Gem97

I can agree about the epidural, I had one with my first and not with the last two labors. Just read a great article at work from NIH regarding this issue. At work we are just suprised when someone does come in with spontaneous labor, and delivers lady partslly without complications since majority of our vag deliveries are d/t Inductions.:nuke:

On our unit, Primary Elective C/S have become pretty popular, for this main reason, "I don't want to go through the pain of labor". Now, with that said some of these young ladies insist on also having a general anesthetic because "I don't want a needle poking me in my back". I find myself getting fustrated with these pt's, I don't like to feel that way towards them. A small percentage of these young ladies don't even know why the Doc has even scheduled them for a primary c/s, and then the advocate comes out in me and when the patient asks the doctor for a trial labor, the doc talks them out of it. It really frustrates the hell out me. What do other's feel about this new trend? I really need to see if this is occurring more frequently nationwide or if this is a local issue. I understand if there is true CPD, breech, or maternal complication that would require a primary, but too many times these babies are vertex and average birth weight that are delivered. It's one thing when a pt has gone through labor and is FTP, failure to descent, or fetal distress that send them packing into an OR, but this Primary elective issue has just grated my nerves. My other co-workers are frustrated as well and the response from my peers is "we just have to accommadate the docs order". Please share some insight regarding this issue.

Have seen this done 3 times, same doc in the last two years on the unit I work for. All three cases, the baby survived, although full resuscitation was needed. Lidocaine was typically injected into the first layer, the pt's screaming would resonate in my ears after my shift was through. All three cases, anesthesia was coming from their house, and no sedatives were given to the pt once the infants were delivered. Glad we don't experience this any more than we need to.

Thanks Angel for the info, it does give me a perspective so that when I start investigating rental prices, I'll have a roundabout idea of how much I can afford.

Hi, I am an RN with 9 yrs exp. (ADN), diverse experiences. Currently working in L&D for 4 years. Can anyone give me an estimate as to the salaries in the Chicago area?? I am interested in Northwestern, heard they will be opening the new Prentice Womens Hospital in Fall 2007. Hoping to return home to IL in 6/08. Currently living in Southeast Texas. Thanks.