What comments do you hear from OB's about birth plans? - page 2

I was just wondering... When I was in my L&D rotation in school the OB's I worked with would be very condescending with any woman who gave them a birth plan. Usually it was behind the mom's back. Why... Read More

  1. by   BabyRN2Be
    Quote from Zhlake
    He also allowed nothing by mouth until flatus and then clear liquids only until bm.
    Wow, and that was for a vag delivery?? Goodness... something about not being able to teach an old dog new tricks.

    Quote from Zhlake
    He drives me crazy!!! Thank God he is gone
    I don't even know the guy and all I can say is AMEN!!
  2. by   Zhlake
    Quote from BabyRN2Be
    Wow, and that was for a vag delivery?? Goodness... something about not being able to teach an old dog new tricks.


    I don't even know the guy and all I can say is AMEN!!

    He is bad, but not that bad...no the NPO is for the post c/s patients.
  3. by   palesarah
    Quote from BabyRN2Be
    OK, I've been doing some reading on birth plans over the web (I don't have access to mine as the drive it's stored on isn't being cooperative), and there are some things that really don't need to be mentioned in a birth plan. If you want to keep the lights low, have someone with you (a doula, perhaps? ) who can express this to the staff when they come into the room. If you want to wear your own clothes (I really don't recommend this due to "birth glop" getting all over something you really like), this doesn't need to be mentioned in a birth plan. Just tell them you don't want to wear their Christian Dior hospital gowns!

    Save the space for what you REALLY want to communicate to the staff, such as pain med choices, wishes regarding an IV (which you MUST talk to your PCP first!), wishes regarding the pushing stages, etc. If you are using natural childbirth methods, communicate that you will be using nonpharmacologic relief methods - massage, aromatherapy, accupressure, etc. If you want to use water for relief (either a tub or shower) keep in mind that if you want or need an IV, this MIGHT be a little problematic.

    Just keep the L&D portion short and sweet. In my experience, this is greatly appreciated by the staff. Also, include a line stating that these are only preferences and that you are flexible in case something unplanned arises. It's give and take, and be prepared to compromise. I've seen this more often than not, the more complicated the birth plan, the greater the chance of a birth ending as a c/s.

    Think through what you want, and condense. It's best to be informed of all your choices before you go in.

    I wish every woman who comes in with a birth plan would read your advice first! I am so appreciative of birth plans when they are clear & concise, based on informed decisions, and "preferences" as opposed to "plans"- that flexibilty is key.

    I have a hard time taking seriously the generic, point & click internet generated (parent's place/babycenter. com) three page monstrosities. And an even harder time when we get the rare patient who comes in with a list of unreasonable, unsafe demands.
  4. by   vwgirl
    Quote from fergus51
    That's crazy! Where are you if you don't mind my asking? I have never seen or heard of a doc wanting shaves or enemas anywhere I have worked, even the dinosaurs. It is funny where I worked because we don't even have the necessary equipment in the place
    They routinely give enemas in my L&D too; it is even on the standard order sheet, although not all docs will do it. BTW, we still use Demerol/Phenergan for most pain control with our sections, so that tells you something.
  5. by   SmilingBluEyes
    Quote from vwgirl
    They routinely give enemas in my L&D too; it is even on the standard order sheet, although not all docs will do it. BTW, we still use Demerol/Phenergan for most pain control with our sections, so that tells you something.
    OH ME OH MY----where, oh, where is this, pray tell???? lord! isn't this the same hospital where the babies stay in the nursery for hours after birth cause that is the routine? I seem to remember you posting something to this effect before----let me know if I am mistaken!
  6. by   vwgirl
    Quote from SmilingBluEyes
    OH ME OH MY----where, oh, where is this, pray tell???? lord! isn't this the same hospital where the babies stay in the nursery for hours after birth cause that is the routine? I seem to remember you posting something to this effect before----let me know if I am mistaken!
    Archaic practices abound! At an undisclosed location on the east coast, you too can experience all manner of outdated OB goodies. The weird thing is, no one else who works with me seems to think any of these things are strange or passe'. And I've only worked in OB for 5 years.
  7. by   fergus51
    Bizarre! I sometimes think us west coasters are a bit fruity, but I prefer a nature freak over an outdated intervention freak anyday!
  8. by   SmilingBluEyes
    i am very happy on the West Coast for this among many reasons.....and I am a Native Mid-westerner. But I like the low intervention route myself.....too bad things are still they way so many places. Come to Seattle, VWgirl...things are NOT perfect here, we still have lots of interventions in hospitals, but not those of the nature you are talking of.
  9. by   Zhlake
    Quote from SmilingBluEyes
    i am very happy on the West Coast for this among many reasons.....and I am a Native Mid-westerner. But I like the low intervention route myself.....too bad things are still they way so many places. Come to Seattle, VWgirl...things are NOT perfect here, we still have lots of interventions in hospitals, but not those of the nature you are talking of.
    You live in Seattle? My sister just got a job at Evergreen. She is a new grad. Just passed boards on Friday!
  10. by   vwgirl
    Quote from fergus51
    Bizarre! I sometimes think us west coasters are a bit fruity, but I prefer a nature freak over an outdated intervention freak anyday!
    Me too, but I like where I live now, so I won't be joining you anytime soon! (Too broke to move anyhow....)
  11. by   SmilingBluEyes
    Quote from Zhlake
    You live in Seattle? My sister just got a job at Evergreen. She is a new grad. Just passed boards on Friday!
    Tell your sister Congratulations for me!!!!!
  12. by   mlz obrn
    I'm always really disappointed when I see how OB's & RNs respond to peoples birth plans. I've seen nurses say "oh these women who write birth plans are the ones who never get what they want....." the thing that really strikes me is that I believe that that nurses attitude just going into that labor can affect that mom's outcome. Whenever someone asks me about birth plans I always tell them to call it something a little bit different like "Birth Desires" and to phrase it like "this is what I'm hoping for and I really hope that you can help me..." This just changes the tone a little bit and makes OBs & RNs a bit less defensive, asks them to be on your side more than "birth plan" which is like telling them what to do. Afterall, in reality you really can't plan your birth so much of it is up to mothernature and for the most part we just need to get out of her way. Good Luck!
    Quote from becca.utns
    I was just wondering... When I was in my L&D rotation in school the OB's I worked with would be very condescending with any woman who gave them a birth plan. Usually it was behind the mom's back. Why do OB's do this? I could understand it if mom was making outrageous demands. But I'm just talking about the mention of a birth plan and the OB rolling his eyes (before he has even looked at it) and saying something sarcastic to the nurses. After witnessing this several times I'm actually dreading giving my OB my birth plan at my next appt. Especially after being told, "just get the epidural.." after I mentioned 'Hypnobirthing'... Anyway... just wondering what L&D nurses have witnessed and think about it.
    Thanks!
  13. by   is this heaven
    I was so discouraged with what occurred...i'm on orientation,and i walked outta work yesterday wondering if i'll make it through if this happens on a regular basis.
    The pt had a bp that was not unreasonable;they were a Bradley method couple.My preceptor was open to their requests;the other nurses rolled their eyes,and quickly told me " most people with bp's get a C/S".I'd heard that before and wasn't surprised by this response...it went in one of my ears and out the other.

    What really irritated me was the dr who was on call for his group, who came in and at the nurses station,asked me "Ok...which room is the 'granola eater' in?"

    I felt bad for this couple...they thought what they were doing was best.I want so bad to tell people in this situation (before they get to this point in the pregnancy) that they'd probably be happier going to a facility that utilizes cnm's.The nurses here tell me cnms will NEVER become a reality at this facility.

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