Skip to content
View in the app

A better way to browse. Learn more.
allnurses

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
Discussion

Am I wrong?

:confused: Hi all.......just mulling over a few things here and need some feedback please! Last night was a very frustrating night at work......here's the scenario....

My patient was a G2P1, AVBAC. First baby was PCS for failure to progress and fetal intolerance/distress. According to her chart, labor arrested at 4cm? My first "hmmmm" moment......anyway, first baby was OP, second one as well.

So, mom comes in with high expectations and very clear about what she wants/doesn't want. No epi, no IV meds and wants to avoid c-section at all costs. We discuss the options and possibilities. She's very nervous, tearful. I get her calm, coping well with ctx's. She goes from 4cm to 6cm in about 2 hours, to 8 in about another hour. Getting real uncomf now and wants IV meds.....Dr barely will write order. Keeps saying "Don't you mean epi? Are you suuuuuure you don't want the epi?". Through it all, she manages to say no and we give her 1mg stadol. About 1/2 hour Dr is back in room, checks her.....still 8, -1.....then declares her! I nearly fell off my stool...mind you, baby was in no distress, mom was coping well. He tells her the baby "cannot" be delivered this way. Now, haven't we all seen them come out "sunny side up" or is it my imagination? I tried to confront this Dr....suggesting giving her a bit more time, but he was adamant....BTW, everything in the chart indicated that prognosis for SVD was good......adequate pelvis. I'm really scratching my head as to why he was so quick to jump for the c-section. Poor patient was completely devastated.

Thanks for letting me vent!

Joyce

Featured Replies

the more I read, the more I love my hospital. We are a teaching hospital but still have plenty of private MDs. We do approx. 300 deliveries per month. ALL of our docs are reat about following guidelines for c/s..labor curves, adequate MVUs, etc. One of the first things we do on admission is to give the patient and family the number to our patient advocate line and explain that they have the right to refuse anything they are not comfortable with. Yes you can deliver "sunny side up". My oldest was direct OP as was her child! Both were lady partsl. Hers was with an epidural, mine without..back in the Lamaze days when epidurals were not offered and Harvard pumps were used for Pit and the MD HAD to be in house while Pit was running. I had a fourth degree but stil beats a tummy full of stitches. Had two more children with no problem. Remember we are above all, patient advocates! Good luck. I'd be angry too!

Guest
This topic is now closed to further replies.
Go to topic listing

Currently Reading 0

  • No registered users viewing this page.

Account

Navigation

Search

Search

Configure browser push notifications
Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.