Handling of miscarriage pt. - page 2
I recently went through a very traumatic miscarriage. Any miscarriage is traumatic, but I ended up with a hemorrhage and a D&C under general anesthetic. Because of the anesthesia and the late hour,... Read More
Oct 16, '02Joined: Apr '02; Posts: 38,756; Likes: 16,280no follow up here. none. to them, it was a surgical case and that's that. (can you tell how i am angry here?) that is why these folks belong w/OB nurses ----they know what to do and how to handle pregnancy loss. I did not suffer an IUFD but, i did lose a baby.....anyhow...Med-surg nurses are not so inclined, trained, and certainly have no time to bother. good thing, i AM an OB nurse and can find my OWN resources; what about the others who slip thru the cracks?
Oct 16, '02Occupation: Apprentice Midwife, Creative Memories Consultant Joined: Jul '02; Posts: 64; Likes: 1Thank you for all the replies. I've learned a lot and I do plan to write a letter to the hospital. I had a friend who went through IUFD and I know they took good care of her and she received a care package similar to the ones described here. I got a few, "I'm sorry's" but that was it. I know there wasn't anything on the door to tell warn people of my condition, because a nursery nurse almost accidentally brought me someone else's baby at one point.
While I understand the reasoning about not wanting to shelter a woman from babies she will invariably see on the outside, I think there is a difference between seeing a baby here and there at the store and being surrounded by them in a place you can't leave until your doctor says so. At home, I can at least choose when I'm ready to go out into the land of 50 newborns per square foot (I live in UT).
I do know what you mean about the nurses, though. I guess I was blessed to get the kind of nurses who at least offer their condolences. When I went in for the D&C, I was very scared and the abused little girl in me wanted the surgical nurses to introduce themselves before the procedure, so they wouldn't be strangers. They didn't even talk to me, just continued their conversations with each other while they strapped my arms down.
I do want to let you ladies know that I've been lurking here for months and, while I don't agree with everything I read, I have grown to appreciate you all so much. I'm a homebirther and sometimes I can get carried away in my anti-hospital feelings, and reading your posts has helped me to realize that there are good and caring people out there helping women have babies. Thanks for taking the time to reply to my post, and keep up the good work.
Oct 17, '02Occupation: registered nurse Joined: Nov '01; Posts: 1,083; Likes: 14i am sure they were not trying to be insensitive.but being on that floor they are used to dealing with those cercumstances and caring for that kind of patient sorry about your loss
Oct 17, '02Occupation: RN Joined: Aug '02; Posts: 129; Likes: 13I am sorry for your loss.
At my hospital, the pt is given the choice of post-partum or the GYN unit. The GYN nurses are also in-serviced on caring for IUFD patients.
When I was in nursing school we had some guest speakers from a local support group for families who have experienced IUFD, stillbirth, neonatal demise or babies in the NICU. One of the speakers was placed on a med-surg unit after she had an IUFD. She was not happy about that because she felt she had lost a child and that she was a mother in pain and not a "medical" patient. She wanted to be on a post-partum unit but was not given that option. I think the decision belongs with the mother and at my hospital, we have a checklist for IUFD patients and the mother's unit preference is listed on the checklist.
Also, if we have a mother whose newborn dies while she is still in the hospital, she is given the option of remaining on the post-partum unit or going to the GYN unit until she is ready to go home.
Oct 17, '02Joined: Jul '00; Posts: 11,351; Likes: 387I am sorry it wasn't as caring an experience as it could have been Keeper. We actually revisit this issue fairly often. The year before last we decided to give women the option of OB/gyn (it's one floor) or a surgical floor. Well, after some HORRIBLE comments patients got from the surgical nurses (like "well, you can always have another" and "why would you waste such a pretty name on a stillborn?" GRRRR!!!) we have kind of laid that issue to rest and put all women on our floor.
We put a sticker on their door so that they are identified and we don't bring them someone else's baby by mistake. I think OB is the only floor where the whole staff acknowledges that you lost a baby. Not a thing, that can be replaced, he or she was your child and you were his or her mother for no matter how short a time. I think that acknowledgement is one of the most important things for a woman and her family to start the grieving process. On the medical floor, they seemed to think that there was no reason to grieve.
