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 Peds, Pre and post op.

Ok, being impatient or being sick of pregnancy is no reason to be induced. But I think a few women out their know when enough is enough. When my little sis was born my Mom was at her OB insisting to be induced even though she was not dilated enough. Her Dr. told her to wait, she basically told him NO. Well turns out the baby WAS ready to come out (she poo'ed in the amniotic water, don't remember what thats called), and was also full term, (she was 15 days off from approx the "due" date). I cant understand why anyone would want an early baby on purpose though.

Specializes in Peds, Pre and post op.

Ok, being impatient or being sick of pregnancy is no reason to be induced. But I think a few women out their know when enough is enough. When my little sis was born my Mom was at her OB insisting to be induced even though she was not dilated enough. Her Dr. told her to wait, she basically told him NO. Well turns out the baby WAS ready to come out (she poo'ed in the amniotic water, don't remember what thats called), and was also full term, (she was 15 days off from approx the "due" date). I cant understand why anyone would want an early baby on purpose though.

Originally posted by Kristi2377

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.

Pregnant moms who drink and do drugs also need to be sent your way. It takes seeing these kinds of tragedies for some people to wake up.

Originally posted by Kristi2377

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.

Pregnant moms who drink and do drugs also need to be sent your way. It takes seeing these kinds of tragedies for some people to wake up.

sister-in-law was induced just because she wanted to be able to travel from Massachusetts to New York for Easter Sunday. I can understand nerves and the such but selfish. . .

sister-in-law was induced just because she wanted to be able to travel from Massachusetts to New York for Easter Sunday. I can understand nerves and the such but selfish. . .

dawngloves glad your little one was good, but my two 36 weekers were little screamy meemee's and so are lots of the others i see. some like your baby are great sleepers and eaters, but many are not. also you probably didn't smoke a ppd like a lot of our pt's do.my last child born at 39+ weeks was a quieter better eater and sleeper. she just wasn't as jumpy as the other two.

we even have idiots come in who tell that "my sister had a baby at 26 weeks and she's fine. i don't see why you need to give me something to stop my contractions." the world is full of kooky people and most of the kookiest are fertile.

dawngloves glad your little one was good, but my two 36 weekers were little screamy meemee's and so are lots of the others i see. some like your baby are great sleepers and eaters, but many are not. also you probably didn't smoke a ppd like a lot of our pt's do.my last child born at 39+ weeks was a quieter better eater and sleeper. she just wasn't as jumpy as the other two.

we even have idiots come in who tell that "my sister had a baby at 26 weeks and she's fine. i don't see why you need to give me something to stop my contractions." the world is full of kooky people and most of the kookiest are fertile.

Originally posted by cyberkat

I like the ones who say "I need a C-section on such and such a date because I have a meeting at work that I can't miss". And they get it. Nevermind, they're 36 weeks.

that is unbelievable behavior! I had an "emergency" c-section and would NEVER opt to go through that again. Women like that are too self-centered. :(

BTW I was 2 weeks over due! (and still wanted a lady partsl birth :o )

Originally posted by cyberkat

I like the ones who say "I need a C-section on such and such a date because I have a meeting at work that I can't miss". And they get it. Nevermind, they're 36 weeks.

that is unbelievable behavior! I had an "emergency" c-section and would NEVER opt to go through that again. Women like that are too self-centered. :(

BTW I was 2 weeks over due! (and still wanted a lady partsl birth :o )

I had a patient the other day that was actually upset at the fact the she had a reactive NST. She was 37 weeks and wanted a section to get it out !! How selfish could you possibly be to not want a healthy baby?! If she does not come in daily, she calls. She has been at 2, 50% for a week now, it is a battle of wills between her and the OB.

It can get very frustrating sometimes, we see alot of pts who are tired of being PG. I have to bite my tongue alot. I want to tell them , I would give anything to be in thier shoes.

I had a patient the other day that was actually upset at the fact the she had a reactive NST. She was 37 weeks and wanted a section to get it out !! How selfish could you possibly be to not want a healthy baby?! If she does not come in daily, she calls. She has been at 2, 50% for a week now, it is a battle of wills between her and the OB.

It can get very frustrating sometimes, we see alot of pts who are tired of being PG. I have to bite my tongue alot. I want to tell them , I would give anything to be in thier shoes.

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