Do you guys read birth plans? - page 6

I'm putting together a birth plan to give my OB in a couple of weeks. I had one for my first, but I never had a chance to give it to my OB when I PROMed @ 36 weeks. So I'm wondering, would I be... Read More

  1. by   sandstormsdust
    I don't know of a single woman who has given birth vaginally and the baby hasn't ended up with thrush.

    If there is only a slim possiblity for a baby to be blind why don't hospitals give out thrush medication before they send the mothers home....

    In my eyes... it makes the mother feel incompetent with breastfeeding when the baby gets thrush, makes it painful for the mother and on top of all that you skeeze goo in a babies eyes... with the slit possiblity of the baby going blind..... all this med stuff when it comes to babies pisses me off.

    Your procedure interfers when they arn't suppose to and stands away saying dike when it is most needed.
  2. by   shay

    What the hell are you talking about?
  3. by   fergus51
    I second shay... HUH?

    I know about a zillion women (okay, more like a few thousand) who have given birth vaginally and their babies didn't get thrush...
  4. by   mark_LD_RN
    Originally posted by nursechar
    Personally, I don't mind birth plans as long as the people writing them have done their homework. We still get birth plans that say no enema or shave prep, haven't been doing either one for umpteen years! Come in with a realistic, well thought out birth plan and it will get read, all others get thrown under who knows what in the chart and C/S papers are pulled.
    You are no t correct in the enema and shave prep not being done for years. we have a few docs here and at some of the hospitals i have travel to that still have shave and prep orders. So if a patient does not want them i suggest they put it in there plan.
    I agree with you that a birth plan should be researched and well written. I personally prefer those patients over non plan couples. I have not seen the supposed increase in c/s for birth plan couples. I think it is just that when it happen it is remembered more.
  5. by   nursechar
    I bet those poor women just love getting something stuck up there butt and then shaved while in labor. I would like to know the doc's rationale for doing these things, and I would bet the doc's who are ordering such are going off of their standing orders from the 1950's. Sounds like a great teaching opportunity for both the doc's as well as informing the pt's that they can refuse such indignities.
  6. by   mark_LD_RN
    I inform all my patients of their right to refuse treatments such as these. I hardly ever give enemas or preps. only if the patient insists i do it. which a few do. you may not believe this but some of the docs ordering them are new, practicing for less than two yrs.
  7. by   nursechar
    Sounds like you might still have time to possibly re-educate those newer docs and possibly make them re-think their rationale for doing shaves and enemas. I would bet their instructors always did it that way, so they are just keeping up the tradition. It would be interesting to find out their thoughts on the subject.
  8. by   mark_LD_RN
    I am working on them, at least they dont insist on them now. they gave different rationals, some claim it helps get labor going, others say women have fears of defecating while pushing so they suggest an enema to clean them out. I havent given an enema or a shave in a long time now,
    i think docs need to reevaluate a lot of their old practices.
  9. by   SmilingBluEyes
    Yes I read and respect birth plans to the utmost. I use 'em as a tool to help me understand what the childbirthing family needs and wants of me to serve them best. It answers many questions I would ask anyhow. I tell them I will stick to it as much as I possibly can but remind them that giving birth can be unpredictable---- and--- if I/we have to deviate from the plan, we will let them know why and how and work with them to ensure a safe outcome for both mom and baby.

    I think communication, open communication, both ways, is essential. Too bad, a birth plan is perceived as needed by people to make them feel we will honor their wishes and listen to them! JMO.
    Last edit by SmilingBluEyes on Jun 4, '02
  10. by   sandstormsdust
    Shay and Fergus:

    "As far as refusing certain things, like e-mycin for the eyes, that is usually discussed with the pediatrician and a waiver must be signed, since the end result could mean blindness. "

    In my own defense... u gals and guys could teach me alot.... but....

    All these things are under policy and prodecure... some of the policies are out dated based on previous statistics completed many years ago...

    A child going blind without the e-mysin is only a small percental of the actual population...

    When the doctors give the immunizations for babies and children... it is only on a probability..... how many children get the shots and come down with the actual sickness later in life... How many arn't given the shots and have 100% good health all there life.

    If they are going to the time and trouble of putting e-mycin in the eyes.... why not give a bottle of thrush med also... DIDN'T both the Canada and US gov. already state that "breast is best"?????? Yet... lets do a statistic on how many woman and girls stop breast feeding because thrush hurt them to much...

    So long as a woman has a vaginal birth then the possibility is there that the baby will have thrush....

    Albait... I would love to have all my own questions answered... but where would I go to find those answers..
  11. by   mother/babyRN
    Rarely if ever is there blindness and never have I seen thrush a major difficulty after birth. Thrush is an unusual problem and rarely (at least in our area) a reason to stop or interfere with breast feeding. Candida can also be linked to autoimmune problems in the mom. Maybe where ever you are there is something going on, or a bad batch of emycin. This, in 13 years of OB practice, is the first time I have ever heard of such a rampant problem with thrush OR difficulty with the eye ointment...
  12. by   mother/babyRN
    Hey Mark, not too long ago, we had a newer doc insist on the enema thing as you mentioned, because thats how he was taught. We never do that and once, while I was teaching a patient to push, he overheard me tell the patient that she might be disgusted if she had a bowel movement while pushing but assured her that we "silly" night nurses would be overjoyed because that would mean she was pushing correctly and that much closer to having her baby. When she protested further I laughingly mentioned that we got to wear the silly scrubs and chose to work the night shift for the priviledge of being able to teach her how to have a great delivery. She thought that was neat and was able to push correctly. The doctor FINALLY came around as he saw the difference between how the patient had been pushing and how she eventually learned to do so. He EVEN admitted that he had a lot to learn and had learned most of what he now knew from the nurses. He smiled and told me not to tell anyone but as this is an anonymous post, I feel his secret is safe with me. And, as far as birthplans go, I also concur that communication and cooperation go into following one. I use them as tools to what families want also, but as has often been pointed out here, I am candid that occasionally things do not go exactly as planned, although I commit to the attempt to follow along with the family desires as much as I can...
  13. by   HazeK
    Birth plans are great!

    They give me an idea of where the patient/couple are 'coming from'!

    DO bring several copies!
    DO review your birth plan with your physician!
    DO understand that a birth plan is a list of your
    preferences...not a list of demands! A list of
    demands will put everyone off and set you up
    for defensive behaviors.

    DO understand that the baby is in control, not you! Ex. decels or too big=c/s; PROM=antibiotics, etc. Reality: most nurses will do their best to make your experience the very best it can be!