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mother/babyRN 8,808 Views

Joined Feb 26, '02. Posts: 1,959 (3% Liked) Likes: 411

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  • Feb 10

    Ha ha! I recently had a neighbor call and ask if I could do an SVE ( she had gloves) in order to see whether or not she should go to the hospital. I declined as she wasn't that uncomfortable and hadn't had the bendfit of reading her ultrasound to see where the placenta was....If in doubt, just go, I told her. THEN I called ahead and told them to expect her.

  • Feb 10

    Mark, I have such a long commute that if I were to be as vigilant as you, they would have to find someplace for me to camp out....Yuck...And to all you sillies who were grossed out by our placenta discussion, think about what you SEE every single day! (evening, night..) I know, I know.....
    BACK to the subject of hysterical phone calls, I , of COURSE, answer the phone and someone asks me if I have seen their girlfriend ( hug). Who is your girlfriend, I ask. Don't you the f*** know? He screams at me...Well, I calmly say ( as I have discovered that remaining calm really either disarms or irritates the yelling party), I might be able to assist if you let me know her name as, though I am a little psychic, I am just not that good. She is the blankety blank one in labor. Sir, I tell him, there are currently 4 people in labor, pick one...So he tells me someone who isn't there, even in triage or labor checked, or, as far as I know, in the ER...She told me she was in labor so you have to be wrong, he screams..( I am about ready to hang up or say something I know I shouldn't). He continues, that b*** told me she was going to the hospital 2 hours ago! You better not be keeping anything from me or I am going to show up and you will all be sorry. NOW I decide to involve security, but not before I ask him how far away her lives and maybe she went to a different hospital because she was uncomfortable..I wonder if he didn't come also because there are other kids to watch...No, he keeps yelling, this is our first ******* kid....So, and I have to ask, why didn't you go with her? I was going out with my boys....I am thinking ( and hoping), that maybe she escaped...Automatic social service consult, ya think????

