I was chatting with my repeat c/s patient this morning. She had a vaginal delivery with her first, c/s with her second and inquired about a VBAC but her MD advised against it so she was doing a repeat c/s. She had asked about my expanding waistline and how I delivered my 2 kids. She said "so you'll be doing this in a couple months or so then, too?" At that time, I didn't know that she had origninally wanted a VBAC. I told her "No, I plan to labor and deliver vaginally". She got this puzzled look on her face and asked "I thought they didn't want you to do that and that it was pretty dangerous?" It was at that time I realized that this issue may come up a few times before my delivery day. I didn't want to say "no, actually a repeat c/s is riskier than VBAC and that the reason your MD probably didn't want you to VBAC was because she would have to stay in the hospital during your entire labor". I just told her each individual is different and that her MD may feel she is at risk for complications. It was a bit awkward.
I also had the privledge of taking care of one of the former daycare teachers at my kids school. When Clara was a baby, this girl had a major attitude. Clara was exclusively breastfed, I came in every a.m. to feed her before going home, and I made it perfectly clear that I didn't want her given any formula and that if she ran out of breastmilk that they could call me (not enough milk was never an issue). Clara also wouldn't take a pacifier and hated bottles. She knew what the real thing was and didn't want a substitute. This girl would give me dirty looks every a.m. I came in and was pretty persistant about telling me I should give her formula, that she wanted more substance. Clara was a chubby little baby. She wasn't starving. I tolerated it for awhile and finally I told her that I was a labor/delivery nurse and that I knew what was best for my baby. Well, she came in last night with contractions at 37 weeks, thinking it was labor. I sent her home after a bit because her cervix didn't change. She was much nicer last night, probably because I was the one with the gloved hand and drawer full of needles. I was very nice and took good care of her, but I enjoyed the recognition in her face when she saw me.