Best/Worst List of L&D nursing

  1. If you had to pick 1 thing as the best & 1 thing as the worst, what would you pick? I'm trying to decide if I should accept an L&D offer. So bombard me with your favorite aspects & the worst aspects! Thanks so much!
  2. Visit hardworkinmama profile page

    About hardworkinmama

    Joined: Jun '10; Posts: 104; Likes: 20


  3. by   klone
    Best: Being witness to the creation of a new family. I always feel blessed to be a part of it. Also, the knowledge that I am helping to create memories that the woman will carry with her for the rest of her life. This is a really awe-inspiring realization.

    Worst: Vomit. I don't do well with other people's vomit.
  4. by   Fyreflie
    Best: being labour support through a difficult labour and seeing the looks on the parents' faces when they realize it was all worth it.

    Worst: still births and situations in which the patient or partner feel powerless or not in control of their experience.
  5. by   uRNmyway
    Pros- Adorable babies. Being a part of such a wonderful, blessed time in a couple or woman's life. The generally slower pace, depending on shift of course. The fact that on average, you have healthy, happy patients. Managing to get a difficult breast feeding figured out, seeing the smile on the parents face when you get a good latch and hear a hungry baby gulping away.
    Cons-Stillbirths. Having to involve child services when you suspect abuse, or when mom comes back positive for drugs, then baby does too. Seeing the completely heartbroken look on a parents face when their baby is born with a defect or disorder they did not see coming at all, regardless of testing. Having a mother break down in your arms and cry over how she feels like a failure for not being able to nurse their baby when they wanted to do it so badly (sometimes, its just not meant to be!)
  6. by   bleubritt
    Best: We work with nature, not against it, not many specialties can say that. We have mostly good outcomes. We are a part of the best moments of a family's life.
    Worst: The bad outcomes. The stress. Like another poster listed: the vomit and also my major gross-out is the pooping while pushing
  7. by   LaborDiva
    The best part of L&D is being a part of biggest day of our patients' lives. The way you manage a labor can completely influence her experience. Being a positive, encouraging nurse can make all the difference. When a family has an unexpected outcome, their nurse can support and comfort them and show them the care and extra attention they need. I leave my unit every day with a small sense of accomplishment, knowing I made a big difference.

    The worst part is watching parent's grieve if their baby dies or is a stillborn. Nothing makes that pain go away. Heartwrenching every time.
  8. by   SwimNurseRun
    Best: A unit of triage, emergency, OR, and one on one intimate patient care experiencing miracles every day with the BEST patient population in nursing!

    Worst: Stillbirths/fetal demise, stress, liability and q15m+ charting.

    Okay, that was a few things.
  9. by   Aristillus
    Best: Making a positive difference in such an important life event.

    Worst: Oh that's a far longer list, but doesn't outweigh the good! Fetal loss, bad tracings, obnoxious family members, physicians whose knowledge doesn't match their ego, patients who use $100 of drugs/day but "couldn't afford" prenatal care, charting, charting and charting.
  10. by   DalekRN
    You will be more likely to find more bests and deal better with the worsts if you are committed to ob nursing and love it. I work pp and another nurse there, you van just tell she hates it- I mean there is a lot of pressure and heavy workloads but I still love it mainly because I'm a breastfeeding nerd but that doesn't help her. So for me, the bests and worsts of postpartum nursing:

    Best: getting a baby to latch!
    Worst: for me it is dealing with circumcisions. I'm not against it per se, I mean we circ'd my son but the whole thing skeezes me out. I cannot assist in them and I hate doing the dressing changes. I like teaching parents to care for them extra special afterwards though.

    I love postpartum nursing so much that even when I had an anencehalic baby who was dying and on comfort measures only, and I cried big tears with the family, I still loved my job.
  11. by   alex-333
    I am the same with vomit! Just about to start my clinical rotation on l&d and peds. How do you deal with the vomiting when it happens on such a frequent basis, do you develop sort of a desensitization to it? I really think I would love l&d and mother baby but I'm worried I'll get to grossed out with the vomit that it'll affect my ability to be the best I can be. Advice?
  12. by   DalekRN
    I don't see vomit all that much, maybe once a month? You get used to it, at least I did. Busy your mind with ways to help ease their nausea instead of man that is gross- it becomes more objective and clinical and takes away some of the grossness. But the only nursing specialty where you won't see stinky bodily functions would be behind a desk!
  13. by   Janinern84
    Worst: When the patient smells like dirt/smoke/urine, not when pushing and whatnot, but just not good hygiene. Or the drug addicts.

    Best: The fact you get to see their newborn that they have waited for for 9 months in less than 12 hours.

    -Janine Nurse Your Wallet Book : Finding More Ways To Get Paid With Your Degree eBook: Janine Kelbach: Kindle Store
  14. by   sandseaandstone
    Quote from hardworkinmama
    If you had to pick 1 thing as the best & 1 thing as the worst, what would you pick? I'm trying to decide if I should accept an L&D offer. So bombard me with your favorite aspects & the worst aspects! Thanks so much!
    Best:: Seeing a little soul enter the world....being able to do the beginning of life things for them....meeting so many wonderful families and people who support each other~It's a really magical thing

    Worst:: helpless Babies being born addicted to whatever the mom put into her body --- I feel horrified I have to hand over a little baby and script for phenobarbital that I assume the mom won't give her baby and will take herself (, and all of the scenarios mentioned above~