my birth plan - nurse friendly? - page 3

by nurse_maya28

7,850 Views | 47 Comments

I think I have have done an ok job of doing a birth plan for a birth I am rather anxious about, but wanted to be sure it was nurse/ doctor friendly. These are my co-workers, so many know my history and concerns. I want to just... Read More


  1. 1
    Quote from chrisrn24
    I'm not a L&D nurse what is the point of bringing the placenta home????
    I am an L&D nurse and I don't get it LOL some use it as tree fertilizer in honor of the baby---others well, I have no idea. LOL

    Posting from my phone, ease forgive my fat thumbs!
    Fiona59 likes this.
  2. 1
    Hi,

    I do agree that you do not need to make your birth plan "coworker friendly", however, I disagree with the above positing that it is the nurses job to talk you out of pain medications. There is a big difference between offering pain medications every hour and then giving them when the mother changes her mind and requests it. Assuming that all non-pharmaceutical methods have been tried and you are still rating your pain 10/10 and begging for meds it is not the nurse's place to say "I can't give you anything, you told me not to. I understand then you were completely comfortable when you told me not to but you made me promise to say no..." Don't you think that will just frustrate you and increase your anxiety? The decisions that you make for yourself are your responsibility. As you know, it is the nurse's job to make sure that you are making well informed, educated decisions but it is not her job to decide what kind of pain you can handle or not. When someone tells us they are in pain we are to take them seriously and not argue, and if they come to the conclusion of wanting pain medications then we are to safely implement that decision. Obviously as you progress through labor the pain and discomforts will change. A birth plan is just that...a plan. It is not set in stone, you can change anything about it you want at any time. A doula is a wonderful idea to help keep you on track with your plan. Just like you said in your OP, be flexible, things can change. Good luck, I'm sure you will do wonderful!!

    Quote from mommy2boysaz
    You do not need to adjust your birthplan for the comfort of the staff, first of all. This is YOUR birth! (And I am an experienced OB nurse, CNM, and mother of 3.)
    Your birth plan is completely reasonable and I disagree with the above poster that said as an OB nurse it is not "her job" to talk you down if you request pain medicine in a moment of weakness. It most certainly is every OB nurse's job to do her best to soothe, calm, find and offer alternatives, in order to allow you to fulfill your birth plan. What about a warm shower? Tub? Ball? (As you already mentioned.) Hands and knees? Standing and leaning on your husband or over the bed? Sterile water papules for back labor? There are SOOOO many options that don't include meds. That is the job of an OB nurse.
    Best wishes to you for a wonderful birth experience!
    melmarie23 likes this.
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    Some people have it encapsulated, meaning made into PO pills that they take as a supplement. I personally have not sent a placenta home in a very long time, most people just let us dispose of it

    Quote from itsnowornever
    I am an L&D nurse and I don't get it LOL some use it as tree fertilizer in honor of the baby---others well, I have no idea. LOL

    Posting from my phone, ease forgive my fat thumbs!
    Fiona59 likes this.
  4. 2
    I work in a very progressive teaching hospital (only hospital in this large metro area that allows and supports water births in actual water birthing tubs). We see the request to take home placentas fairly regularly. Usually they do it so that they can have them encapsulated, which has been shown to decrease postpartum depression as well as increase the woman's iron stores. There are thriving businesses that do placental preparation/encapsulation. I was at a CAPPA conference a couple years ago with my sister (we had a booth for our herbal product business) and the booth next to us was one such business and I got into a long fascinating discussion with the woman about it.
    LibraSunCNM and debsgreys like this.
  5. 3
    I think your plan is fine except the part about expecting a nurse to talk you out of pain meds. It has been driven into all that a patients pain is a patients pain and must be addressed. It is an unfair expectation that the nurse caring for you should talk you out of it. She could just as easily get into trouble for "denying needed and requested pain control".
    Fiona59, melmarie23, and RNinLDRP620 like this.
  6. 0
    Quote from RNinLDRP620
    Some people have it encapsulated, meaning made into PO pills that they take as a supplement. I personally have not sent a placenta home in a very long time, most people just let us dispose of it
    Oh my gosh...wow. Freaky.
  7. 1
    http://placentabenefits.info/research.asp

    Happy eating...er...reading!
    RNinLDRP620 likes this.
  8. 0
    I still fail to see how any of you think that after reading my birth plan that I am expecting the nurse to "talk me out of" an epidural???? please show me where I have stated that. I believe I have stated that my doula and husband would be talking me down, but I wanted the staff to be aware of my wishes. I also used the first paragraph to impart the seriousness of the situation to the staff. This goes beyond the typical mother thinking that she can go all natural and wanting it for the sake of wanting it and then expecting the nurse to refuse her pain meds. This is literally life and death for me. Another spinal of any kind could cause a relapse of guillian-Barre syndrome and the liklihood of complete or even partial recover following a relapse is much lower then with the initial event. I want to avoid that, but I want to also make the staff aware that there is a potential liability for them if I get one. I am am protecting myself AND THE STAFF by stating this in the birth plan. As I mentioned earlier, I may not be delivering in that facility I work at. I may be transferred and if I am I very well may be incapable of communication and my family may not be with me (ie. being intubated and transported by helicopter to a facility that does not share our medical record system) I don't understand why you all are reading into this that I WANT the NURSE to do anything other then her job, which in this case most importantly to me, entails advocating for her patient, especially to other departments that are unaware of the history or potential consequences of certain actions with my history.

    Also when I mentioned labor vocalization that was in reaction to the first page of responces that talked about screaming in labor as if it was a bad thing.
  9. 0
    OP maybe you need/could get an order for "no blah blah pain meds" so the nurses don't feel conflicted??

    If someone was screaming out in pain I would want to help...
  10. 5
    Labor vocalizations are not a bad thing. Nobody here said that. I've been here long enough to safely say that I don't think anybody here believes that either.

    We understand that you have a contraindication to spinal anesthesia. If I was aware of that as your nurse, I would treat that like a drug allergy. In fact, you should probably have that notated in your chart somewhere. We get that. We're reacting to the request for pain meds at all, which I'm guessing we are interpreting as IV meds.

    You seem very defensive and upset by people's comments here. We are reacting to the words we have read in the birth plan. You asked for our opinions as labor nurses, and we gave them to you. I'm sorry that we're not saying what you want to hear, but like I said, we're reacting to the words that are written. If so many OB nurses are reacting the same way, perhaps you might want to look at the wording and tone of what is written with an objective eye.

    I have no dog in this race, I'm simply answering the question you gave us, as an objective outsider.
    Fiona59, hiddencatRN, bowlofsurreal, and 2 others like this.


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