Oct 202012

After a couple hours of pushing and getting nowhere…

Mother:  “I want off my back. (Side lying and back were not working for)

L&D Nurse: blank stare

Mother: “I need to push in an upright position.”

L&D Nurse: “I don’t know how to deal with that.”  Turns to the student midwife in attendance and says, “Can you deal with it?”

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 October 20, 2012  L&D Nurse, Midwife, pushing  Add comments

  18 Responses to ““I Don’t Know How To Deal With That.””

  1. This just reminded me of a bumper sticker I once saw: Oh no, not another learning experience!

    Sounds like it’s a great time to broaden your horizons, nurse! And what a wonderful opportunity for the student midwife so early in her/his career!

  2. Student midwife: “Why yes, I think I can. Now please get out of the way, nurse.” LOL

  3. *thought during blank stare*
    “But…that’s now how it looked in the book.”

    • “All the pictures in the textbook were of compliant women who had not educated themselves regarding labor… I don’t know what to do with one who read more books than me.”

  4. I just don’t understand what’s “to deal with” here… I mean, she can’t deal with assisting the mother into an upright position? Isn’t that one of the most basic things all nurses help patients with occasionally? It’s not like the mother is asking the nurse to push the baby out for her!

  5. On the flipside, at least this nurse is owning her ignorance, and not trying to force Mom to stay on her back due to some sort of trumped-up “safety” or “hospital policy” reasons. Makes me think there might be hope.

    • I hope this is the case! I would hate to think “deal with this” meant, “how do I coerce this mother into doing what is standard?”

      I think it’s rad that this mother was advocating for herself in labor! Go mama go!

    • Exactly! She didn’t immediately just say “No”, so that’s progress.

  6. Deal with what? A woman who wont just lay back, and let you do whatever you want with her?

  7. This student midwife is ready, willing and able to assist the mother into whatever position works best for her to give birth to her baby. I have caught babies (or have been witness to): over the toilet, with the mother standing at the bedside, squatting on the floor, with mom on hands and knees, with mom lying on her side, and of course, with mom on her back (at an incline please!). Whichever position works for her, also works for me. After all, it’s not about *me*, is it now?

  8. I had a client who delivered in hands & knees basically because the medical staff couldn’t get her flipped onto her back fast enough. Once the baby was born and the cord was immediately clamped/cut, the OB couldn’t figure out how the mom whould flip over with the cord between her legs, so she made her stay there–unable to see her baby who had been taken to a warmer across the room–until the placenta delivered. I wanted to say “you just pass the cord clamp under mom’s leg as she flips over,” but I got the impression this OB wasn’t open to a doula “telling her what to do.”

  9. Just another reason for me to stay home and have my babies. Hospitals are evil and OBs are Nazis on a power trip.

  10. While it is funny now, at the time I remember thinking  “Seriously! If I wasn’t hooked up to an IV, epidural line, catheter, and EFM I would @$#%ing do it myself!” I did get get turned around and leaned on the back of the bed, which the student midwife had raised up high. I was more “comfortable” with my pitocin augmented contactions, plus back labour, with suspected posterior baby. But none of this helped my baby descend. I got exhausted and tired of watching my baby’s heart rate decel. We ended up in the OR.

    @Ash  I don’t know the reasons, but this nurse had one child by c-section, and the next another c- section during her VBAC attempt.

    @ Laura. I believe that the nurse just did not know how to assist me up and keep me upright in a safe position. I really doubt that I would have been the only person to have every asked to change positions during labour and I needed some assistance getting about. 

  11. “I appreciate your honestly! Now would be a really good time to learn how to support an upright laboring woman, so let me help you by telling you what I need you to do.”

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