Crash Sections - page 2

Just wondering if this happens at other hospitals. I work WBN & NICU, so I don't understand all L& D ! :D We had a crash section the other night with mom only having a local... Read More

  1. by   nekhismom
    scary! Never seen one and hope I never have to!
  2. by   luvbbs
    way to scary!!
  3. by   CoffeeRTC
    I've seen them happen all the time....Don't you guys watch ER?? :chuckle
  4. by   southRNflchick
    You work in labor and delivery and don't know the "TYPE"????!! C'mon!
    lol... The "type" that come in with a 15 page birthing plan with all these wondeful, but very specific requests... they are DOOMED for a c/section, no if, ands or buts!!!

    Quote from Zhlake
    I am just wondering what "type" exactly you are referring to? I am due in 8 days and part of my birth preference sheet is "do not offer any pain medications or anesthesia". I was just wondering what type I am.

    I work labor and delivery and have no problem with people asking to not be offered pain medications. I also fully understand that they are generally talking about a normal, healthy labor and delivery--not a major abdominal surgery.
  5. by   BabyRN2Be
    That's exactly what happens. I don't know, I've been a labor doula for the last five years and I've seen it over and over again. The more demanding and scripted the birth plan, the greater the chances of a C/S. I've seen it too many times just to be a coincidence.

  6. by   Mimi2RN
    Then the baby goes to the NICU, breast feeding only (hypoglycemic of course), and no bottles or pacifiers!

    Poor babies...
  7. by   nrsnan_1
    I have seen it once in 16 years and the mother did great. I was there as baby catcher and just couldn't tear my eyes away from the mothers face, wanting to see her reaction. Her post operative recovery was fantastic. Sounds scary but a calm, confident environment made the deliverance, I believe.
  8. by   Zhlake
    Quote from southRNflchick
    You work in labor and delivery and don't know the "TYPE"????!! C'mon!
    lol... The "type" that come in with a 15 page birthing plan with all these wondeful, but very specific requests... they are DOOMED for a c/section, no if, ands or buts!!!

    Well the only thing she mentioned was asking to not be offered pain medication at all and then said "you know the type." I don't think there is anything wrong with asking to not be offered pain medication.

    I certainly know women who come in with a lengthy birth plan. I don't think there is anything wrong with that as well (not that I think they are the best things). Why can't we individualize our care for women? Does every women need to be treated exactly the same after they come in?

    I am lucky in that when I created my birth preference sheet I know how exactly my wishes my differ from the "typical" birthing experience at our hospital.
  9. by   MommyLauraRN
    Laughing at the "type"....the longer the birth plan, the quicker they go out back! I should start keeping track, because I'm sure the data is statistically significant. That's not the end of their story...can we say inverted nipples, short frendulum, and bili lights...My theory is it's totally a control thing!

    Or how about the parents that cry through or refuse the newborn screen because it hurts their baby (and never good bleeders when the parents are watching!), yet plan to circ their baby-duh!

    Or a 40 year old primip psychologist who has read way too many books...ahhhh!

    Failed homebirths....

    The list goes on!
  10. by   L&D_RN_OH
    Luckily, have never seen a "local" CS, but we have in house anesthesia.

    On the other subject, I agree with Zhlake. I think care can and should be individualized. Several people mention control. Why should a woman have to "give up control" of her body to have a baby? And how is not feeling in control of a situation conducive to good labor?
  11. by   OBRN03
    Our department just set up protocol for this type of c-section. We do not have anesthesia in house after 5. We have just been lucky by the grace of god!

    Earlier this fall we had a uterine rupture walk in around 9 pm. Luckily anesthesia was in house for another c/s for failure to progess. This women was actually on the table..they hadn't cut yet so they moved her off and got the other woman in there.
    From the time of admission to delivery was 8 min. The baby had a ph of 6.7 apgars of 0/3/6. She is 7 months old and doing okay. About 3 months behind.
  12. by   Jolie
    I have no problem with patients who have birthplans. We should make every reasonable effort to respect and accomodate their wishes. However, I draw the line at providing poor nursing care. If we have tried every possible measure to make a patient comfortable, and she is still in pain beyond what she can handle, then it is my job to offer her prescribed pain meds. Not to do so would be negligent. She can always refuse, a choice which I will respect.

    I have even had patients write in their birthplans that "the nurse is not to give me pain meds, even if I ask for them." I addressed that right away, telling the patient and her partner that that constitutes poor nursing care, and I won't be a party to it. If I offer and the patient (not her partner) refuses, that is fine, but I will not ignore a request for pain meds because of something written in a birthplan weeks before the onset of labor when the patient had no idea of how intense labor pains would become.

    This same patient refused Motrin after delivery, despite obviously intense afterbirth pains that were not lessened by moist heat, etc. The moment her husband went out to the car to get something, she was at the desk begging for medication, and pleaded that no one let her husband know that she had taken it. This was obviously an inapropriate control situation, with possible abuse. One which required social work intervention.

    My point is, that we don't always know why a particular request is made in a birthplan, and it is our job to question those that are inappropriate and interfere with good nursing and/or medical care.