Re: What ever happened to "mother nature"? Originally Posted by im_an_honest_1
Ok, So yes, I am a new grad and very "wet behind the ears" but I have gone through the labor process 4 times over now and I am what you could say a nontraditional nurse - starting when I am 31. Needless to say, I grew up in the Northeast, where drinking, smoking, and drugs were unheard of during pregnancy. Culture shock - in TN where I am practicing lets just say I have had more than one social work consult for +THC tests. Regardless the hospital I am working in is a small rural hospital with a great family birth unit - all LDRP rooms.
My question to all the practicing L&D nurses is - does your hospital attempt to schedule ALL the births that are expected? Thanks for any input.
I can hear the frustration in your voice and have to say that it is largely justified.
I would like to caution you about one comment though, "I grew up in the Northeast, where drinking, smoking, and drugs were unheard of during pregnancy. Culture shock - in TN where I am practicing lets just say I have had more than one social work consult for +THC tests." Drug use during pregnancy may have been "unheard of in the NE, but it
was happening.
Please don't misunderstand, I'm not defending the use of alcohol, tobacco or drugs during pregnancy. But it is not a problem localized to any specific area of the country, nor is it unique to less affluent or less educated patients. Nor is there an area of the country immune to it. Substance abuse occurs in expectant parents of all ages, educational levels, professions, socio-economic status, etc. To assume that a patient of a certain demographic is
not using drugs is to miss a screening and treatment opportunity. To assume that a patient of another demographic
is using drugs is to make an unwarranted accusation and risk losing that patient's trust, conficence and participation in care.
I once worked in a facility that had a ritzy "private" L&D unit and a bare-bones "public" L&D unit. Urine drug screens revealed an identical rate of substance abuse in both populations. Both groups needed support to be able to care for their infants, and wouldn't have received it if we operated off assumptions.
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