  • Feb 10

    Mark, I think whatever is allegedly in the water in your area has somehow traveled to our area. Other night started out not badly, and then we got a lovely non English speaking woman ( in obvious labor), with a history of rapid delivery 2 years before. Her husband, mother and 2 year old non English speaking family was also in tow. I try to elicit if there is anyone in the area who can watch the child. They point to me. I say no way..Get her ensconced in the delivery suite. She is SO in labor that I don't bother to triage her in a labor room...You know how it goes...I ask her if she thinks her water broke and simultaneously try to demonstrate what I am asking by pointing to her vagina and legs with my arms extended down. She rightfully stares at me with "What the hell is up with you?" eyes...Ditto the family. Then she pulls out a saturated green tinged formerly white towel from between her legs and hands it to gloveless me. Question answered...
    NOW I get a patient who is screaming, who didn't bother to stop downstairs. She apparently is very uncomfortable. I put her on the monitor and what few contractions she has do not seem terrible on the efm. Long years of practice has me automatically place my hand on the gravid belly (its actually a gravid uterus, right? Oh well, you guys know what I mean) so I can palpate the contractions at the same time they trace. Usually do that right after Leopolds....Anyway, I am not feeling anything horrible BUT she has back discomfort so....First pt ( the non English speaking one) I had already determined was 4 but with what an old timer around our digs calls "a gossamer cervix" the thread like kind that you just KNOW is the only thing holding the baby back...
    Meanwhile I get ANOTHER pt with a history of rapid labor ( I should be so lucky in my OWN life), complainig of "the worst pain I ever had mostly on my left side.) I think it sounds renal, as she just completed a 2 week course of antibiotics and dipped positive for not only bacteria but blood. She is afebrile and having contractions AND due....She is, however, a 1 cm posterior hard to reach presenting part type of labor person. Great, we have time..I make her a warm soak to put on the area and mini cath her...
    Meanwhile, the second pt who arrived is a whiner who also arrived with her husband and mother. First thing the patient tells me is she has a hate affair with pain. Her contractions, few as they are, slow down even more....SHE ( after I examine her Ultrasound) had a ve by me and was posterior and also FT....I tell her to walk around. She tells me she is crampy and doesn't want to. Her mother wants to know when the baby will be born ( maybe next week, I'm thinking)...They walk, come back and have no change other than a little more regularity in contractions. I suggest they go home and rest. She starts to cry and mom says no way. Husband is ready to sleep, period. He has had it with both of them. Me too...SO, I tell her she is not admitted and if she hangs around she should either walk to get into more labor or try and rest, but remind her her bed is probably more comfortable than our measly stretcher....More whining. So, ( even though the first pt is getting more active and I REALLY need to get back to her)...suggest that I have to call the doc to let him know about the other two and , if the pt wants, I can discuss Morphine for theraputic rest, since she is worried about the 25 minute drive back home...Ok, she says . GREAT, I think...Call him, get the order...She refuses. She changed her mind. Oh well, I gotta go..Talk amongst yourselves, I say....
    First pt has had her 1st iv, her labs and alka gold so now qualifies for an epidural. She is 5 cms...This has all happened in the space of half and hour. AND we have a scheduled c/s in the morning so at some point have to get her ready for the day shift with regard to chart, prep, computer room and or set up...AND they floated someone, so I call her back...Great, now I have backup...
    Epidural flunks times tow...Can't advance the catheter. NOW we have to do an intrathecal which works, thank God....Reanal pt is crying....Whining pt consents to Morphine after I thankfully convince her of its short half life thus desirability to be given in cases such as this......"Are you SUPPOSED to give that stuff to a pregnant patient?" (No, I just picked YOU for the intial deal)
    THEN! I get a call from another pt at home who thinks she is in labor. Come on in, I tell her...Can she tell me anything more. Yes, she says, I was supposed to be sectioned next Monday...S***! I am definitely thinking, as I answer the phone in the room where my intrathecal pt is starting to feel pressure...Somehow we manage to get another table set, and I call admitting to let them know I will at least need labor check paper work for the lady coming in. 15 minutes later I get a frantic call from the emergency room telling me they just received a cell phone call that someone is delivering in the parking lot and of course, it is my expected labor (c/s) pt...I pick up the phone and inform the doc that he has to go down and he tells us one of us has to go too. I volunteer but the newer nurse would rather do it since my pt ( formerly mostly hers) is almost fully. I have delivered kids before. She figures if she has to, it would be nice to have an OB there. Smart girl...Off they go.
    They arrive with the pt, who proves to be 9 cms...I say what are we doing, VBAC or C/S? Thank goodness when I heard she was coming, I took the time to open the cs kit and prepare the OR....(Like nights has nothing ELSE to do) Of course, in this facility, the OR and RR get to stay HOME if it isn't busy..
    OB isn't sure, but call the team anyway, just in case...(They will just LOVE that).....I do, though, as non English speaking mom comes to the desk with that look in her eye that we all know means "It's time!" Great, I have an OB there.....Wrong, our newest patient is abrupting. NOW WE HAVE TO DO THE C/S!
    As he leaves with the other del nurse PLUS the pp Rn we plucked to help out, he smiles and tells me not to have my patient push. Right, I counter, When is the last time YOU tried not to push? He is still laughing as he goes to the OR. I resign myself to the fact that I will be delivering my pt...
    Well, baby in OR born about 15 minutes before my baby..Doc arrives in room as head is coming out....Lots of molding and I did as much ironing of the perineum as I could....( I forgot to mention that c/s abrutption pt and husband brought in their 11 month old and wanted someone to babysit so dad could go into the OR. He was unhappy that we couldn't do it OR allow the kid in. So, now we have 2 toddlers on delivery.....In between the 15 minutes between babies, theraputic rest whining person decides she will go home after all.....Morning comes. I am so damn happy to get out of there, as it is my childs birthday and it has been a hell of a night..2 sick calls....GUESS WHO HAS TO DO MANDATORY OVERTIME! And I was coming back that night AND I have a long commute....I was ready to shoot someone ( Just kidding for any law enforcement folks who might be "reading" in here)....This is usually typical of delivery just so all you would be OBs realize it..
    Thanks to everyone for "listening:...You know you've had the same stuff, right???

