.

Obviously, I was flattered and very excited. I didn't have any reservations about it until I posted an article about men in OB nursing on Facebook. While the overwhelming majority of responses were positive, there were those who professed a strong and passionate objection to men in the OB field. That childbirth is a uniquely female experience, and men can never relate to their patient as closely as a woman nurse can, was one reason given. The concern for women with a history of sexual abuse and trauma and how a male nurse could reintroduce feelings of trauma or open up emotional wounds was another. Finally, many women expressed that, in the current cultural/political landscape, women need more safe spaces where men are not present.

I think all of these concerns are legitimate. And so, I'm torn. I love the work of OB and the feedback I've received from clinical instructors and other nurses is that I would shine in this field. But bearing in mind the fundamental principle of healthcare/nursing praxis, "do no harm," I am concerned that a man in OB might be too controversial and divisive. Maybe it is the wrong time, culturally and politically, for it.

I'm throwing it out to this forum for feedback. I have heard from my friends, family, and colleagues, but I want to make the right choice. Please share your thoughts - pro, con, I want to hear all perspectives.

Thank you!

Hi...male OB nurse here...how you doing? I was the same as you, loved OB during nursing school, except there were no new grad jobs when I was done, so I went into NICU. As soon as I could, I moved to L&D. I'm also a lactation counselor. Over the past 2 years I've had exactly 4 patients that I was assigned ask for a female as they had no male caregivers. I have never had a patient with a male OB ask for a female nurse. I work in one of (if not) the most diverse city in the US in hospitals that do 5-10K a year. There are now 2 male OB RNs in this city (the 3rd just moved away.) If you have the ability to nearly instantly build a rapport of competent, safe, and non-threatening you will do beautifully.

Do not let Facebook opinions sway your goal, it's just bad practice for life in general. This is also one of those things where once you get in, you can go anywhere. Once you have L&D experience, it makes it that much harder for any hospital to say "oh the patients wouldn't want a male RN" because you have demonstrated proof that they are wrong. While I agree that the birth itself is unique to females, the entire experience is what the patient and family want it to be. I've been in plenty of midwife + doula + "natural" childbirth deliveries and I freakin' love them. If you believe L&D is where you will thrive, go for it. Passion is infectious, passion + proven success will take you anywhere you want to go.

Additional thoughts on bolded:No, it's not the wrong time. End of story. Also, try not to let the unit pick 'appropriate' patients for you (culturally, ethnically, etc). I've cared for plenty of women from cultures that normally have no male care providers. It's amazing what happens when we treat people like individuals and not stereotypes.

Pro-tip: At shift change, we do an introduction/talking up of the oncoming nurse. My co-workers do not say "Your nurse is a male, is that okay?" (that language suggests that being a male OB is wrong). What they say is "You get to have ldrnicuguy caring for you today, he has a ton of experience with moms and babies and he'll take great care of you." (See the difference).

Specializes in OB-Gyn/Primary Care/Ambulatory Leadership.
Hi...male OB nurse here...how you doing? I was the same as you, loved OB during nursing school, except there were no new grad jobs when I was done, so I went into NICU. As soon as I could, I moved to L&D. I'm also a lactation counselor. Over the past 2 years I've had exactly 4 patients that I was assigned ask for a female as they had no male caregivers. I have never had a patient with a male OB ask for a female nurse. I work in one of (if not) the most diverse city in the US in hospitals that do 5-10K a year. There are now 2 male OB RNs in this city (the 3rd just moved away.) If you have the ability to nearly instantly build a rapport of competent, safe, and non-threatening you will do beautifully.

Do not let Facebook opinions sway your goal, it's just bad practice for life in general. This is also one of those things where once you get in, you can go anywhere. Once you have L&D experience, it makes it that much harder for any hospital to say "oh the patients wouldn't want a male RN" because you have demonstrated proof that they are wrong. While I agree that the birth itself is unique to females, the entire experience is what the patient and family want it to be. I've been in plenty of midwife + doula + "natural" childbirth deliveries and I freakin' love them. If you believe L&D is where you will thrive, go for it. Passion is infectious, passion + proven success will take you anywhere you want to go.

Additional thoughts on bolded:No, it's not the wrong time. End of story. Also, try not to let the unit pick 'appropriate' patients for you (culturally, ethnically, etc). I've cared for plenty of women from cultures that normally have no male care providers. It's amazing what happens when we treat people like individuals and not stereotypes.

Pro-tip: At shift change, we do an introduction/talking up of the oncoming nurse. My co-workers do not say "Your nurse is a male, is that okay?" (that language suggests that being a male OB is wrong). What they say is "You get to have ldrnicuguy caring for you today, he has a ton of experience with moms and babies and he'll take great care of you." (See the difference).

Awesome post and some great food for thought. Love your comment about treating people like individuals and not stereotypes. Thank you!!

Specializes in Cardicac Neuro Telemetry.

I see no problem with men being in OB. In fact, I know a couple of wonderful men who are obgyns and I would allow them to care for me in a heartbeat. I say this as a woman who has been pregnant and had a baby before.

If you enjoy OB and have a passion for it, take the manager up on her offer and apply! Sure, you may encounter patients who don't want a male nurse but as long as you can handle that and not take it to heart, you should be fine.

