Re: wondering why........

[Guest guest]

This results from fragmented care that the birthing woman recieves

also come in the "woman" has to be educated. But with the 14 year old I had that delivered yesterday. Then the 17 yr old Gr2 with a 7 month old at home who came in for a Mc's band today who is 18 weeks and just found out she's pregnant. Or the 8 hour c-section who at midnight wanted to go smoke and me to take her outside and would just as soon go home because "I can get better drugs on the street than what you give me" no wonder pain med doesn't touch her. Those were 3 from last night but then had one who I spent a few hours talking to about her options of pain control..she already knew she wanted an epidural but when to get it so last night had a 25% rate of those that wanted to know and 75% that didn't have a clue.

Like someone else said I like a birthplan then at least we know it's been thought through not totally unprepared for.

[Guest guest]

This results from fragmented care that the birthing woman recieves

also come in the "woman" has to be educated. But with the 14 year old I had that delivered yesterday. Then the 17 yr old Gr2 with a 7 month old at home who came in for a Mc's band today who is 18 weeks and just found out she's pregnant. Or the 8 hour c-section who at midnight wanted to go smoke and me to take her outside and would just as soon go home because "I can get better drugs on the street than what you give me" no wonder pain med doesn't touch her. Those were 3 from last night but then had one who I spent a few hours talking to about her options of pain control..she already knew she wanted an epidural but when to get it so last night had a 25% rate of those that wanted to know and 75% that didn't have a clue.

Like someone else said I like a birthplan then at least we know it's been thought through not totally unprepared for.

[Guest guest]

.....just what were those parents teaching their kids, well I guess that's obvious, nothing.

I know this wasn't the total point of your letter, but I had to take exception to your comment. Your making a blanket statement about teenage pregnancy that doesn't always apply. My 18 year old daughter is due to give birth January 1. She has been well educated since she was a child about sex, reproductive health, birth control, sexually transmitted disease, SELF RESPECT, etc. You name it. She also knew that she could come to me to talk and to seek birth control if needed. She was actually on birth control at one point but stopped taking it and was due to start back on her BCP the month she got pregnant. And I was an involved mother. Somewhere along the way these girls are losing their self esteem and self respect and I think that is a big factor in teen pregnancy and teen sex. I'll be a young grandmother. But in spite of this, I will be there to support my daughter, and even though the timing isn't what we would have wished, we will celebrate the birth of this child. Teenage pregnancy, just like teenage drug use, happens. And it happens in the 'nice families' too.

Debbie

[Guest guest]

Midwifery in the industrialized world

http://www.asac.ab.ca/BI_fall99/midwifery.html

Marsden Wagner, MD, MSPH, is a former World Health Organization (WHO)

Regional Officer for Women's and Children's Health, and now an international

spokesperson for the midwifery model of care. He also is the author of over

80 scientific papers and five scientific books published in English, German,

French, Spanish, Russian, Italian, Japanese and Danish, including the book

" Pursuing the Birth Machine -- The Search for Appropriate Birth Technology. "

Marsden Wagner is also a contributor to the Birthlove web site....I hope

that doesn't color your view of his intelligence when it comes to

birth...gosh the WHO thought he was good enough.

(trying to prove that her words are not just her opinion)

[Guest guest]

Amen to this! And as an adjunct, even with all the best intentions, everyone has input and advice, wanted or not, from housekeeping to phina Shmo down the street. How *anyone* can maintain their sanity when they are pregnant, with all the varied, conflicting advice, is beyond me. Continuity of care is a wonderful thing--whether by a midwife or other source, though with a midwife, and limited other medical input (this comment is intended as a positive comment ) it seems to be the least stressful.

----------Jeanine

[OBnurses] wondering why........

"I wish there was some required education involved when mom's want a birth plan...I think we would be able to meet her needs/desires better if people understood where WE were coming from too....I am also a childbirth educator, and I strive to get the necessary info to mom's all the time--but not always successfully I'm afraid.....sometimes it is very frustrating"

This is a very valid statement.

