Crash Sections

Specialties Ob/Gyn

Published

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 anesthetic!!!!!:imbar I wasn't working (Thank Goodness). But I understand that anesthesia couldn't get to the meds because his key was bent. :( FHR had dropped to the 40's, and the baby was born 12 min. after it dropped. The baby was just transitioned with O2 hood, and ended up going to WBN the next day!

This is the 2nd section under local in the 2 & 1/2 years that I've worked here. We do about 800 deliveries a year. does this happen anywhere else???!!! :confused: :eek:

OK, a little off the subject, but reminded me of this. I had a pt that came in with a birth plan that said that she didn't want to be offered any meds under any circumstance (you know the type.)

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.

scary! Never seen one and hope I never have to!

way to scary!!

I've seen them happen all the time....Don't you guys watch ER?? :chuckle

You work in labor and delivery and don't know the "TYPE"????!! :uhoh3: C'mon!

lol...:rotfl: 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!!!

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.

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.

Katherine

Specializes in NICU.

Then the baby goes to the NICU, breast feeding only (hypoglycemic of course), and no bottles or pacifiers! :rolleyes:

Poor babies...

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.

You work in labor and delivery and don't know the "TYPE"????!! :uhoh3: C'mon!

lol...:rotfl: 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.

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!

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?

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.

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