  • Feb 10

    in all fairness, i almost entitled this " hysterical daddies", but realized that, though that is largely the scope of hysterical phone calls regarding people in labor in my experience, it doesn't , in all fairness apply to everyone or to all patients. that said, i just felt i had to share....other night ( and by the way, this is my fifth night in a row, one off and 4 on, so i am a little loopy and confused. ), i am at work and we have just ( thank goodness) transferred out 39 week twin multip mom with ruptured membranes. received another pt at the same time and couldn't find a doc. also had one nurse on call who was at home at the time..get through that mess, even calling the er to alert them to the fact that this was going to happen so they wouldn't be even more shell shocked than they were bound to be. doc located, twin family to specialty institution , call nurse in and some calm, until i answer the phone. hysterical dad on the other end insisting wife in labor . calm down i gently try to say. what???? she is in pain! ( i can hear her screaming). how far away i ask ( half an hour). has her water broken? how the hell should i know is the screamed reply. you know how it goes, sometimes it isn't as terrible as it sounds...what baby is this i continue. 6th! ok, now it is beginning to sound as bad as it sounds...i meekly ask, does she feel like pushing ( muffled sounds as he asks her) yes yes yes, i hear her scream. i sigh, then offer that they should put the phone down , and call the ambulance. he tells me he doesn't think so. she is more comfortable coming to us. i tell him even if they chose not to call an ambulance, they should go to a hospital which i know is only 5 minutes away. he tells me they will be coming to our facility and hangs up....i cannot believe it. i again call the overstressed er ( sorry cathy and all you er folk, you know how you hate maternity patients )...anyway, i also had the presence of mind to call admitting to generate some paper work because you just know they aren't stopping there.......set a table, get everyone mobilized and.....no patient. about 15 minutes later i get a call from the mother of the patient, who called her from somewhere on the highway where she was stuck with worsening contractions behind,of all things, an overturned truck. her question to me "what are you going to do about it?" i can hardly believe it and instruct her to call her daughter back and tell her to call 911 or have the hubby get out and grab ( well, not literally) a police person.....she says she isn't sure she can remember the cell phone number. i tell her i know that i don't know it....
    finally the screaming mother and father to be arrive with the nervous state police and are rapidly assessed, settled and found to be, you guessed it, 4/c/0 and intact.....for goodness freaking sakes........and that was just part of my night....never boring in delivery for sure........just felt like sharing. would love to hear similar stories, or stories in general....

  • Dec 21 '15

    When I was sort of new in delivery we had a series of infant deaths. We had at least 3 in two months and I happened to be on for all of them. With the first one the mother was a psychotic person whose boyfriend had hung himself. She came in to the unit in labor and we heard no fetal heart tones. Thus we had to induce labor. It didn't work. Finally, we had to give conscious sedation and it still didn't knock her out. The baby came out and it's skull fell apart because it was so macerated. Everyone in the room except me was crying. I sort of felt distant from the whole experience and it bothered me that it hadn't affected me.
    A year or so later, I had a baby die on the way down to the OR. That is, we lost the heart rate, and sectioned a beautiful baby girl who we could not revive. I held the baby, wrapped her , stayed with her and the parents, and still didn't cry...Two months after that, I was on during another sad situation, and one of the older nurses came up to me and asked that I give her the expired infant. I told her I was fine ( I really thought I was), and refused. She grabbed me, gave me a huge hug, and gently took the baby from me. I collapsed in tears. They had to take me to a private room because the grieving she started wasn't just for that baby, but for all the others I had seen and not yet reacted to....

  • Dec 20 '15

    Prior to this info I had absolutely no clue. Thanks....

  • Oct 14 '15

    We do it during the recovery phase as long as the temp is above or at 98.....This gives the family a chance to observe and learn. I will make sure the water is warm and put the infant foot in first, then slowly introduce the rest of the body..we do our baths in the sink or on the warmer..If in the sink, a heated bath blanket is put down first and continues to be warm. First bath can be a tub bath as the cord is still moist...Most babies don't even cry...I wrap them immediately in another warmed bath blanket, dry them off under the radiant warmer, then use three warmed baby blankets and one warmed bath blanket as well as two warmed hats and undershirt and leggings...I never have cold stressed babies. Babies tend to warm the environment they are in, so it is all about keeping them warm from the get go....Leave them fully wrapped like that, check the axillary temp in one half an hour....
    Have never had a problem with the temp/

  • Aug 9 '15

    Nefertitia....It was really hard for me to pretend to like it or even pass it off as interesting when the proud teenaged mom asked me if I liked it.....Actually, the entire name was Nefertitia Fertile(middle not last)...I remember asking if she had any other choices so I could make a comparison but she shook her head and told me it was the only one she liked...Sometimes you just have to let it go....



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