OB Clinicals - page 3

I would like to know about your experience in OB/Maternal Nursing clinical rotations.... Read More

  1. by   nursemike
    So, today was my last day in Maternity Nursing. Glad to have done it, and glad it's done. I'm a little disappointed that I didn't get to see a delivery--mostly a quirk of timing and census. Some guys did get in, and some got refused. I got to see and do more than I thought I might, but no delivery.

    It isn't hard to see why people love Maternity. If you cherish life, helping to bring new life into the world has to be great. I think I may have fallen in love with one of my patients. The age difference could be a problem. I'm 48, and she's--well, she would be a couple of weeks old, now, I guess. So, you know, she's catching up.

    In general, the reception I got from the staff nurses I worked with varied from good to great. Much like med-surg. Patients were more receptive to a male student than I thought they might be. I couldn't help feeling out of place, at times, and it feels a bit bizarre to try to educate a woman about breastfeeding. Still, I didn't faint or anything, so that's a plus.

    I thought I would hate Psych, and I loved it. I thought I would hate Maternity, and it was okay. I'm going to try not to form any prejudices about Pediatrics. Mostly, I'm just going to enjoy Spring Break.
  2. by   CA CoCoRN
    Quote from framps
    The behavior of the nurses I shadowed did bother me a bit. I was typically asked to wait outside the room, while the nurse would enter and ask "I have a male nursing student with me today, is it okay if he comes in?" Not exactly a welcoming experience. Also, there were no male nurses on the entire floor of the hospital. No male staff restroom or locker room.
    That bothers me. I was just shadowed by some nursing students, two of whom were men.
    My pet peeve is that anyone enter the room without permission. So I have my students of both genders wait until I ask. I don't think it matters whether they're male or female. We are to be PROFESSIONAL at all times. If the student can't be, then I'll have a problem with him/her...and that will be the end of that. Heck, medical students are not excluded because at some point they will specialize, so they need to see everything. The same for nursing students.
    The ONLY time I take into consideration whether the student (or other entering person) is male is when I know there is a RELIGIOUS or cultural bias/reason for the male to be excluded.
    E.g. I had a delivery with a middle eastern couple...and the RT needed to be there. He was male and the pt's husband "took offense". The RT needed to remain there, so we shielded the pt's perineum and went about our business.

    My students saw no less than three vag deliveries and quite a few sections.

    Our unit does have dressing rooms for males...well, actually, they use the men's physician locker room since we (the women) took over the "men's" locker room. We have lots of nurses...not enough lockers. And we have a couple of guys on the floor who work as techs. We had an LVN who would scrub, but he got his RN and went to Nursery.
  3. by   mwbeah
    Like I had posted before, I am a male and was a Labor and Delivery nurse for 4 years in NYC and absolutely loved it. If you treat the patient well there is not a problem. The only times ..... there were 2 patients in 4 years........ I was requested not to be the nurse was for conservative Islamic women who wore the traditional coverings.

    Mike
  4. by   pmchap
    Quote from Moscow
    Women generally do not like the idea of male nurses. Some of them are not too happy about male doctors.

    The hospital should ask first. The male nurse should not do the asking. He should not even be in the room when she is asked. If she delays for more than a second it should be marked as a 'no'.

    Most females do not like the idea or practice of male nurses when they are giving birth. It is usually something 'presented' to them when they are least able to resist it. It is an appalling care strategy.

