I am a pre-nursing student so I don't know how it actually works in l&D, other than my own experience.
I was watching some reality childbirth shows. And the woman was moaning in agony and wanting to push but the dr wasn't there! Does this happen often? I was stunned watching it. Thankfully I have a CNM and they stay with you the whole time. Otherwise I might have had a nurse delivery.
This woman waited 20 mins while wanting to push. I have to say I would not have waited. I remember the urge to push being uncontrollable. I remember while pg with my 1st saying I wasn't going to push until I was ready and what if I didn't have the urge to push.
I wouldn't have waited on a dr to push. And boy would I have given the dr a piece of my mind if they tried to make me wait. What is the procedure if the dr isn't there and the mom refuses to wait? If the nurse delivers the baby does the dr/cnm still get the delivery fee? Has anyone had to deliver a baby?
May 12, '04
L&D nurses are really good at getting the doctor there on time in fact its a big part of the job. We push with our doctors out of house. It's best to know how far out they are. With a primip 1 - 2 hours of pushing is common. With a multip it can be a little more tricky and sometimes you need to call them at 6 or 8 cm to get them there. Its a sense you develop and really hard to put into words but if there are 2 L&D nurses in the room they will both know its time to call at the same exact moment. I really don't want a doc in the room any longer then they have to be so I get them there about 5 - 15 min before the baby will deliver.
No matter how good you are sooner or later someone is going to surprise you. Some doctors will get really mad at you for this but most understand it comes with the territory.
If you ask a patient what it feels like to fight the urge to push they will tell you that it is excruciating. It's one of the worst pains imaginable. So the few times it's happened to me, I tell them to push. I've only ever had to catch one baby in 2 years and have had 1 other caught by a resident because the doctor didn't make it in time (these weren't patients I was pushing by the way, they just progressed really fast all on their own).
Now don't get me wrong, I don't want the liability of catching babies as an RN so I don't run around trying to precip but in all honesty it's not brain surgery to catch a baby so Id rather catch the baby then make a patient pant and fight the natural instinct of their body.
Last edit by Dayray on May 12, '04