Why do we need the docs for delivery? - page 7

It seems to me like the experienced nurses on this board could very easily deliver the normal healthy deliveries. Just wondering if the OB nurses get frustrated with having a doc do the delivery,... Read More

  1. by   SheaTab
    <<This is true - docs rarely just catch. Sometimes it takes a couple of hours to push the baby out and he is sitting there on the stool encouraging the mom with the rest of us.

    steph>>>

    Holy Cow!!! I have never had a doc sit with me and push for two hours. I am impressed with your physicians! We get dirty looks from our physicians if the baby is not about to fall out of the vagina when they are called into the room. T.
  2. by   mitchsmom
    Quote from SheaTab
    <<This is true - docs rarely just catch. Sometimes it takes a couple of hours to push the baby out and he is sitting there on the stool encouraging the mom with the rest of us.

    steph>>>

    Holy Cow!!! I have never had a doc sit with me and push for two hours. I am impressed with your physicians! We get dirty looks from our physicians if the baby is not about to fall out of the vagina when they are called into the room. T.
    I have no professional experience, but my first two births the docs showed up with probably about 15 minutes to spare, the last one was there for about the last 30 minutes and she was a personal friend of mine at that! (She actually did stay at the hospital during most of the labor & would ck on me, but she went to do other work that she needed to do while I labored, which was ok w/ me. When I observed several births with her later, she also showed up at the last 15-30 minutes with them too. )
    Guess I had the "fall out of the vagina" type docs mentioned above for my births! LOL
    Last edit by mitchsmom on May 12, '05
  3. by   SheaTab
    Quote from mitchsmom
    I have no professional experience, but my first two births the docs showed up with probably about 15 minutes to spare, the last one was there for about the last 30 minutes and she was a personal friend of mine at that! (She actually did stay at the hospital during most of the labor & would ck on me, but she went to do other work that she needed to do while I labored, which was ok w/ me. When I observed several births with her later, she also showed up at the last 15-30 minutes with them too. )
    Guess I had the "fall out of the vagina" type docs mentioned above for my births! LOL
    I plan on attending CNM school next year... I can definitively tell you that I will not be this way! ;o) The nurses won't be able to get me out of their room. I sometimes think though, the less the docs are in my room, the better. Because it seems like everytime they walk in they are messing with something! When do you plan on going to CNM school? Where? Email me privately if you'd like... SheaTab@aol.com
  4. by   Dayray
    I think Nurses opinions on this subject are largely dependent on what type of environment we work in.

    Personally I have worked in both a small rural hospital (briefly) and a large busy high risk/ high volume hospital (currently).

    Patents ask me this question from time to time I even had a family ask me not to call the doctor. "We really want you to do this".

    My opinion is .. Well maybe I don't have an opinion but I do have some observations/ comments.

    When I worked in the rural environment I depended much more heavily on the doctor. My small hospital didn't see much outside of the norm and the doctors were not nearly as busy so they provided much more personalized care and I saw allot less of "cut and silastic" then I have where I now work. In this environment the doctors training was very important and I would never dream of delivering babies.

    Where I work now I see so many complications. When there is an emergency I don't wait for orders because I know what to do as well or better then the doctor. Instead we work as a team and most times we do that well. Doctors don't touch the babies I do that or if I anticipate a problem I call the NNP who is (although sometimes they forget) another nurse. At the hospital I work at we are on a first name basis with our docs and most of them see us as peers not as lackies.

    That being said I really don't think that they are necessary at deliveries. There is no reason that a nurse couldn't catch a baby and call the doc in for C/S.

    Now that being said I personally am happy that there are things (such as catching) that I don't have to do I like not having to do everything because I have to do so much and the thrill of catching babies has long past for me. I like taking care of my patient's allot more then just catching a baby.

    Doctors do the prenatal screening and monitoring some do an excellent job educating their patents but sadly that is their weakest point.

    As for medicine taking over childbearing I am conflicted on my opinion.

    I work in a very busy hospital and have seen awful things happen to patents because doctors are rushed. It took me some time to become strong enough to stand up to them and keep them from cutting an apease using silatic or starting pit unnecessarily and I know that many of my coworkers will never be able to do this. For these reasons I think that some patients would greatly benefit from nurses doing deliveries. For one thing we are there for 12 hours weather they deliver or not. Doctors need to get in and out as quickly as possible, either to get back to the office, to sleep or to make it to their daughters dance recital. We all know how difficult their schedules can be and at some point the battle between work and home weighs on them.

    This is a major problem with the medical system as it is now. They really have to choose between their family and their work on a daily basis. Another aspect of this is that as nurses we get to know the patient more closely then they do. We are there with them for hours where as most of the time docs only see them briefly at visits and for a few minutes at delivery. It's a lot harder for us to forget that this is not only a patient but also a mother/wife/daughter/human being.

    On the other hand medicine (when I say medicine I mean the discipline not meds) has done so much for women and babies. Many, many women and children died before hospital birth was the norm. We currently live in a time when death in childbirth for mother or baby is pretty rare and that is because of medicine.

    In many cases it would actually make my job easier to just do the delivery and I think it would in many cases be better for the patients. Yet if this were to happen care might suffer because you would then need 2 nurses at a delivery and I'm sure we wouldn't be staffed any better.


    Really the real answer to the question "why do we need doctors at deliveries?" is: because that is what people expect.

    Think about the first time parents who ask, "when is my doctor coming" or walk in and say. "yes I am supposed to meet my doctor here to be checked" ...lol

    People believe that doctors are THE care provider. Back when I worked med surge I took care of a man for 3 weeks and eventually was part of a very long Code on him. We worked and worked and finally got a pulse back. The next day his wife came in and tanked the doctor (who wasn't even at the code) for saving his life.

    The public's perception of doctors as superior life form has been molded by television and in no small part by the AMA and I don't see it changing soon.
  5. by   Jolie
    Whew, Dayray! Where have you been? I've missed your posts!
  6. by   Dayray
    Quote from Jolie
    Whew, Dayray! Where have you been? I've missed your posts!
    Hi Jolie =)

    It was a busy semester for my wife so was takeing up allot of the slack with household/ family stuff and was on a major reading binge. I did stop in from time to time but just did'nt post. My wife is out of school for a while and I ran out of books I wanted to read so ill prolly hang around for awhile.
  7. by   Spidey's mom
    Quote from Dayray
    Hi Jolie =)

    It was a busy semester for my wife so was takeing up allot of the slack with household/ family stuff and was on a major reading binge. I did stop in from time to time but just did'nt post. My wife is out of school for a while and I ran out of books I wanted to read so ill prolly hang around for awhile.
    Welcome back - great post by the way.

    steph (who is always glad a doc is nearby and has never "caught" a baby and doesn't want to)

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