    It is a dreadful time to spring social engineering and political corectness into the equation. Male nurses should certainly not be allowed near Moslem females etc. and expectant patients with prior sexual abuse histories etc.
    Where did you get this from? So much of what society believes is based on suppositions of influential figureheads it is plain impossible to tell what most people want at all. The idea of nursing being based on a gender specific model has been superceeded by the recognition of traits that are vocation specific. I feel that the political correctness issue is when you say - 'oh no - better let a female nurse in there' - your ability to nurse isn't about your gender - it is about you as an individual professional. Saying that part of that ability is to recognise who your patient is - expectant mothers of religous faiths will have prenatal care based of their faith preferences & this should be respected - just the same as any care for anyone should be based on their needs/beliefs. (At times this may mean that the care they recieve isn't neccessarily what they believe is right - that is the burden of being a health professional - balancing clinical knowledge and skill with patient belief and desire)
  5. by   Gampopa
    I liked some parts of my OB rotation: newborn nursery, feeding the little guys/gals, delivery, etc. But I did not feel welcomed by most of the nurses on the unit. I attributed this to my being a male but this was also a very busy LD unit that got lots of students and they could have been just burnt out by the constant coming and going of students. That said, having an experienced nurse who wants to work with students and wants to teach is a blessing! Thanks so much to those nurses :kiss . Postpartum just bored me to tears. I couldn't wait to get out of there. In all I was able to be at 4 vaginal and 2 c-section deliveries. Those were pretty cool. It was also interesting to see the reaction of the family. Some were in tears with their new babies, some just watched TV.
  6. by   grambograham
    I really disliked post-partum part of the maternity rotation. I enjoyed the NICU Watching the births and holding the leg was fine but if I didn't see that again I'd be alright. The C-section was interesting to watch. I would not go back to any part of that rotaion.
  7. by   jwk
    Quote from Moscow

    Somebody often has to repair the damage caused by having male nurses doing controversial things and it tends to resonate. Many female patients complain afterwards (to female nurses) about having male staff imposed upon them. Most nurses know that female patients do not like male nurses.
    AH, you mean most FEMALE nurses, right? Let's get the right sexist slant ot this.

    Quote from Moscow
    Expectant mothers certainly top the list. The adverse criteria are so pervasive a general prohibtion is probably the best solution. Any male nurse who can't appreciate that there are likely to be many problems should possibly think of doing something else.
    Males should automatically be excluded from L&D? Give me a break.

    Quote from Moscow
    Expectant mothers should in ideal circumstances express the wish (without being asked by the hospital) and if they do not express that wish it should be viewed as a no. Most expectant mothers it can be assumed do not feel comfortable with male nurses.
    Well gee, what if I'm not "comfortable" with a female nurse? By your criteria, I shouldn't even have to ask that I not be taken care of by a female nurse. It should just be assumed. I feel my "rights" being trampled on already!

    Quote from Moscow
    Male nursing often has adverse consequences and it is only natural that this generates the type of feelings ...
    What a crock.

    Quote from Moscow

    Any male nurse who *expects* expectant mothers to welcome him in all and any circumstances should not be in the profession.

    If he is that unfeeling he should be in the Marines, fighting in Iraq or driving a big dozer truck demolishing buildings etc. If a male nurse has zero empathy for females patients he should not be near them.
    Your sexist attitudes are truly appalling. I'm curious - what other "types" of people shouldn't take care of expectant mothers?
    Last edit by jwk on Mar 20, '05
  8. by   grambograham
    I don't agree that females don't like male nurses. The women I have cared for seem to like me being "their nurse." I have also talked to other women outside of the hospital and they claim that they like males more because they tend to be gentler and care more.
  9. by   jmd
    It comes down to the individual. I am the father of 4 and OB is an area I am extremely comfortable with. My wife doesn't care what gender the nurse/doctors were as long as they were kind and knowledgable.

    If you do your job well and treat people with kindness and respect you will have no problem and such is true of all in life.

    When we had our first I can say from rotation to rotation our experiences with the nurses changed. One shift would be phenominal and the next would be rude and you could tell they hated their job.

