July 21, 2008
Just a great delivery
This a.m., there have been some nasty storms rolling through. Cool looking clouds, but very ominous. Luckily so far they've not amounted to much. Last week, I actually felt like a labor nurse. I had a patient who was being induced that had a back surgery when she was a kid and had rods placed. When she got to the point she wanted an epidural, she found out that she couldn't get one due to the risk involved with placing an epidural with the type of rods she had. So, she's 4-5 cm, first baby, very uncomfortable and getting ready to labor and deliver without an epidural, like she had hoped. Plus, she was on pitocin and our policy requires continuous monitoring while on pitocin, so I couldn't get her in the tub. But, she did awesome. I worked with her, got dad involved, she used the ball, the rocking chair, did the labor dance while holding her husband, we did counter pressure and massage and she did it. And I found I was having fun, and I felt like I was actually a support to her, instead of just being and interventionist. Something I noticed was the difference in her behavior when she thought she could get an epidural and after. She actually acted more uncomfortable, and moaned more getting to 4-5 cm than she did after she found out she could not have an epidural. It's almost like when you know there is no relief except delivery, moms handle the pain better and are in more control than when they know they can always bail and have anesthesia. Not that I blame them, I myself went for the epidural. After it was all over and she was holding her baby (skin to skin, no less) you could tell she felt like The Woman. If I had to wager a guess, I would say that when she's laboring with her next baby, she'll go sans anesthesia. It was a nice delivery in the middle of chaos going on all around the unit. But, that's a whole other long story I won't delve into this post.