Dreading L&D/Peds

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Just some history...

I'm almost 30, I already have one child from a relationship that was unhealthy (my son was unplanned as well but he was the best blessing). I've since gone through many good years with my current husband who stepped up and fathered my son even though he was not biologically his.

Two years ago we found out I have PCOS, I don't even ovulate on my own, and when I do it's usually a poor quality egg. Last year we underwent thousands of dollars in fertility treatments. Clomid, trigger shots, IUI, micro IVF. We got pregnant once, which we found out a few weeks in that our pregnancy was ectopic and we had to unfortunately discontinue the pregnancy (which happened right after Thanksgiving of last year).

That being said we haven't tried since that point. I recently had bloodwork done to see about possibly starting fertility treatments back up again, the results were less then stellar. My doctor said if we want to have a baby we need to do it NOW. We're saving up for our next IVF cycle - $12k (since insurance doesn't cover it in our state).

I am about to go through my OB/Peds rotation next semester. This is the rotation I have been dreading - DREADING. The hospital we have clinicals at is very diverse - there is a large low income population where it is not uncommon for women to have 12-16 babies, most of them come to see the new birth of their baby brother or sister, these kids are wearing clothes that are inappropriate sizes, they are dirty from poor hygiene, they are sometimes malnourished because there isn't enough food for them to go around. And I know I shouldn't feel angry at this - because this is the way they live their lives and they are doing the best they can, but at the same time I feel so hurt by this. My husband and I both work, we both do everything we can for our son now, he frequently asks us for a baby brother to play with (he learned that his friends at school have brothers and sisters). Yet nothing we do works. We are trying, we are sincerely trying.

My biggest worry is this upcoming semester is going to put me into a depression - something I don't need prior to an IVF cycle. I'm already stressing about it. I'm already feeling sad knowing I'm going to have to see women who can't afford their child or women who don't even want their child giving birth to something my husband and I have been trying years for.

Is there any way to avoid this depression? Is there any way to look past this? I'll be there 12 hours once/twice a week depending on the week. I need a positive way to look at this. And please don't spout off to me about adoption - I respect people that do adoption, I really really do, but I want a baby with my husband.

Can anyone list some positives to get me through this?

There is nothing selfish about the OP's post. I personally haven't experienced this but I have a mother who has experienced the exact thing more than once, and I can tell you it causes great emotional pain. At one point in time my mom hated to see other women bringing kids into this world that they couldn't even provide for (NOT all moms), while she, who will undoubtedly be a great mother & provider couldn't have another child. I can't imagine having to deal with it. OP, like the PP said I hope you find the strength to make it through. I know it will be tough but over time it will get better. Good luck in clinicals.

Specializes in CVICU.
You ask us to not be judgmental but YOU are being judgmental about women you have yet to meet.,

You really need to think about that.

The OP did not state that every single patient would be how she described. She said most of them. She said she would encounter women who were having babies they could not care for, not that all of the women would be like that. Please don't put words in her mouth and try to be more sympathetic.

Specializes in ER.

Is your L&D/peds rotations at the end? If it is, I would recommend talking to your caregiver about whether or not you should wait till you finish. I know personally I wouldn't be able to handle the stress of the end of school and trying to have a baby. Like I am finally able to cut back on my pop intake and start exercising again because I am done with almost everything but the exit exam. I went from 4 cans a day down to 1.

L&D and peds was very, very good for us and was actually relaxing. I enjoyed mine. Our area was actually very good and we had mostly moms that wanted the babies. However, the inner city hospitals that some students had clinicals at did not have the best stories. We did actually have one or two sad cases with peds, but it wasn't my baby that I had. We had the local peds pulmonology hospital in the area so we had a lot of cystic fibrosis kids.

I would encourage you to speak with your course coordinator and/or clinical instructor about this situation. As a former clinical instructor, that information is helpful to know because if possible, I could structure clinical assignments and experiences with that information in mind. In OB, there are several areas that you can be assigned to: L/D, antepartum, postpartum and newborn nursery. Once you experience each area, perhaps you will find one care that you are most comfortable in, and your instructor can place you there for the rest of your clinical shifts. I have done that, particularly with male students who were uncomfortable with the whole L/D experience. I asked them to attend once birth to have a reference point for test questions and to meet course objectives, then they went to post partum or the nursery for the rest of the clinical time, and some girls who wanted to be midwives were assigned to more L/D experiences, so it worked out for everyone.

For your pediatric experience, you may want to talk with those instructors as well and find out what kinds of units you will do clinicals on. Is it a traditional peds floor in an adult hospital where you will see a variety of ages and diagnoses, or is it a specialty floor in a children's hospital? See if you can be placed on a unit where there may be less of things that may upset you and more of things that you can jump into without hesitation. Is there an adult specialty area that you like? Ask if you can go to a unit that has some of those patients on it, so you at least have something minor to look forward to.

And, I think some other posters have alluded to this as well...try to go in to this experience with an open mind. I know that you ahve a wounded heart and an open mind is terribly difficult right now, but acknowledge your feelings with your instructors and move forward with an open mind to learn what you need to learn from these experiences so that you can build your knowledge base so that you are ready for NCLEX, as it will have OB and peds content on it and you need to be ready for those areas.

