My name is Amanda and I'm currently a Junior Nursing Student at the University at Buffalo. In spring 2005 I started my clinical rotations in the mother/baby unit at a suburban hospital outside of Buffalo, NY. One of our assignments for the semester is to subscribe to a professional internet listserv to observe discussion and demonstrate the ability to contribute by asking a question pertaining to our clinical rotation.
My question here is: Why is Nubain used so often for an analgesic during labor when there are so many adverse effects that occur in the newborn? During my first day spent in the newborn nursery, there were a total of 3 newborns whose mother's were given Nubain during late active or transition phases of labor. These newborns showed signs of respiratory distress, cyanosis, tremors, and irritability. Without knowing the possible long term effects of nubain administration, isn't this a danger to the baby? The nurses in the unit did explain that if Nubain is given early in the labor, infants distress signs lesson...however with a multiparous labor (which all 3 observed were) second stage can begin quick and within minutes, the baby can be born. The 3 women I observed were 6-8cm dilated when they were given Nubain and their babies were born within 10-45 minutes of administration. I'm not sure I agree with this??? After the birth I was able to observe the babies in the nursery and each one showed similar signs of distress. I also thought it was strange that in one day (7-3 shift) I witnessed 3 Nubain babies. Personally, If I had a friend or family member that was pregnant I think I would advise them NOT to take Nubain if its offered. C'mon, women have been having babies for centuries, sure I believe in epidurals and providing comfort measures during labor, but when this particular drug shows so many side effects, I'm not sure I can agree with administration....
Any feedback would be appreciated.
Thanks in advance.