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Re: Pain management/ shoulder dystocia From: Anna Meenan, MD (annam@uic.edu) Thu Mar 30 09:29:08 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: GA12L@aol.com: "Re: Pain management/ shoulder dystocia" Previous message: Anna Meenan, MD: "Re: Pain management/ shoulder dystocia" In reply to: GA12L@aol.com: "Re: Pain management/ shoulder dystocia" Next in thread: fran wilson: "Re: Pain management/ shoulder dystocia" I used to try to do the same, and even had it in my standing admission orders that my patients were not to be offered pain meds, that they would ask if they wanted something (and of course, I always explained to them during the "When-to-go-to-the-hospital-and-what-happens-when-you-get-there" talk at 36 weeks). Of course, the nurses routinely ignored that and did the whole "take the meds now before it's too late" thing. It was one of the things I gave up fighting about in order to preserve my mental health. -- Anna Meenan, MD At Thu, 30 Mar 2006, GA12L@aol.com wrote: > >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 Next message: GA12L@aol.com: "Re: Pain management/ shoulder dystocia" Previous message: Anna Meenan, MD: "Re: Pain management/ shoulder dystocia" In reply to: GA12L@aol.com: "Re: Pain management/ shoulder dystocia" Next in thread: fran wilson: "Re: Pain management/ shoulder dystocia"

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