Lately I've been feeling a lot of inner turmoil and unresolved frustration at work. My unit has seen a huge upswing in HIE kids. The vast majority are freak accidents (abruption, uterine rupture, etc.), but we've also seen more children of failed 'natural births' with brain damage, blindness, seizure disorders, and death that were entirely preventable. I'm talking about the 11 lb LGA mom who refuses to sign consent for anesthesia because c-sections are 'unnatural,' or the mom with a history of shoulder dystocia who is insistent on home birth because it's more 'meaningful.' When these birth plans have catastrophic outcomes, I want to be supportive but I can't help feeling some judgment and contempt. So many NICU parents did everything they could to support their kiddos, and yet these parents knowingly put their children at higher risk for poor outcomes for the sake of having the 'ideal birth experience.' I can't help but feel that it seems selfish and reckless.
I'm having a hard time letting this go. Any advice on coping mechanisms, or just general commiseration? I'm feeling a bout of burn out coming on. (At least getting all of my thoughts out on AN is therapeutic
American Journal of Obstetrics and Gynecology article on Neonatal Mortality in Home Births: Early and total neonatal mortality in relation to birth setting in the United States, 2 6-2 9. - PubMed - NCBI