Specializes in CVICU, MICU, Burn ICU.

I say go for it! If you are a clinically competent, good nurse who is a team player you will be a HUGE asset to any OB unit. I don't work in women's health (disclaimer), but I am SO SO thankful for the male nurses I work with. Our brains process in different ways and our team is stronger for the diversity in that.

And for Pete's sake whatever you do don't listen to people on FB!! ;)

Specializes in L&D, OBED, NICU, Lactation.

The making of a male midwife - BBC News

An article from the BBC (Oct 6, 2017) entitled "The making of a male midwife", it's worth a read. It wasn't until 1983 that the gender restrictions in the profession were lifted in the UK. I also am thoroughly amused that Michel Odent, an OB who is male, believes that men shouldn't be in the delivery room regardless of their role (professional or partner). Which is kind of hilarious because...well, he is a he. Here is his article: Men should 'stay away from childbirth' | Life and style | The Guardian

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.

If someone is interested in, enthusiastic about and would be welcomed into a specialty by someone with hiring authority, I say go for it!

There may be women who are uncomfortable with your care because they've been traumatized in the past by males. You sound as if you'd be sensitive enough to quietly switch assignments if possible. As a Med/Surg nurse, and later in Oncology and ICU, I've found patients who have been traumatized in the past may reject the care of wonderful nurses because something in that nurse's appearance or demeanor is a trigger. I've been switched into assignments because the patient was a former POW and the nurse assigned was Japanese, Vietnamese or, years ago, German. One perfectly lovely woman in her 80s asked her nurse to have me insert her Foley because the combination of his race and Nigerian accent brought make horrific memories of an assault she had endured while traveling in Africa as a younger woman. She apologized over and over because she didn't want to hurt his feelings, but she just couldn't relax enough to allow him to place the Foley.

There is always going to be someone who is uncomfortable with your care because of your race, gender, accent, demeanor, religion -- whatever. You might as well take the job in the specialty that calls to you and enjoy it!

I survived my OB/GYN clinical rotation only because the instructor was one of the rare ones that had empathy for a guy like me, a fish out of water in this area. The book work and passing exams was always easy for me, but only one woman consented to watch her give birth. The rest all refused consent. That and I got to see a C section. You are an exception. They really ought to give the guys a choice between OB/GYN or an extra med surg or psych rotation, giving us the option of foregoing the OB/GYN rotation with the agreement that could even go on our licenses that we will never work in that capacity. I have great admiration for the OB/GYN folks and those who bring life into the world, just not my cup of tea, if you will. I do have a great deal of sympathy for the brave women who go through childbirth, I was wincing for the young lady that seemed to scream forever as she gave birth to a 10 lb baby. I don't know how women do that, but not something that fits me and most other male nurses I know

Specializes in Adult and pediatric emergency and critical care.

I don't work in OB but we run a massive high risk OB program and things start going downhill up on the labor deck the ED nurses frequently go up and help out. I have yet to have a single patient or family member complain about having a male nurse in the room while they are laboring, but it isn't really presented as an option. When I come in I introduce myself and tell the family that I am there to help the labor nurses place an ultrasound line, EJ, give blood product, etc...

I remember having a patient who was having seizures from her massive dysfunctional uterine bleeding and of ETOH withdraw down in the ED. Not only was I her nurse but our ED attending and deck doc were all males. She was brought in by EMS after she had a seizure and one of her daughters called 911, one was a teen and one was in elementary school. The ED was slammed, the daughters where behaving appropriately, and didn't want to leave their mother's side so making them leave while we took care of her was the last priority in my mind. I was answering all of the daughters (very GYN) focused questions. I was helping the deck dock pack. I was also giving pit, hemabate, and methergine. I was doing all of her nursing assessments.

Never once did being a male have any implications in her or any of my other patient's care or made the family uncomfortable. If you act as a professional then your gender will have little effect on how you care for patients. If OB is your passion go for it.

Specializes in OB-Gyn/Primary Care/Ambulatory Leadership.
The making of a male midwife - BBC News

An article from the BBC (Oct 6, 2017) entitled "The making of a male midwife", it's worth a read. It wasn't until 1983 that the gender restrictions in the profession were lifted in the UK. I also am thoroughly amused that Michel Odent, an OB who is male, believes that men shouldn't be in the delivery room regardless of their role (professional or partner). Which is kind of hilarious because...well, he is a he. Here is his article: Men should 'stay away from childbirth' | Life and style | The Guardian

Um, what? Is he no longer practicing because he had a sudden change of heart?

Specializes in Midwife, OBGYN.

Go for it! I have posted about this before but as a doula and a male applying to midwifery programs, I can tell you that there will be women who decline your help but they are the minority and there are obviously some who will decline due to past trauma or religious reasons. Like you, I knew going into this field that there will be certain populations of women that I won't be able to help and I am fine with that. I don't take anything personally and move on to women who do need and want my help. There are plenty out there especially with all the changes happening in this space. We need more providers (both men and women) to lead the way.

It is also great seeing more men in OB especially men like yourself who from what I read on your post is self aware and honestly have a passion for this specialty. Good luck to you.

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