Pts that want to have their baby NOW!

Specialties Ob/Gyn

Published

Ok, now I know we've all taken care of pts like this......

Last noc I sent a pt home who was 36w2d......had mild cntx for a day now and was MAD at md and staff because she was sent home (didn't make any cervical change since last office visit).

I'm just getting a little fed up with 35-37 weekers coming in and wanting to be in labor &/or wanting to be induced!!..

.....because they are "tired of being pregnant....", "I want to see my baby.....", "I know a lady who had her baby early and its OK now....".....blah, blah, blah., yaddi, yaddi...

What I'm wondering is what other OB nurses tell their pts and significant others when they come like this........;)

I usually tell them stuff like......

"your baby and your baby's lungs really need to ripen just a few weeks more, if possible",

"yes, babys have been born early and do OK, but our closest NICU is 1hr away....do you really want to take the chance of possibly sending your baby that far?"

"The one thing that you can absolutely rely on is that......you WILL NOT be pregnant forever!!.....this baby will come!"

:rolleyes:

Specializes in Community Health Nurse.

I agree. My youngest daughter's OB told her it was okay for her to be induced because she was full term, and there was "no need" for her to wait until the baby decided to come. I tried to talk her out of it, but who am I...just her MOM, right. So, on Valentine's Day, my newest grandchild was born. She's okay, but what the ???????????????!!!!!!! LEAVE THOSE BABIES IN UTERO UNTIL MOTHER NATURE SAYS "BE BORN CHILD". :nono:

Specializes in Community Health Nurse.

I agree. My youngest daughter's OB told her it was okay for her to be induced because she was full term, and there was "no need" for her to wait until the baby decided to come. I tried to talk her out of it, but who am I...just her MOM, right. So, on Valentine's Day, my newest grandchild was born. She's okay, but what the ???????????????!!!!!!! LEAVE THOSE BABIES IN UTERO UNTIL MOTHER NATURE SAYS "BE BORN CHILD". :nono:

Specializes in NICU.

Perhaps you should send these moms to ME (or your nearest NICU!) for a nice little tour and visual 'demo' of what REALLY happens when their babies are born before they should be. I'd be more than happy to show them what THEIR baby would look like with an ETT stuffed down their throat, an NGT crammed in their tiny nostril, hooked up to a ventilator or surrounded by a wall of equipment and cords. These are the same mothers who I will meet on my unit who will inevitably be frustrated that their babies can't breathe on their own, can't come home early like their momma's sister's best friend's baby did, can't even go home at their original due date because he/she's developed an infection that may never have happened if they'd never been exposed to the nasty germs inside an NICU. Maybe show them pictures of a baby who had to have her little foot amputated after developing osteomyelitis because she had to be stuck for an IV so many times because the doctors wouldn't place a central line and somehow along the way got a wayward IV needle jammed into her tibia that no one knew about until it was too late. I'd be delighted to introduce them to a cute little 36 weeker who was fed to much too soon and ended up with necrotizing enterocolitis, who perfed and needed to have her rotten, dead intestines cut out and has a beautiful little ostomy bag that her mother can't stand to look at or touch. Maybe after that, we can take them to the developmental clinic so they can see a couple of babies who suffered from severe grade IV IVH's and now have cerebral palsy and will need serious medical care for the rest of their lives. Think your hospital can arrange something like that? I'd jump on board in a heartbeat.

Sorry. It's kind of morbid, but I will NEVER for the life of me understand what these women are thinking sometimes. God/Mother Nature designed pregnancy to last nine months FOR A REASON, you know? Now, suddenly, with technology at their fingertips, some of these people think anything that happens can be conveniently and quickly fixed with a little TLC and maybe a few expensive pieces of equipment. We have moms all the time who come in after taking 'home remedies' (and I'm phrasing that gently) to have their babies early because someone told them that, yeah, the baby might be vented for a few days but after that it'll be okay and they'll get to to take the baby home earlier. I guess this just touched a nerve. Sorry, again. Had a bad night.

Specializes in NICU.