Oct 17, '02Occupation: LPN Joined: Jan '02; Posts: 539I am so sorry for your loss. I had 2 miscarriages 27 years ago and they did the same thing back then. I still think about them sometimes wondering if they would look like my other children and tear all up, such a sentimental fool. deb
Oct 17, '02From: US ; Joined: Oct '01; Posts: 6,238; Likes: 1,829Originally posted by Debyanelsworth
I am so sorry for your loss. I had 2 miscarriages 27 years ago and they did the same thing back then. I still think about them sometimes wondering if they would look like my other children and tear all up, such a sentimental fool. deb
You are not a sentimental fool at all. Many people have no idea what it is like to lose a child at any point.
I grieve no differently for my loss at 16 weeks who never had the most rudimentry sign of life outside my body than I do for my 22 weeker who had a heart beat and tried to breathe when she was born. I remember every little detail about them: name, date/time of birth, length & weight...just like I do my surviving 3.
In rereading what I just wrote I realize I could sound like a real basket case. My grief is not all consuming, most of the time I am very matter-of-fact about it...but every now and then I get to wondering and I end up finding a few minutes to my self, to take my babies out one by one to "hold" them and love them, and put them away in the past until next time.
My experiences being place on a Gyn unit were all positive and probably unique...maybe I encountered Nurses who had experienced the loss of a child either by them self or someone close to them, or they had received training. I know for myself it was the best place for me to be. I am one of those people who needs to grieve quietly and privately before I can put a public face on it- I am that rare patient that needs you to close the door and check on me every so often, I will let you know when I need something...and that includes the social workers (I will eventually ask for them too).
Crap, the water works are going now just writing this, husband just asked if I am OK, I told him I was just talking about "the babies" he gave me a squeeze on my shoulder, a kiss on the head and went back to reading his book. He knows I'll cry, talk or just hold on if I need to.
Oct 18, '02Occupation: once a manager, now a staff nurse, preceptor, educator and practice member Specialty: 30 year(s) of experience in NICU, PICU, PACU ; From: FAM ; Joined: Mar '01; Posts: 2,797; Likes: 3,172I am so sorry for your loss I have had two miscarriages, one with a hospital stay. Our hospital has a gyn floor that is separate from OB, so the people that have miscarried or have an IUFD or a baby that dies in the NICU (and are still in house) have the option of going to the GYN floor or the postpartum. Many choose to stay on postpartum because many of them were antepartum on the same floor. I stayed on the same floor because I knew the nurses there and felt comforted by them.
Oct 18, '02Joined: Apr '02; Posts: 38,756; Likes: 16,280Deb, You are not strange. Even tho my losses were so early, the question that torments me is "who were these babies I lost"? It is a universal question that is asked whether experiencing an early miscarriage or late-term demise or infant loss. The pain is real and palpable and you have to work through it. I really do urge you to find a support group near you and try that book I suggested. This will help you immensely. Not to take away the pain, nothing ever does that....but to deal with it in a way that you CAN GO ON LIVING a happy and productive life with time. Bless you. You are not alone.
Oct 19, '02Joined: Sep '02; Posts: 1,058; Likes: 73Keeper,
I am so sorry for your loss! I just recently lost my 12 day old son-he was born 8 weeks early and he had multiple birth defects. He died July 8, 2002. I also had a vanishing twin-it is considered a miscarraige-with my son's pregnancy. ((((((Hugs to you and your hubby))))).
At the hospital I work at, the mothers are given the option to stay on the ob/gyn floor or transfer to the med-surg unit to be away from those HEARTBREAKING newborn cries.
I am a med-surg/pulmonary nurse-if I have ever had a question about the moms who have suffered a loss (about their physical and emotional state)I call the ob/gyn nurses and ask for their help-they always help anyway they can ! We also have bereavement services at our hospital-the counselors are wonderful to help in any way that they can.
You are going to have some hard times.....It hurts me so much to see a baby that is the age that my son would be now It hurts to see pregnant women too-reminds me how happy I was at one time in my life.......
I do want to give you this: www.missfoundation.org
This is a WONDERFUL web site for those that have experienced a pregnancy/infant loss-there is a forum for those who have experienced a miscarraige....
Oct 19, '02Joined: Sep '02; Posts: 1,058; Likes: 73Originally posted by SmilingBluEyes
another point: when i suffered my ectopic last month, they placed me on a med/surg floor after my D and C and open lap. NOT ONE SINGLE PERSON WHO TOOK CARE OF ME ACKNOWLEDGED THE FACT I LOST A BABY, yes it was a baby to me. To them I was a "surgical patient", just another to add to their overburdened work load. I would have welcomed being on the postpartum/OB floor if only to know that the nurses there might have actually acknowledged my loss and treated it as such. I can't say how it stings that no one cares. I am still smarting.
I would have taken care of you!!!!
A baby is a baby no matter how big or small.