This results from fragmented care that the birthing woman recieves. A woman encounters many people in a *normal* course of care. First the attending doc (whether ob or fp, the birth educator, then she has all techies (blood, u/s, and what have you, depending on the attending), then the hospital care givers (nurses (l/d, postpartum, LC and the like), exactly how may people do you see a laboring woman encounter from the time she enters the hospital door). Fragmaneted care is the downfall of the expectant woman...not that SHE knows this.

[Guest guest]

Amen to this! And as an adjunct, even with all the best intentions, everyone has input and advice, wanted or not, from housekeeping to phina Shmo down the street. How *anyone* can maintain their sanity when they are pregnant, with all the varied, conflicting advice, is beyond me. Continuity of care is a wonderful thing--whether by a midwife or other source, though with a midwife, and limited other medical input (this comment is intended as a positive comment ) it seems to be the least stressful.

----------Jeanine

[OBnurses] wondering why........

"I wish there was some required education involved when mom's want a birth plan...I think we would be able to meet her needs/desires better if people understood where WE were coming from too....I am also a childbirth educator, and I strive to get the necessary info to mom's all the time--but not always successfully I'm afraid.....sometimes it is very frustrating"

This is a very valid statement.

This results from fragmented care that the birthing woman recieves. A woman encounters many people in a *normal* course of care. First the attending doc (whether ob or fp, the birth educator, then she has all techies (blood, u/s, and what have you, depending on the attending), then the hospital care givers (nurses (l/d, postpartum, LC and the like), exactly how may people do you see a laboring woman encounter from the time she enters the hospital door). Fragmaneted care is the downfall of the expectant woman...not that SHE knows this.

[Guest guest]

I work with a combinations of these types of patients--those who care versus those who don't seem to. The *advantage* to doing so for me means that for every patient I see that doesn't seem to give a flying hoot about themselves or their baby, there is another who will do *anything* for *their baby--and it makes me appreciate those even more than I do.

----------Jeanine

Re: [OBnurses] wondering why........

cassio@aol wrote:

"also come in the "woman" has to be educated. But with the 14 year old I had that delivered yesterday. Then the 17 yr old Gr2 with a 7 month old at home who came in for a Mc's band today who is 18 weeks and just found out she's pregnant. Or the 8 hour c-section who at midnight wanted to go smoke and me to take her outside and would just as soon go home because "I can get better drugs on the street than what you give me" no wonder pain med doesn't touch her. Those were 3 from last night but then had one who I spent a few hours talking to about her options of pain control..she already knew she wanted an epidural but when to get it so last night had a 25% rate of those that wanted to know and 75% that didn't have a clue."

Doesn't this kinda make you sick that this is what society has come to? Our children are having sex and not caring about creating life. That there are parents out there with 14 year olds birthing their grandchildren....just what were those parents teaching their kids, well I guess that's obvious, nothing.

We truly live in a world of "who cares...as long as I get mine".

I applaud those of you who can stomach this kind of work. For me.....I can't. I would rather work with the ladies that care, I only wish they were going into hospitals that did not push "their rules" on them....AMA or not.

Welcome to the OBnurses list!You have the freedom to change your membership settings at any time you choose. Go to the Yahoogroups Home Page at www.yahoogroups.com and sign in with your e mail address and the password you used to subscribe to this list. You will then see a list of all Onelist lists you are subscribed to. You can then easily choose the settings you would like--unsubscribe, digest, or Web-only.

[Guest guest]

I work with a combinations of these types of patients--those who care versus those who don't seem to. The *advantage* to doing so for me means that for every patient I see that doesn't seem to give a flying hoot about themselves or their baby, there is another who will do *anything* for *their baby--and it makes me appreciate those even more than I do.

----------Jeanine

Re: [OBnurses] wondering why........

cassio@aol wrote:

"also come in the "woman" has to be educated. But with the 14 year old I had that delivered yesterday. Then the 17 yr old Gr2 with a 7 month old at home who came in for a Mc's band today who is 18 weeks and just found out she's pregnant. Or the 8 hour c-section who at midnight wanted to go smoke and me to take her outside and would just as soon go home because "I can get better drugs on the street than what you give me" no wonder pain med doesn't touch her. Those were 3 from last night but then had one who I spent a few hours talking to about her options of pain control..she already knew she wanted an epidural but when to get it so last night had a 25% rate of those that wanted to know and 75% that didn't have a clue."

