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 Specializes in L/D, newborn, GYN, LTC, Dialysis.

at 35 weeks, your son would have been in our level 2 nursery a minimum of a week. feeding issues, as well as risk of infection are the main reasons most cannot leave sooner.

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The hospitals pediatrician thought felt that he was 37 weeks due to his size (6lbs 3oz). We did not have our own pediatrician due to his prematurity one had not yet been selected. I wish that we had fought them on it. I did not thing that they should measure his gestational age based on his size. He did not act like a full term newborn until his due date and was delayed for about the first four months of his life, he was not a full term baby. It makes me so angry to think that we trusted them with our son. I am just grateful that he is fine now.

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At my hospital they would let you deliver at 35 weeks and your baby would go the the nursery. However, if there was a discrepency between your dates and what the ped said, they should have Dubowitzed him. Size has nothing to do with GA.

Back to the topic at hand...I really hate going to scedualed c/s of 37 weekers. Half the time they have to come to the unit for TTN.And I have yet to see one so big they could not have done a vag delivery or waited another week for Pete's sake! :uhoh3:

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Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

but he was not feeding well! had breathing difficulties!!

seems to me your medical and nursing staff did you a huge disservice. I am sorry. I can't see that happening where I work.

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Some places do a 48 hour rule out for sepsis.If he maintained his sugars and took a bottle well and his cultures were negative they would have sent him home. That and the fact they thought he was 37 weeks. If they had Dubowitzed him as earlier they may have kept him another day or so.

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I was not TRYING to be delivered early,. but my second child gave me constant and strong contractions (but totally unproductive) for my last 2 1/2 months!!! I just couldn't tell whether it was real or not. I had lists and lists of times for my contractions, and whenever it got to the point where I couldn't talk, I called my ob and went into the hospital. (I think I was there 4 or 5 times!) My son must have been a real jokester, because everytime that monitor was strapped to me, those contractions would slow down or stop.

When I finally went in for what I thought just HAD to be real labor, I was in so much pain I almost pulled a man out of his car as he blocked the entrance to the hospital for what seemed like hours! (in reality it was probably 30 secs, lol).

Wouldn't you know that the contractions stopped after I had been examined and told I had dilated to 5 cm and was definitely staying. He was at 39 wks 6 days at that point so they gave me pitocin and let me stay. He came out at nearly 8 lbs and meconium stained. He must have really been struggling to get out of there but the door wouldn't open!

Thanks to all you l & d nurses that were so patient when I showed up at your door so often. I really wanted him to stay in and just stop pretending like he was heading out!!!

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What I wouldn't have GIVEN to have reached 39, 40, 41 weeks gestation in my last pregnancy...my son was born still at 22.4 weeks after PROM! Let them talk to me!!!

Some people just don't have a CLUE!!!

Lisa

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I think we all deal with patients like the ones that have been described. Ot's always very frustrating. Of course docs don't help the sitaution by inducing as many as they do for the usual stupid reasons.

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I am not a nurse yet, hopefully will be in fall of 07!!

But let me tell you, I get to deal with these patients down the road at the day care in which I work. Parents who don't even get off their cell phones or come in the class room to pick up their kids. When did parenting become an "in and out" job??

Can I get an Amen! :rolleyes:

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What I wouldn't have GIVEN to have reached 39, 40, 41 weeks gestation in my last pregnancy...my son was born still at 22.4 weeks after PROM! Let them talk to me!!!

Some people just don't have a CLUE!!!

Lisa

I am so sorry for your heartbreaking loss. Although I was lucky enough to make it to 32 and 33 weeks, I agree--I would have given anything to make it to term. I think a NICU tour should be mandatory for these people.

Shannon

p.s. would you have a cerclage in a future pg.?

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I am so sorry for your heartbreaking loss. Although I was lucky enough to make it to 32 and 33 weeks, I agree--I would have given anything to make it to term. I think a NICU tour should be mandatory for these people.

Shannon

p.s. would you have a cerclage in a future pg.?

Thanks Shannon!!! It has been a rough 10 months, but I'm making it!! Thank goodness for my 2.5 year old..he's kept me sane!

RE the Cerclage: My OB said that I didn't have an incompetent cervix so I'm sure she wouldn't do a cerclage! Although she said it was a fluke, I think it was a combination of fibroids (since have been removed) and amniocentisis that I had 6 weeks prior although no one else (medical professionals) agrees. I do know though that I'll not have another early amnio (15 weeks)...I'll do it the next time after 32 weeks and only if there's something seriously wrong suspected.

Lisa

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Thanks Shannon!!! It has been a rough 10 months, but I'm making it!! Thank goodness for my 2.5 year old..he's kept me sane!

RE the Cerclage: My OB said that I didn't have an incompetent cervix so I'm sure she wouldn't do a cerclage! Although she said it was a fluke, I think it was a combination of fibroids (since have been removed) and amniocentisis that I had 6 weeks prior although no one else (medical professionals) agrees. I do know though that I'll not have another early amnio (15 weeks)...I'll do it the next time after 32 weeks and only if there's something seriously wrong suspected.

Lisa

Well at least that is good news your OB said it was a fluke--hopefully the next time you will sail through uneventfully! So you didn't have any problems with your pg. with your 2.5 yr. old? Unless something changed in between (i.e. a LEEP or other procedure on your cervix) then yes, it wouldn't be IC. But for peace of mind, I would ask for frequent cervical length measurements starting at 18 weeks until 24 weeks just to be on the safe side. So sorry for your loss, again, and best of luck in the future!

Shannon

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