my birth plan - nurse friendly? my birth plan - nurse friendly? - pg.3 | allnurses

my birth plan - nurse friendly? - page 3

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... Read More

  1. Visit  klone profile page
    1
    http://placentabenefits.info/research.asp

    Happy eating...er...reading!
    RNinLDRP620 likes this.
  2. Visit  nurse_maya28 profile page
    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.
  3. Visit  chrisrn24 profile page
    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...
  4. Visit  klone profile page
    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.
  5. Visit  uRNmyway profile page
    0
    Quote from nurse_maya28
    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.

    First, I don't know about the rest of you, but I cringed when I saw birth plan coming from a L&D nurse. Any department I worked for (although they were on the mother-baby side), if there was a birth plan involved, it was almost guaranteed that things would not go as planned. I don't know if it was a Murphy's law thing, but we just hated to see those words on a chart lol.

    Don't get me wrong, I completely understand where you are coming from though. I delivered in a hospital I had no experience with and had heard horror stories about (nothing serious, but I was used to baby friendly environments and this place definitely was NOT). I came in with my 'birthing preferences' (trying to avoid the 'plan' aspect I suppose), made it clear what was flexible and what wasn't. For instance, NO formula, NO well-baby nursery, first bath done by me and fiance, not nursery nurse. Flexible stuff- Don't offer me pain meds, I'll ask if I want them (And BOY DID I!).

    While I don't see anything wrong with what you asked if you actually read what is there, I would recommend perhaps re-writing, maybe stream-lining like a previous poster suggested. When you say you want no spinal analgesia, say WHY in the same sentence. "I can't have spinal because of previous Guillain-Barre diagnosis as a result of spinal."
  6. Visit  CrunchRN profile page
    3
    " I do NOT want pain meds. Especially spinal narcotics. PLEASE, please, please, do NOT let this happen, even if i would request it in a moment of weakness. **** and *****will be aware of this and talk me down if need be, but I wanted the staff to be aware as well"

    The above portion of your plan was what my response was based up. Your reason for no spinals is totally understood and clear as to the reason and I am sure all staff will very willingly comply with that. However, the line above puts the onus on the nurse to deny you pain meds if you request them. They really cannot do this unless there is a medical reason if you are requesting pain meds and it is not in my opinion fair to ask this of them.



  7. Visit  FlyingScot profile page
    1
    Quote from nurse_maya28
    - I do NOT want pain meds. Especially spinal narcotics. PLEASE, please, please, do NOT let this happen, even if i would request it in a moment of weakness. **** and *****will be aware of this and talk me down if need be, but I wanted the staff to be aware as well
    This is where the miscommunication occurred. In your post there are only asterisks (likely a result of mod editing) where you must have stated your husband's and doula's names that were subsequently removed. As a result a brief skim of the plan could leave a reader with the impression that you were expecting a nurse to be the one controlling whether you got meds or not. I don't think anyone was intentionally trying to be offensive. They surely misunderstood what you wrote because it was unclear.
    Spidey's mom likes this.
  8. Visit  ixchel profile page
    0
    Quote from FlyingScot

    This is where the miscommunication occurred. In your post there are only asterisks (likely a result of mod editing) where you must have stated your husband's and doula's names that were subsequently removed. As a result a brief skim of the plan could leave a reader with the impression that you were expecting a nurse to be the one controlling whether you got meds or not. I don't think anyone was intentionally trying to be offensive. They surely misunderstood what you wrote because it was unclear.
    Yeah, I had to go back to the OP and reread it. nurse_maya, your OP reads as though you expect the nurse to talk you down because there are asterisks instead of names. It looks as though you are requesting the nurse talk you down.
  9. Visit  nurse_maya28 profile page
    0
    I'd like to know what youjthought the asterisks meant? seriously if you aren't gonna take the time to fully read and comprehend a post, why are you responding. do you do this with patients too?
  10. Visit  nurse_maya28 profile page
    0
    Quote from Jeweles26
    First, I don't know about the rest of you, but I cringed when I saw birth plan coming from a L&D nurse. Any department I worked for (although they were on the mother-baby side), if there was a birth plan involved, it was almost guaranteed that things would not go as planned. I don't know if it was a Murphy's law thing, but we just hated to see those words on a chart lol.

    Don't get me wrong, I completely understand where you are coming from though. I delivered in a hospital I had no experience with and had heard horror stories about (nothing serious, but I was used to baby friendly environments and this place definitely was NOT). I came in with my 'birthing preferences' (trying to avoid the 'plan' aspect I suppose), made it clear what was flexible and what wasn't. For instance, NO formula, NO well-baby nursery, first bath done by me and fiance, not nursery nurse. Flexible stuff- Don't offer me pain meds, I'll ask if I want them (And BOY DID I!).

    While I don't see anything wrong with what you asked if you actually read what is there, I would recommend perhaps re-writing, maybe stream-lining like a previous poster suggested. When you say you want no spinal analgesia, say WHY in the same sentence. "I can't have spinal because of previous Guillain-Barre diagnosis as a result of spinal."
    Its actually not what its from - it's just not advisable for anyone with a history of GBS or similar conditions ( like MS) to have spinal narcotics. Mine actually came from the TDap vaccine after my daughter was born
  11. Visit  klone profile page
    6
    Quote from nurse_maya28
    I'd like to know what youjthought the asterisks meant? seriously if you aren't gonna take the time to fully read and comprehend a post, why are you responding. do you do this with patients too?
    This is really unfair. You have done your fair share of making assumptions and extrapolation in this thread, yourself. Several times you have jumped to conclusions and made sweeping generalizations of things that were never stated.

    My suggestion is to back away. You appear to be to invested and close to the topic to be able to read people's words objectively. Peace.
  12. Visit  Esme12 profile page
    1
    I think we need to be respectful of each others opinions and personal choices.
    And yes......The names were removed as per the TOS.

    All nurses promotes the idea of lively debate. This means you are free to disagree with anyone on any type of subject matter as long as your criticism is constructive and polite.

    Our first priority is to the members that have come here because of the flame-free atmosphere we provide. There is a zero-tolerance policy here against personal attacks. We will not tolerate anyone insulting other's opinion nor name calling.
    Our call is to be supportive, not divisive.
    I was a wreck when I was pregnant and approaching delivery .......sometimes ignorance is bliss.

    OP my best wishes and prayers for a safe delivery and a healthy baby!!!!!!
    uRNmyway likes this.
  13. Visit  melmarie23 profile page
    0
    Quote from klone
    This is really unfair. You have done your fair share of making assumptions and extrapolation in this thread, yourself. Several times you have jumped to conclusions and made sweeping generalizations of things that were never stated.

    My suggestion is to back away. You appear to be to invested and close to the topic to be able to read people's words objectively. Peace.
    This.

    Unfortunately this thread isnt going anywhere. Most here have offered helpful suggestions and they all were poo-poo'd for one reason or another and now people are just becoming defensive.

    I am sorry OP that you may not be delivering in your own hospital. That must be scary and cause for great anxiety. If you are happy with the plan originally written, then by all means use it and ignore any or all suggestions given.

    I wish you the best of luck with your labor and delivery.

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