I normally get very close to my patients and receive lots of feedback about the care I give, but friday night was an exception, and all the events led to a healthy baby boy, but it was hell getting there!
First off, this patient was seeing a midwife and wanted NO interventions for delivery, she was 41 weeks and went to the office for an US for AFI and such and had to see the physician because the midwife wasn't workign that day, fine.....BUT THE PHYSICIAN, felt she HAD to examine the patient and "ACCIDENTLY" break her water!
So of course the patient comes to the hosp, NOT in labor, etc... I AM ALL FOR NON-interventions...I LOVE helping patients through the joy/pain of childbirth, but this pt was ignorant, and unrealistic and unreasonable, this was her 2nd child, after 3tabs mind you, anyway to make a long-story short, this pt had some SERIOUS hang-ups about her first delivery being SO PAINFUL, and her sister-in-law whom she discussed the ENTIRE evening also had a HORRIBLE experience, because, GET THIS: was attempting a VBAC homebirth
and needless to say ended up at the hospital with a section, and a sick baby that's in the NICU, did she ever mention that these wonderful nurses and doctors saved her babies LIFE???? NO, she just *****ed about how they took the baby away etc......So it was just one thing after another with this lady, and when she finally started having painful regular ctx's, I'm thinking GREAT she's getting into labor! She's not dealing well, she's been at it 20 hours, and not tolerating it now, gets an epidural and the whole time is bawling about how awful it is and how sorry she is to her husband and that they don't have to tell anyone she got the epidural.....she was in the jacuzzi at one point and i begged to turn up the pitocin, had to talk her into it, she was not hurting and having 5 minute ctx's, i said, im sorry but you need to be hurting to have this baby, you're way too happy, she said i was hoping to have a less painful childbirth, i do not like pain, i do not like these ctx's, then when she did start hurting before the epidural she wanted the pitocin turned off, she said "if they didn't hurt so much i could do this" she delivered at 0637, she was upset because the baby was crying too much, and his eyes weren't open, he was perfect, screaming and pink, etc, and wanted to know as the head was delivered if she was still going to have a vaginal birth?????
Anyway, thanks for listening to me vent, i had had it with this girl when i left that morning, my official diagnosis was TSTL!:roll