Perhaps you should send these moms to ME (or your nearest NICU!) for a nice little tour and visual 'demo' of what REALLY happens when their babies are born before they should be. I'd be more than happy to show them what THEIR baby would look like with an ETT stuffed down their throat, an NGT crammed in their tiny nostril, hooked up to a ventilator or surrounded by a wall of equipment and cords. These are the same mothers who I will meet on my unit who will inevitably be frustrated that their babies can't breathe on their own, can't come home early like their momma's sister's best friend's baby did, can't even go home at their original due date because he/she's developed an infection that may never have happened if they'd never been exposed to the nasty germs inside an NICU. Maybe show them pictures of a baby who had to have her little foot amputated after developing osteomyelitis because she had to be stuck for an IV so many times because the doctors wouldn't place a central line and somehow along the way got a wayward IV needle jammed into her tibia that no one knew about until it was too late. I'd be delighted to introduce them to a cute little 36 weeker who was fed to much too soon and ended up with necrotizing enterocolitis, who perfed and needed to have her rotten, dead intestines cut out and has a beautiful little ostomy bag that her mother can't stand to look at or touch. Maybe after that, we can take them to the developmental clinic so they can see a couple of babies who suffered from severe grade IV IVH's and now have cerebral palsy and will need serious medical care for the rest of their lives. Think your hospital can arrange something like that? I'd jump on board in a heartbeat.

Sorry. It's kind of morbid, but I will NEVER for the life of me understand what these women are thinking sometimes. God/Mother Nature designed pregnancy to last nine months FOR A REASON, you know? Now, suddenly, with technology at their fingertips, some of these people think anything that happens can be conveniently and quickly fixed with a little TLC and maybe a few expensive pieces of equipment. We have moms all the time who come in after taking 'home remedies' (and I'm phrasing that gently) to have their babies early because someone told them that, yeah, the baby might be vented for a few days but after that it'll be okay and they'll get to to take the baby home earlier. I guess this just touched a nerve. Sorry, again. Had a bad night.

to capitalize on the selfishness of some of these moms, i usually tell them that even if the baby is physically ok at 35-36 weeks, they are harder to calm, don't sleep as well, and take longer to feed. then of course the minute they are 37 weeks, they come to the hospital. i had one pt's mother (they usually know everything in the cases where they bring their daughter to triage every evening) tell me "they didn't have that prodromal labour back when i was having my babies." how we've evolved in the last 20 years huh!

to capitalize on the selfishness of some of these moms, i usually tell them that even if the baby is physically ok at 35-36 weeks, they are harder to calm, don't sleep as well, and take longer to feed. then of course the minute they are 37 weeks, they come to the hospital. i had one pt's mother (they usually know everything in the cases where they bring their daughter to triage every evening) tell me "they didn't have that prodromal labour back when i was having my babies." how we've evolved in the last 20 years huh!

Kristi2377,

Do you mind if I copy your post to my hard drive so I can post it whenever I need to on the other message boards I frequent? We have a board named, "Preparing for Labor," and at any given time there are at least four threads of women asking how to make labor start early. The thread titles are always something like "I;m 37 weeks, 60% effaced, dilated to 2." As if the fact that their cervices are doing what normal cervices do toward the end of pregnancy means baby is late or something!

Good topic!

Sarah

P.S. Thanks for putting up with my non nurse posts.

Kristi2377,

Do you mind if I copy your post to my hard drive so I can post it whenever I need to on the other message boards I frequent? We have a board named, "Preparing for Labor," and at any given time there are at least four threads of women asking how to make labor start early. The thread titles are always something like "I;m 37 weeks, 60% effaced, dilated to 2." As if the fact that their cervices are doing what normal cervices do toward the end of pregnancy means baby is late or something!

Good topic!

Sarah

P.S. Thanks for putting up with my non nurse posts.

If I had a dime for every induced "term" baby I've seen admitted...

Raise your hand for those 37 week inductions you've seen that ended up 35 weekers! Or "the baby is getting too big" inductions and the kid is 6 pounds! Yeah! You were right! HUGE kid!

If I had a dime for every induced "term" baby I've seen admitted...

Raise your hand for those 37 week inductions you've seen that ended up 35 weekers! Or "the baby is getting too big" inductions and the kid is 6 pounds! Yeah! You were right! HUGE kid!

Originally posted by imenid37

at 35-36 weeks, they are harder to calm, don't sleep as well, and take longer to feed.

I'm sorry, but my 36 weekers could sleep a sleep! They wouldn't even wake to eat! The only thing that would wake me to feed them was the pain of engourgement!:chuckle

Originally posted by imenid37

at 35-36 weeks, they are harder to calm, don't sleep as well, and take longer to feed.

I'm sorry, but my 36 weekers could sleep a sleep! They wouldn't even wake to eat! The only thing that would wake me to feed them was the pain of engourgement!:chuckle

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