Welcome, and congratulations on your pregnancy! I am a L&D/NICU nurse, practicing for about 12-13 yrs now. I think your questions are great and make sense. You're on the right track w/your reasoning. Let me address a couple of issues, 1st of all you will be delivering at a teaching hopsital, correct? Is this the hospital you work at? If so, that helps. I would, definitely
, before hand, go up to L&D and get acquainted w/the unit, ask for a tour (call 1st, in case it's crazy), or perhaps you'll get this in your childbirth class. At any rate, whether you go up there on your own, know someone at work who can hook you up w/an L&D nurse, get the info on who's who in the dept...(residents, anesthesia, etc). Also, talk to your OB, does she do deliveries there? I would think so, ask if she'll "special",
you....that's why it's good to have a good repoire w/your OB. Have you considered seeing a midwife....I think their care is exemplary, I can not
rave enough....last 2 of mine were w/midwives: what
a difference! Plus, more than willing to come in "special" and do my delivery. I have seen some really botched jobs by residents, and I can tell you, if I didn't know who they were, they wouldn't be touching me w/a 10 ft pole! LOL
Also, know how you feel about students and many onlookers, teaching hopsitals use every opportunity to cram many many people in the room....if that's OK w/you, fine, if not, make sure your OB knows and your labor RN. Try and avoid being induced, unless it is medically necessary...I see this a lot (I work at a huge teaching hospital), and it is
getting more common everywhere
. Induced labors are always harder, and increase your chance of a c-section.
As for pain control....I think you really need to do a lot of reading and give this a lot of thought, definitely, no matter what route you take, go to a prepared childbirth class....I teach them and there is lots of info! If you really think you want to go natural, then it is a decision you need to make ahead of time
and prepare for it....it will not be easy, but most definitely can
be done! But of course, the more prepared you are, the better. And ultimately, whatever you decide during labor is fine, if it just gets to be too much then there are options...IV meds, epidural, etc.
In terms of you talking w/your OB....definitely, definitely, definitely! Ask her what her philosophy is re: inducing patients (she should say "when medically necessary, not at the whim of her schedule, etc), does she cut episiotomies, if routine, ask "why", this is not always necessary and we now know that the body heals itself better if it "tears" where it's supposed to. This can be a bit tricky, cause if it's an emergency, or it looks like you're going to get a nasty 3rd or 4th degree tear, that's different. So she should say "I only do it if it's urgent/emergent, not routinely"; ask her what her c/section rate and the hospitals is...national avg is about 25%. As far as drugs, that is your choice, but you can ask her what types of meds she likes, her philosophy on when to get an epidural, if that is the case. Remember, unless she is actually there, none of that really matters, b/c it will be whoever is in charge of your care and their
philosophies....that's why it's important to know who you're dealing with. Again, I can't stress enough the value of a good midwife....they are just so receptive and are, IMO, more pt oriented...take the time to listen to you and address your needs. You need to feel free to ask your OB anything!
Anyway, good luck, hope you have a happy, healthy pregnancy and delivery!
Quote from expectant
Hi all- long time lurker, first time posting.
I'm an RN with absolutely no experience with L+D. None, nada, zip. All I know is that boiling the water is to keep the menfolk out of the way.
I'm pregnant for the first time and would love some input from the pros!
My goal is to have a healthy baby, keep myself as healthy and sane as possible, and (last on the list- LOL!) be a good patient. My background is critical care nursing and I know how hard having a professional for a patient can be. I at least know what I don't know. Complicated birth plans aren't my style- I think I'll try natural but will be open to some pain control if need be. I'd like to avoid a csection unless it's the safest thing but won't whine if it has to be done to protect me or the baby.
The baby books say I should ask my OB about C Section rates, episiotomy rates, thoughts on use of drugs during pregnancy and labor, etc. That seems confrontational to me, considering that I don't even know what a "good" answer should be. Should I ask these things? If so, what kind of answers should I want?
How do I know if I have a good OB? So far I have mixed feelings about her office staff (maybe that one witch was having a bad day... trying to keep an open mind....) The OB herself seems OK. We're not going to be friends but I want a good doc, not more friends. I don't know anyone in my area who could give me suggestions so referrals are out. What should I look for?
Any suggestions on morning sickness? So far I've tried bland snacks and the seasickness wrist bands, but no results and I'm tired of being sick all day. I CAN put up with it if I need to and would prefer not to take meds routinely (I'm open to occasional use if they're safe) but do you experts have any suggestions?
I'm going to deliver at a teaching hospital. My experience with residents are that some are idiots and some are awesome. In ICU I can tell the difference and stop them from doing anything stupid. In OB, I don't know enough to know what is stupid and what isn't. I don't see me being comfortable with residents no matter how good I'm told they are- I either want to tell my OB that residents can watch but not touch or that I don't want to be a teaching patient. Would that work at most hospitals?
Thanks for your time and suggestions