Soap Suds Enema in L&D - do you still use?
- 0Mar 9, '06 by StatRNNJ97:angryfire I am very angry! Certain hospital I work in L&D and an OB insists that ALL patients receive SSE. I have NEVER done this to any OB patient since I have been a nurse (many years) in OB! Any other nurses out their still use SSE prior to labor/induction? I voiced my concern and nurses are "afraid" to say anything to the OB. Whoever heard of an L&D nurse being timid? LOL. What ever happened to advocating for the patient? None of the other OB's in the unit order SSE. What do you think?
- 0I had a Fleets 23 years ago with my #1 son and a complete shave and a pit induction and an episiotomy and I stayed 3 days in the hospital for a normal vaginal delivery.
2 years later at a different hospital with #2 son - no enema, no shave, no episiotomy and was home in less than 24 hours.
We do not do enemas of any sort for our laboring moms. I'd talk to the mom about refusing . . . .
- 0Mar 9, '06 by Blee O'MyacinNot L&D, but I had three children (8, 6 and 5 today! ) and I did not have to have an enema, nor did we give them at the same hospital when I did my L&D rotation.
I am wondering what medical purpose a SSE would serve? Could it be to further along contractions if being induced? (Kind of like the castor oil home remedy?)
I'd check your policy and see if the patient is also in agreement with this. Remember, they do have the right to refuse - even if their RN has to help them along the road to refusal.
Good luck with that!
Quote from StatRNNJ97:angryfire I am very angry! Certain hospital I work in L&D and an OB insists that ALL patients receive SSE. I have NEVER done this to any OB patient since I have been a nurse (many years) in OB! Any other nurses out their still use SSE prior to labor/induction? I voiced my concern and nurses are "afraid" to say anything to the OB. Whoever heard of an L&D nurse being timid? LOL. What ever happened to advocating for the patient? None of the other OB's in the unit order SSE. What do you think?
- 0Mar 9, '06 by ICURN_NCUh, if I was pregnant and a SSE was even suggested to me, I'd probably laugh @ that person! I mean, really, do we even do that anymore in this country? (I'm sorry to sound that way, but seriously...)
Maybe you should suggest to the OB that he do it himself! :spin:
- 0Mar 9, '06 by BKRNDuring my L&D clinicals a few years ago. There was a doctor that insisted his patients have a SSE enema so that their would be no BM during pushing or delivery! He told the nurses to not let the patient refuse!!! Talk them into it-tell them it is necessary for the health of their baby! I could'nt believe that some of the nurses went along with it.
- 0Mar 9, '06 by SmilingBluEyesI have been in OB 9 years and have NEVER done or been a party to this...and I have worked with doctors who have delivered babies since the 1950s........
And on that note, we don't shave people either...unless they are to go for a csection.
Giving an enema in no way guarantees a so-called "clean" delivery. Poop STILL happens. How do I know? I have had moms who had given themselves enemas (in hopes of avoiding embarassment themselves) and still poop plenty while giving birth. The only way to be sure all is "clear" is to have done a mag citrate prep or something the day before---and nobody is gonna do this.
I am surprised---I have worked 3 places with many different doctors from all over the world, and none even hinted at the use of enema in laboring women.
What a terribly uncomfortable and unnecessary thing to put women through in labor....Last edit by SmilingBluEyes on Mar 9, '06
- 0I do not think having an enema has ANYTHING to do with starting labor!
That is just crazy!
Deb - I had my #1 son at St. Mary's in Reno almost 23 years ago and the nurse did hand me a fleets enema to give to myself.
And Deb is right - there is no guarantee that you won't poop while pushing your baby out.
What a funny thread!