Is it proper for a nurse to tell a patient who has gone to the hospital in labor to "go home and come back when you can't talk through your labor discomfort"
What is that all about. If you are in labor, in this case every 3-5 minutes documented but do NOT need pain meds just yet, this does not sound proper to me, especially since what is the point of "controlled labor"
That is my rant----happended to my daughter who did agree to go home but had to come back after 3 hours when she absolutely needed pain med control and did deliver 11 hours later
Oh and by the way-----the nurse discharged the patient, never seen by the MD----but supposedly did talk with the MD
Good luck on that move. And thank you so much for checking in!
i like reading the threads on L&D but unfortunately midwifery is not for me, couldnt go back to uni to do another 3 yrs. but i do find it very interesting.
I think Alison gave you great advice. Trust your body. My cousins are teeny-tiny (4 feet 10 and 85 pounds) and delivered 8.5 pound babies, both of them. TRUST YOUR BODY -----but also your staff. Make sure all interventions are explained as they are done. I wish all the expectant moms here peaceful, safe and joyous deliveries.
HI all!! You may remember that I was concerned about poss vag birth when told I have a small pelvic outlet....well, Friday July 1st I was 10 days overdue. Went in for the NST, the nurse was concerned about some decels, but the charge nurse said the strip looks good and I could go home and wait until I either go into labor or come in on July 5th for possible induction or c-section. Thank god that my nurse trusted her instincts. She called dr to request an AFI, BPP, and est fetal weight. The dr oncall thought based on the results of the test (placenta being grade 3 and the est weight of 8lb 14oz) that I should have c-section...I agreed. Baby was delivered via c-section Friday 7/1 at 4:06pm and he had a nuchal cord wrapped 3x around his neck!!! We have a healthy baby boy, but I am glad I trusted my nurse's judgement and my own gut feeling too!! BTW just got home today from hospital. This is our 1st baby.
Rarely, you have to be careful about the "if their cervix does not dilate, they are not in true labor" A friend of mine with scar tissue on her cervix from some sort of procedure to remove pre-cancerous cells started having contractions at about 4 am one morning. At 6, she called me asking if she should go to the hospital, and I said no, because she had an OB appt at 8:30 anyway, and to just go then. At the appt her doc says (no joke), " well, if I was going to be here, I would send you across to the hospital to monitor, but I am going out of town, so just go home and wait it out." she goes home. At 11 am, Contractions are less than 5 minutes apart, she goes to the hospital. They keep her about an hour, tell her she is not dilated, contractions still right at to just over 5 minutes apart, tell her to go home. By the time she gets home she cannot talk through contractions, goes back. Same routine, send her home again. Did not admit her until about 5 pm, Doc on call comes in, examines her, and breaks through the scar tissue with his fingers, and Ta-da, she starts dilating (and fast). Delivered a couple of hours later.
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Rarely, you have to be careful about the "if their cervix does not dilate, they are not in true labor" A friend of mine with scar tissue on her cervix from some sort of procedure to remove pre-cancerous cells started having contractions at about 4 am one morning. At 6, she called me asking if she should go to the hospital, and I said no, because she had an OB appt at 8:30 anyway, and to just go then. At the appt her doc says (no joke), " well, if I was going to be here, I would send you across to the hospital to monitor, but I am going out of town, so just go home and wait it out." she goes home. At 11 am, Contractions are less than 5 minutes apart, she goes to the hospital. They keep her about an hour, tell her she is not dilated, contractions still right at to just over 5 minutes apart, tell her to go home. By the time she gets home she cannot talk through contractions, goes back. Same routine, send her home again. Did not admit her until about 5 pm, Doc on call comes in, examines her, and breaks through the scar tissue with his fingers, and Ta-da, she starts dilating (and fast). Delivered a couple of hours later.
Knowing the history of a woman is always helpful.fortunately,we usually do. Good point about scarred/previously-operated-on cervices.
WOW what a story/adventure! Congratuations to you and your family. What is his name????
Thanks so much for the congrats!! We ended up naming him Christian Allen. He is such a good baby!! He only wakes about 1-2x during the middle of the nite. My mom is staying with us and helping me out since I had a c-section. She had 5 children and is adamant about putting the baby on a sleep schedule...so far,amazingly, it is working out!!
Thanks so much for the congrats!! We ended up naming him Christian Allen. He is such a good baby!! He only wakes about 1-2x during the middle of the nite. My mom is staying with us and helping me out since I had a c-section. She had 5 children and is adamant about putting the baby on a sleep schedule...so far,amazingly, it is working out!!