Doesn't this kinda make you sick that this is what society has come to? Our children are having sex and not caring about creating life. That there are parents out there with 14 year olds birthing their grandchildren....just what were those parents teaching their kids, well I guess that's obvious, nothing.

We truly live in a world of "who cares...as long as I get mine".

I applaud those of you who can stomach this kind of work. For me.....I can't. I would rather work with the ladies that care, I only wish they were going into hospitals that did not push "their rules" on them....AMA or not.

Welcome to the OBnurses list!You have the freedom to change your membership settings at any time you choose. Go to the Yahoogroups Home Page at www.yahoogroups.com and sign in with your e mail address and the password you used to subscribe to this list. You will then see a list of all Onelist lists you are subscribed to. You can then easily choose the settings you would like--unsubscribe, digest, or Web-only.

[Guest guest]

I thin what happens here is that there *are* parents that are open with their children, and whose children do confide in them, but even when that happens, the world we live in sometimes has a stronger or counteracting influence.

Forty years ago, the community influences were less, just because of the way things were back then.

I have to say, to me there is a huge difference between an 18 year old and someone who is 14 years old or younger. The 18 year old has a better chance of being mature. I wouldn't *choose* for my 18 year old to become pregnant, but like you, who deal with it, and love her and my grandchild no matter what.

----------Jeanine

Re: [OBnurses] wondering why........

.....just what were those parents teaching their kids, well I guess that's obvious, nothing.I know this wasn't the total point of your letter, but I had to take exception to your comment. Your making a blanket statement about teenage pregnancy that doesn't always apply. My 18 year old daughter is due to give birth January 1. She has been well educated since she was a child about sex, reproductive health, birth control, sexually transmitted disease, SELF RESPECT, etc. You name it. She also knew that she could come to me to talk and to seek birth control if needed. She was actually on birth control at one point but stopped taking it and was due to start back on her BCP the month she got pregnant. And I was an involved mother. Somewhere along the way these girls are losing their self esteem and self respect and I think that is a big factor in teen pregnancy and teen sex. I'll be a young grandmother. But in spite of this, I will be there to support my daughter, and even though the timing isn't what we would have wished, we will celebrat Debbie Welcome to the OBnurses list!You have the freedom to change your membership settings at any time you choose. Go to the Yahoogroups Home Page at www.yahoogroups.com and sign in with your e mail address and the password you used to subscribe to this list. You will then see a list of all Onelist lists you are subscribed to. You can then easily choose the settings you would like--unsubscribe, digest, or Web-only.

[Guest guest]

I thin what happens here is that there *are* parents that are open with their children, and whose children do confide in them, but even when that happens, the world we live in sometimes has a stronger or counteracting influence.

Forty years ago, the community influences were less, just because of the way things were back then.

I have to say, to me there is a huge difference between an 18 year old and someone who is 14 years old or younger. The 18 year old has a better chance of being mature. I wouldn't *choose* for my 18 year old to become pregnant, but like you, who deal with it, and love her and my grandchild no matter what.

----------Jeanine

Re: [OBnurses] wondering why........

.....just what were those parents teaching their kids, well I guess that's obvious, nothing.I know this wasn't the total point of your letter, but I had to take exception to your comment. Your making a blanket statement about teenage pregnancy that doesn't always apply. My 18 year old daughter is due to give birth January 1. She has been well educated since she was a child about sex, reproductive health, birth control, sexually transmitted disease, SELF RESPECT, etc. You name it. She also knew that she could come to me to talk and to seek birth control if needed. She was actually on birth control at one point but stopped taking it and was due to start back on her BCP the month she got pregnant. And I was an involved mother. Somewhere along the way these girls are losing their self esteem and self respect and I think that is a big factor in teen pregnancy and teen sex. I'll be a young grandmother. But in spite of this, I will be there to support my daughter, and even though the timing isn't what we would have wished, we will celebrat Debbie Welcome to the OBnurses list!You have the freedom to change your membership settings at any time you choose. Go to the Yahoogroups Home Page at www.yahoogroups.com and sign in with your e mail address and the password you used to subscribe to this list. You will then see a list of all Onelist lists you are subscribed to. You can then easily choose the settings you would like--unsubscribe, digest, or Web-only.