Showing posts with label labor and delivery. Show all posts
Showing posts with label labor and delivery. Show all posts

Friday, February 17, 2012

currents...



my days.
have been a revolving cycle.
of.

dylan records.
documentaries.
research.
marathon training.
nephew visits.
whole food runs.
bread baking.
AM yoga.
fried egg + avocado sandwiches.
and the possibility of becoming a midwife.


the current is fast.
but i feel calm behind my oar.


Friday, June 18, 2010

:: oh! baby baby!



as a labor and delivery nurse--
i think this is just about the coolest little photo collection.
maybe ever?


i am gearing up for another weekend on the job.
which means a whole lot of
pregnant mama & bambino face-time.


i'll be reverting to my graveyard shift night dwelling.
so please.
pretty please.
soak up lots of fabulous sunshine for me.


hats off--

(or should it be scrub caps?)
to a beautifully summery weekend for each of you!



Friday, November 13, 2009

:: my soapbox

yesterday, i met my hero. please allow me to explain.

recently, i have been seriously struggling with my distaste for our medical system. and it's not just regarding insurance coverage. or access. it's the philosophy of medicine. it's the attitude of our physicians. and it's the regurgitated knowledge that is spewed to the public as fact.

in this day-and-age, available information is at an all time high. a person can sit down at the computer, pull up a search engine, list their symptoms and immediately receive "facts" that could diagnose them with anything from a minor vitamin deficiency, to severe cancer. the information, while seemingly empowering, is causing chaos. we've been programmed to believe what we read. what we're told. and the likelihood that anyone will take what their doctor tells them, and do research against it, is slim-to-none.

the frustrating thing is that doctors know this. there is little accountability. so many things are done unnecessarily--for the sake of saving the hospital/physician from a lawsuit, and no one questions it. we are a society of fear. a people who are conditioned to believe that without surgery, drugs, and procedures-- we'd surely be in a world of hurt.

now--i am not entirely against modern medicine. there are most definitely health problems, issues, and emergencies that require medical care---and thank God such advances have been made available. however, i believe we've advanced TOO far. we've completely disregarded our body's natural survival chip. along with all the natural, earth-given remedies that have been used for centuries--- and are still being used around the world. case-in point: when medication for a toe-nail fungus can lead to a long list of side-effects, including "sudden death"--i think i'll pass.

doctors are awfully quick to prescribe a drug that masks symptoms, instead of looking at the core of the problem-- possibly uncovering chemical, nutritional, or hormonal imbalances-- that are at the root of an issue. often--but not always-- things can be remedied a more natural way, with a little research and patience.

in my particular line of work, i see physician patience at the very rock-bottom of the priority list. if i had a nickel for every time someones water was artificially broke, or a poor young mother was whisked off to the OR for a cesarean section because the doctor (and i quote) just wanted to "get it over with"-- i could retire. Birthing has been yanked out of the mothers control to the point where, when introducing doctors/nurses to family, patients are opt to say "this is the dr/rn that delivered my baby". excuse me ma'am, but who was doing the pushing? YOU delivered this baby! take credit for the miraculous work you just did.

hospital labor and delivery is, so unfortunately, a conveyor belt. you arrive at the window. check in. get an IV. are placed on a monitor. and you lay in bed. where- more than likely- you'll stay till you deliver. of course, your contractions won't be fast enough, so you'll receive some pitocin (artificial hormone) through your IV to "help you along" /speed things up. then, when we REALLY need to "get things going" your water will be ruptured for you. an epidural or pain meds may be strongly suggested. which will relax you enough to rest. so your uterus rests too and contractions may decrease slightly. well we can't have that. more pitocin, please! should your baby get tired from all the stress and have a decreased heart rate-- you're being wheeled to the operating room for an emergency c/section-- a major abdominal surgery.

in the end- you have a beautiful baby, regardless. but how many birthing "crises" do we cause with our impatience and need for intervention. in most other countries in the world, 75% of births don't even occur in a standardized hospital, but at home--or at birthing centers. and they are no worse off because of it. america beats them all in infant and maternal death rates. something is SO wrong with this picture.

my frustrations have led me to research on becoming a certified midwife. doing so would enable me to work in a more natural environment-- and assist in safe, natural births. and yes-- i know--some women are at risk for complications. or their baby is coming too soon. or they're having multiple children at once. and they do require special observation and care. however, not every pregnant woman is an emergency. our bodies were made to do this.

so--i cannot begin to tell you the thrill i received when my patient last night was attempting to have a natural, vaginal birth after a c/section (VBAC). her attitude was phenomenal. she wanted to have a different birth experience than she had with her first baby---and she was entitled to it. there is an increased risk for having VBAC, so generally, labor is not allowed to go past 18 hours. this was carefully explained to the patient, and she understood the guidelines.

7 hours after admission, she was doing awesome. her contractions were strong and regular. her support system was amazing. her attitude remained great. and her baby's heart rate was textbook perfect. and now--it was 5:30 am. almost time for physician shift change. her doctor verbalized that he'd "like to see this done before he went home"--- so when he checked her progress and noted she hadn't changed "much", he brought her a consent form for another c/section, and told her that he didn't foresee her being able to pull off a natural birth. with tears streaming down her face, she looked at him and said "you told me i have 18 hours, and i want that time to do this". she refused to sign the consent form. now I was crying. i told her how proud i was that she stood up for herself. her and her baby were doing excellent, and there was no reason she couldn't let her body do its job.

i had to leave her at 7am, but when i called work to check on her, she had naturally delivered a 9 pound baby boy about 3 hours after i got home. from what i hear, Dr. Impatience ate a slice of humble pie, and congratulated the couple that evening.

i celebrated their victory over the system.

when doctors are necessary--they're REALLY necessary. but sometimes, they're just not. and i've made it my mission to educate myself, and others, on understanding the difference.

thanks for listening.