I have to respond to this. For a newborn, it is not always such a good thing to put the baby on a sleep schedule. This is certainly what was done in your mothers' time, but we've learned it can really interfere with breastfeeding and establishing a milk supply. Newborns generally need to feed every 2-3 hours, and it is not uncommon to nurse every 1-2 hours. Their stomachs are very tiny. Please be aware of this. Also, their sleep patterns do not begin to really become established until they're about 4 months. Even Dr. Ferber and Weissbluth teach this. I really hope your mom isn't letting the baby cry it out to establish this sleep schedule, is she?
People used to put their little babies on feeding schedules, too, and it was really bad news. It ruined a lot of breastfeeding relationships, and mothers constantly thought they didn't have "enough milk".
Thanks so much for the congrats!! We ended up naming him Christian Allen. He is such a good baby!! He only wakes about 1-2x during the middle of the nite. My mom is staying with us and helping me out since I had a c-section. She had 5 children and is adamant about putting the baby on a sleep schedule...so far,amazingly, it is working out!!
I would be very careful of the scheduling thing. It usually backfires. If you are breastfeeding, scheduling is definitely a no-no!! Just because your mother did it does not mean you should as well.
Clue in here. This is your baby and not your mother's. She should be there to help you parent, NOT to do the parenting or tell you what to do.
I have to respond to this. For a newborn, it is not always such a good thing to put the baby on a sleep schedule. This is certainly what was done in your mothers' time, but we've learned it can really interfere with breastfeeding and establishing a milk supply. Newborns generally need to feed every 2-3 hours, and it is not uncommon to nurse every 1-2 hours. Their stomachs are very tiny. Please be aware of this. Also, their sleep patterns do not begin to really become established until they're about 4 months. Even Dr. Ferber and Weissbluth teach this. I really hope your mom isn't letting the baby cry it out to establish this sleep schedule, is she?
People used to put their little babies on feeding schedules, too, and it was really bad news. It ruined a lot of breastfeeding relationships, and mothers constantly thought they didn't have "enough milk".
Alison
No, my mom doesn't believe in letting the baby cry it out. His temperment is much like mine and my husband's when we were babies...really easy going. As for the milk supply, I am producing tons of milk! If my baby is still sleeping and it has been a couple of hours since emptying my breasts, I just pump and bottle-feed him with the breastmilk. The baby does not exhibit any signs of nipple confusion either despite going back and forth.
I would be very careful of the scheduling thing. It usually backfires. If you are breastfeeding, scheduling is definitely a no-no!! Just because your mother did it does not mean you should as well.
Clue in here. This is your baby and not your mother's. She should be there to help you parent, NOT to do the parenting or tell you what to do.
Thanks for the advice, do have any children of your own? My mother is neither doing the parenting of mine or telling me what to do. She offered up what has worked for her 5 children. What is wrong with me adopting these same practices if they worked for her as well?
Plus, since this is my 1st child, I will be the first to admit that I need all the help/information I can get. I spent hours in the hospital with a lactation specialist "learning" how to breastfeed only to get frustrated and contemplate quitting. When my mom came to stay with us...she was patient and showed me what worked for her. We have similar breast shape/size etc. Thanks to my mom, I am able to breastfeed with confidence and not feel frustrated or feel like a failure.
No, my mom doesn't believe in letting the baby cry it out. His temperment is much like mine and my husband's when we were babies...really easy going. As for the milk supply, I am producing tons of milk! If my baby is still sleeping and it has been a couple of hours since emptying my breasts, I just pump and bottle-feed him with the breastmilk. The baby does not exhibit any signs of nipple confusion either despite going back and forth.
You will have a more difficult time regulating your milk supply if you are adding pumping into the picture. There is absolutely no need to bottle feed this baby now, nor is there any reason whnatsoever to be pumping. ou ahve a healthy newborn and you are healthy as well.Why would you pump when you have the baby right there? You are doing more work (and stimulating yourself less efficiently) by replacing a nursing with a pumping. If your mother is suggesting this plan, she is undermining you. I don't mean to be rude, but I see this happen frequently. This baby is only 9 days old. The baby should be breastfeeding exclusively to help get you and the baby in sync, as well as your milk supply regulated. Having "tons of milk" is great, but you will continue to make too much if you continue this pumping thing. If it has been about 3 hours (or sooner if necessary), wake the baby and put him to breast. If you feed frequently during the day, you may (and I underscore may) get a little longer stretch at night. You need not be scheduling your milk removal either. jsut feed the baby and put the pump away. Feeding is your job right now. Your mother's job (as well as your husband's) is the house, other kids, laundry, cooking, etc.
uk_nurse
433 Posts
i like reading the threads on L&D but unfortunately midwifery is not for me, couldnt go back to uni to do another 3 yrs. but i do find it very interesting.