Starting my program in the fall, so this is not a HW question.
I only just now got around to watching this video even though I've heard about it for months now.
Video makes me sick, maybe its because I'd never seen and episiotomy and the lies everyone is telling her to try and get her to consent.
As a nurse, if your patient is very clearly NOT consenting to a procedure or really not wanting one and the doctor so blatantly went ahead and did it/tried to do it , what would you do? How would you have acted as the nurse in this situation?
What is the extend of your responsibility in a case like this? Furthermore, how common is it, or for OBs to perform one without even notifying the mom, or do most women just begrudgingly consent?
Specializes in Nurse Leader specializing in Labor & Delivery.
At work often we see patients who are needing the episiotomy
In what situations are you seeing this "often"? This is so not true. In the 6 years I did bedside L&D, I think I saw two situations where an episiotomy was medically necessary.
In what situations are you seeing this "often"? This is so not true. In the 6 years I did bedside L&D, I think I saw two situations where an episiotomy was medically necessary.
What is this supposed to mean? You have never seen someone tearing away and that could've been avoided with an episiotomy.
I agree to disagree. From a surgical point of view, I think the episiotomy takes shorter to repair and to recover. A natural tear is harder to repair and longer to heal. Especially those urethral tears.
I agree to disagree. From a surgical point of view, I think the episiotomy takes shorter to repair and to recover. A natural tear is harder to repair and longer to heal. Especially those urethral tears.
The research just so clearly does not back you up, it's laughable that you'd even try to assert this. You sound like an OB who cannot let go of his emotionally-based cultural ideas drilled into him in medical school 40 years ago, not like someone training to be a nurse who uses evidence-based practice.
Is insulting necessary? I go by what I see at work and by I hear from patients themselves.
No. Insulting should not be a part of this thread because we are actually discussing an important issue here.
I'm glad you're taking part in this thread and I really hope you take a look at the research done on the use of episiotomies. They are really rarely medically necessary. They became routine due to medical impatience.
What you see at work and what patients say has nothing to do with the truth. A woman's body is able to birth without any help -- we just need to keep our hands off. (I know it involves huge cultural changes to fix this, but we do need to advocate against assault by standing up for evidence based care).
Sent from my iPhone -- blame all errors on spellcheck
Well not NO one... Sometimes the fetus becomes distressed and have prolonged decelerations. When baby is crowning and crumping at the same time, an episiotomy may be needed... And be the better option opposed to a c-section.
Well not NO one... Sometimes the fetus becomes distressed and have prolonged decelerations. When baby is crowning and crumping at the same time, an episiotomy may be needed... And be the better option opposed to a c-section.
Even when baby is crowning and crumping, an epis is rarely needed. That's not to say never, but in 10 years I can count on one hand the number of epises I've seen. And we deliver upward of 500 babies a month on average.
Most of the time our prolonged decels get explained the second baby pops out with a cord or two wrapped around his neck.
Is insulting necessary? I go by what I see at work and by I hear from patients themselves.
American women are relentlessly culturally pressured by peers, doctors, and hospital staff to accept any abuse as the price of birth. Most don't do a lot of research, so they have no idea what to say no to or why they should. And so the cycle perpetuates.
I bet you think NPO, forcing an IV on every laboring woman, routine AROM, and continuous EFM for every birth are good ideas too.
Wondering if anyone has an opinion on pulling out the placenta vs letting the body deliver it naturally i.e. the last stage of birth? When I was in nursing school I saw the OB doc do this and I was wondering if this is normal practice to prevent part of placenta from possibly remaining in the uterus and causing issues?
The more I learn about giving birth in hospitals the more I lean toward home birth/birthing center. Don't know if I would do it for my first, but maybe my second.
Wondering if anyone has an opinion on pulling out the placenta vs letting the body deliver it naturally i.e. the last stage of birth? When I was in nursing school I saw the OB doc do this and I was wondering if this is normal practice to prevent part of placenta from possibly remaining in the uterus and causing issues?
It's yet another manifestation of impatience and disrespect for the natural process. It's an extremely good way to cause a life-threatening hemorrhage, which they solve by pumping the mother full of pitocin. It's also extremely painful, but who cares, right? Just a birthing mother, not a human being......
Also, forceful and tearing removal would be more likely to cause trauma to the placenta and leave pieces behind than the gradual process mother nature spent millions of years refining to maximize the survival of the species.
klone, MSN, RN
14,857 Posts
In what situations are you seeing this "often"? This is so not true. In the 6 years I did bedside L&D, I think I saw two situations where an episiotomy was medically necessary.