Monday, September 21, 2009

the marvels of monday:::

i used to hate mondays.

when i was in school throughout highschool and college, monday was the end of your weekend. your break. your time with family and friends. it ushered in work and classes and responsibility.

now, i love mondays. look forward to them, actually.

especially when it lands that i don't have to work in the evening. to me, they are a fresh start. the epitome of a "clean slate". i can look into the future and see days upon days of possibility lining up. i can smile knowing that i have the time and resources to cross a few things off of my to-do-list. it's refreshing.

on this particular monday, i count myself inexpressibly blessed to be able to sit here with a cup of warm coffee and get my thoughts and feelings into words. it's such an amazing release. such an awesome privilege. i have a few little mini-projects on the horizon, and they have me pumped. and i mean, really pumped. i'll be sure to share when things start coming together a bit more!

++ i couldn't help but snag this picture to post. look at this woman?! what a glorious example of the beauty and radiance of pregnancy. i see the rather bloody/gory/ultra-amazing side of pregnancy at my job in labor and delivery, and you sometimes forget the months in between. when it's just mom and baby. and anticipation. and thankfulness. and this undeniable glow.

heidi is definitely making pregnancy work!




here's hoping that your monday is a little less manic and a little more marvelous.

Monday, May 11, 2009

you are the money maker:::

Tonight was intended to be my fifth straight midnight shift.

For the most part, I do my very best not to complain, because my schedule usually rocks. I don't know very many people whose full-time work week is merely 3 days. However, staying up for 5 twelve hour midnight shifts in a busy labor and delivery unit is stretching me a bit. Since infanthood I have been 'sleeps' numero uno fan!! When I start getting behind on my zzzzz::: evil ashley emerges....and please be warned---she isn't nearly as lovely as the real one!
In addition, one of the more prominent aspects of my job is compassion---which starts running a little thin around 3am, when you're chuggin along on 4 1/2 hours of sleep.

Thank God for the Yahoo! frontpage story I saw last week:::

"Coffee linked to weight loss and cancer prevention"

At this rate, I should be about 90 lbs and living forever.
My usual evening consumption of java averages out to about 3-4 VERY LARGE glasses per shift.

One night, we were so busy on the unit, I never got a coffee break.....I don't remember driving home the next morning. I think I fell asleep somewhere between the parking lot at work, and my neighborhood.

With all this in mind, you can imagine my relief when I received a call at 5:25pm from the coordinator at work informing me that, if I so desired, I could stay at home from 7p-11p.

I hit my knees. Kissed the ground. Wept for joy. Then left for Target!

Even with the hovering possibility that I might have to go into work at 11p, I can't wipe the smile off my face.

+++ even if I would have had to go in (like a normal person!) I would have still had the following to keep me happy and sane.....well....at least happy!

::: this blog



::: this album



::: this photo



Until tomorrow...

Thursday, May 7, 2009

::: Paloma!

Much to my utter pleasure, I spent the greater half of today text messaging my friend Phaedra from her labor bed at the local hospital. She informed me last week that if her newest little miss didn't make her grand entrance into this world unassisted, modern medicine was going to have to give it a go!

So of course, I receive a text around 8:30 AM stating: "I hate pitocin. I hate pitocin."

Now, for anyone who might not be sure what pitcoin is, allow me to clarify::: pitocin is a synthetic version of a hormone naturally produced by your body. When a pregnant woman goes into labor, her body is already producing pitocin to start contractions.....we fabulous folks working in Labor and Delivery just give a little extra to help the process along. Occasionally, when a baby just ain't comin on it's own, we give "pit", as it's more affectionately known, even before labor beings, to get things started......


But frankly, this little lecture is beside the point....back to the meat and potatoes here:::

So, PJB wasn't lovin' the contractions, and nearly eight hours and one GIANT epidural later, we were still baby-less. My friend was loosing steam....loosing hope. She wanted some ice cream and a venti iced chai more than texts could say....and I was helpless to do much more than promise to bring her both as soon as she was no longer the incubator for baby numero 3!

The doctors continued to check on mom and baby, only to repeatedly discover that not much had changed. A medical student artificially broke her water, the nurse had maxed out the amount of pitocin that could run through the IV, and several repositions had already been implemented---all with no real effect. As a L&D nurse myself, I knew that as time progressed and her and the baby did not, all hands on deck would be thinking "C-Section". Unless you've had a C-section previously, it's not a route most people want to go:::: so I was praying and hoping against hope that baby girl mustered up some of her mama's spunk and fire, and really got in the game.

Shortly after 6pm, I received the final text message of the day:::

"Say HI to Paloma!"

Looking just as cute as her brother and sister (even at 10 minutes old!), I was thrilled to set my eyes on this little face! I breathed a sigh of relief knowing mom and baby were happy and healthy.

My plans for tomorrow now include a quick trip to the hospital....I CANNOT wait to get my hands on this little mama!

And to buy a venti iced chai for hers!

Until tomorrow...