I have had several students who told me at the beginning of a peds rotation that they were not at all thrilled about it and felt like they were going to hate it, and I just asked them to allow the clinical experience to happen and for them to be full participants. I was surprised that several of these very students made their career choice to be in pediatrics. One was gung ho on geriatrics and made the switch right after taking the course. Neither of us saw that one coming, but she did it by having an open mind and diving into clinicals. She even won the award for Outstanding Pediatric Student for her class.

So, take it day be day, be open minded and learn what you can from the experiences. If that area is not your choice upon graduation, you can put peds and ob out of your mind after NCLEX is over and done. Take care, I wish you the very best!

You have an incredible point of view to share and its up to you how to translate that professionally to this population.

You are obviously very brave to share this with us, and it's probably not something you would be sharing with patients, but it is part of who you are and can make you an excellent nurse in this clinical.

At clinical you are the nurse; you have emotions, but you don't wear them on your sleeve. It's not about you, it's about the patient, no matter how difficult that is. The patient includes both the mother, child and family. You have to treat them all, and you can. At home, share with your husband and your friends how you're struggling and growing. I'd also encourage you to be up front with your clinical instructor and discuss your situation privately beforehand. Many clinical instructors can be very sensitive to these issues and give you support and guidance or find opportunities on site that fit you best.

Best wishes, be well. Keep us updated.

Specializes in Eventually Midwifery.

Have you thought of speaking to a psychologist? Perhaps some talk therapy can help you learn how to sort out the emotions. I personally lost a baby at 11 weeks back in september. It was my second miscarriage within 3 months. To make matters worse, my brother-in-law's nasty former prostitute girlfriend who only has custody of 1 of her 2 kids found out she was pregnant at the same time. She is still pregnant and I am not. It is like salt in the wound every time I see or hear of her....but, it has gotten a little easier. Also, there is a lady in my Micro class that was pregnant at the beginning of the semester who just had her baby last week. It has taken me up until now to not feel bitter about her as well. Emotions are tough when it comes to fertility. I would say to try as much as possible to detach yourself from the situation and try to view everything as purely clinical. Learn what you need to know and try your best to not let your mind wander. (((HUGS)))

I want to encourage you to adopt another mindset on the issue. In my culture, we say that children call forth children. We say that a woman who has a hard time having her own baby might attract children to herself when she plays with and takes care of other people's children. So tell yourself that your working in L&D and with children is calling forth your own children. I pray that God will bless you with your own soon.

Having walked the infertility road (long before I went to nursing school), I can relate to the emotions of women having babies that can't provide. It feels like your heart is ripped out each and every time someone announces a pregnancy or shows photos of their ultrasounds. I have no advice as to how to handle your OB/Peds clinical, but I did want to empathize with you and let you know that there are others of us out there. PM me if you need to chat. *hugs*

Specializes in Critical Care, Postpartum.

OP, I may not be exactly in your shoes, but one commonality between us is we are Soul-cysters (I have PCOS too). I long to have children one day, but I can't wait to start applying to the Mother/baby unit at my hospital because I enjoyed working with that patient population during nursing school. I did my clinical in a population where I saw a lot of preteen moms or women who were on their 6th baby by a 6th different man (who was missing from the picture). Nurses don't judge and this will be your opportunity to educate the mothers and possibly be a shoulder to cry on for some of these women who are emotionally hurting during this joyous moment of a new birth or not happy moment with a fetal demise.

On another note, have you thought about adoption? Although having your own natural kids with your husband is your dream, possible adopting would be a great alternative. If not, I wish you and your hubby all the best. I've read many stories from other soul-cysters who have successfully gotten pregnant. Keep your head up. You may enjoy OB/L&D.

Specializes in Hospitalist Medicine.

OP, I understand the pain of infertility. I experienced several miscarriages and battled IF for years before I was lucky enough to have my son. He had a twin, but we lost his twin. It was very bittersweet.

I, too, am dreading OB/Maternity next semester. It just dredges up all those negative emotions & devastating losses. I'm trying to focus on the fact that I may come across a patient who is going through a miscarriage or stillbirth and I think I may be able to do some good, in terms of understanding & caring.

Is this rotation going to be easy? No. But, we have to get through it to be nurses.

Ack. I started to write something about my own experiences as a veteran of infertility in an OB rotation. None of it really matters. All I really want to say is that I dreaded it. I got through it. I hope you get through it as well.

I wanted to be a nurse so I could help others. I try to remain focused on that and park my personal trauma at the door on my way in.

Thank you all for your words of encouragement and wisdom. Just reading how many others have been down this path makes me feel better. Infertility is a silent disease. Most individuals do NOT talk about their problems conceiving, it is still very "hush hush" in our society. The same is true with miscarriage. Most people do not know of my ectopic because most people even though they try to say something helpful - they end up saying something extremely hurtful. To people who don't understand infertility it's very difficult to have no control over your situation. There are many things in our lives that we can control, we can control where we go to school, where we work, what house we buy, what car, etc. But you don't choose to be infertile - it's an obstacle that sometimes we're able to overcome, and unfortunately for some, we aren't. I wouldn't wish infertility or pregnancy loss upon my worst enemy.

I am so so grateful everyone shared their stories, I seriously can't thank those of you who said something personal and supportive enough. I'm still pretty emotional over this, but I think I'm going to start going to counseling to get through the semester. Hopefully this is the fastest 16 weeks of my life.

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