    There are many many male OBGYNs and woman go to them. Why should another team members gender in the healthcare industry be of any consequence.
  10. by   EricG
    Holy $#&*, as I read each successive post by Moscow, my blood pressure shot up about 10 pts. I am a nurse. Male, Female, Alien.... I am a nurse. It's the "2000's" and inane beliefs regarding male nurses and HEALTHCARE scenarios that are "not acceptable to the patient" (read "assumed purely based on said gender of the nurse") is archaic and ignorant. If a male resident/fellow/attending can (and will) approach/assess/diagnose and treat a female patient without creating some type of BS "We need to ask for permission, etc", then I, as a healthcare professional just like my female colleagues and male support team members (dr's), should be able to as well. The patient will ALWAYS have the right to defer care to a different nurse or team member (a pt. unhappy with the care they received from a female....err, I won't even go there), but to immediately assume and "offer up" the male nurse as a "compromise" is horrendous for the advancement of our profession.

    As a relatively new circulator in a 650+ bed/16 surgical suite, level one trauma, teaching hospital I have run into a couple instances where the female pt. had made prior arrangements for no male OR team members to be in her room intraoperatively. Those wishes were respected 100% as they should have been. To ask each pt. during pre-op if they "have a problem with a male nurse" being their advocate would do little more than give the appearance that having a male nurse is a compromise and you are agreeing to a lesser standard of care. This scenario may be applied to most any nursing situation and present the same negative connotations about male nurses.

    Imagine every female nurse having to get "clearance" before each shift to care for the male patients on their floor or OR room schedule each day. Ugh..... why, why, why???? Why am I not "OK" and Dr. John Doe is?

    Sorry for the rant, but it sucks sometimes for male nursing students because of this mindset. We all need to do what we can to change this.


    OH YEAH, the original question.......
    This huge, bad-a$$ facility I am working at?? I did my OB clinicals here and fell in love with the place because of the way the staff and pts. welcomed me as an individual training to be a professional healthcare provider.
  11. by   kmchugh
    Folks, don't get too up in arms about Moscow. Yes, clearly there was an agenda to her posts. Clearly, she believed men had no place in OB nursing (though the idea of a male doing the epidurals, or male OB physicians didn't bother her too much). But then, we don't know what gave her such strong opinions. And she won't be around to tell us, either. She's been banned. Game, set, and match to the moderators.

    KM
  12. by   Candidnt
    I went through OB twice...once as an LPN student, then later as an RN/BSN student. The first time was a good experience; I got to see a natural birth. It was the closest I have ever come to seeing a miracle; I was awed, stunned, literally frozen in place. I also remember the mother cursing the doctor (and when I was no longer frozen, I remember laughing about that; I thought her head would spin at one point). Back then, I was in a more rural part of the south for my clinicals. My mommies-to-be were either single, or their hubbies were away for military duty or boyfriends in jail (so I didn't have to worry about a jealous male presence), and I was lucky in that I didn't get the usual prudish female that was often a problem in med-surg when I was in the south. The second time around wasn't quite as good. I didn't see a live natural birth, but I did get to watch a a caesarean birth. The one time I tried to watch a live birth, the nurses wouldn't let me in the room. Overall, it was a good experience. Postpartum, etc, I always made sure I had a female present when i was doing any kind of exam (just as I do in a med-surg/ICU setting; it is especially important for a male nurse to do this, especially down there. it can be a career saving move). I would not do OB for a living, but it was an enjoyable experience. Because it's so different from what nursing normally is; in usual circumstances, they come into the hospital not because something is wrong, but because they're having a baby, and it's a good occasion (unless they're high risk mamas, etc, or the baby has problems), unlike med-surg, peds, ICU, psych, etc...
  13. by   Ronold
    I finished my OB clinical's about two weeks ago. It was a good experience when the nurses actually allowed me to do procedures. They seemed fine when they were with my female classmates, but oh well it was just something we had to get out of the way. The patients that I ended up having in L&D and post partum were great and a few of my nurses just left everything up to me like all the assessments etc. I think it has to do about location because my other classmates in other hospitals had no problems with their nurses because they are at teaching hospitals. The hospital i was at did not have many students, so the nurses weren't used to allowing students to do things.

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