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Re: Pain management/ shoulder dystociaFrom: GA12L@aol.comThu Mar 30 04:47:44 2006
In a message dated 29/03/2006 22:18:15 GMT Daylight Time, 530rose@msn.com writes: Here in Kennewick, even women who specifically tell the staff that they don't want to be offered pain medication get an (at least) hourly question about whether they have changed their mind, and warnings that if they don't do it now it will be too late for an epidural. Docile epiduralized women demand so much less of the nursing staff... Here, in the unit I work in, we don't ask women if they want pain relief. We believe that asking implies that they are not coping and if they think we think they're not coping, well it's a downward spiral. If they want pain relief they'll soon ask for it. How sad is it that the nursing staff where you are feel that an epiduralised woman demands much less. It's the opposite here, women with epidurals are supposed to have one-to-one care as we can't leave a woman on a monitor unattended. However, the reality is that they are. There are job freezes here nationally and some hospitals are even talking about redundancies. Newly qualified midwives are not getting jobs either. We are stretched as it is and it's only a matter of time before a tragedy occurs. I had a bad shoulder dystocia in the early hours of Tuesday morning and there were 2 other midwives in the room leaving one midwife to deal with whatever came along. The head was born at 01.30 the body by sweeping the posterior arm across the chest and face delivered at 01.43. My heart almost stopped. Baby weighed in at 11lbs 3 ounces. I told her if she had another baby to have a section! Babe has intact clavicles but has Erb's palsy, Apgars 4/1 and 9/5. I don't remember anything after I saw the head 'turtling' I just went into auto pilot. My hands ached after, I could have done with a cold glass of Chardonay. Gail
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