Re: Pain management/ shoulder dystocia
From: Joe (forcep@intercom.net)
Thu Mar 30 05:21:39 2006
Gail: sorry to hear of your shoulder dystocia.Most of these kids turn
out fine. I'm sure you have done so but now go back and write down
moment by moment the mechanisms you used to deliver infant ,with times.
If you had help make them do same thing. Joe C
GA12L@aol.com wrote:
> 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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