Yes, It Happens

In a perfect world, patient and doctor would get along in perfect harmony, making the same choices about labor and delivery that would mesh together for the textbook birth of their dreams. But of course, life isn't perfect.

Nurse handing newborn to mother |

Photo credit: Ariel Skelley/Blend Images/Getty Images

It started off as a normal day on the labor and delivery floor where I was working as a nurse. I stood by the nurse's station, getting a report from the night nurse, who bounced up to me much too excited for someone who had been up for 24 hours straight.

"This patient is unreal!"

"This patient is unreal!" she exclaimed. "She's 8 centimeters dilated and just laughing and talking like it's nothing in there. She's the easiest labor patient you'll ever have!"

Not believing it, I gathered up my supplies for the day and headed into the room to check out the situation for myself. Lo and behold, the patient really was at an 8 and she really was laughing and talking. She literally didn't make a change with contractions, other than barely breathing a little heavier during them.

"Wow," I said to the other nurse. "That is crazy! Good for her!"

Not everyone labors the same way

And so my day with my patient continued. When we had a chance to talk, I learned that she really was just one of those women naturally capable of coping with labor. She was very young, hadn't taken any childbirth classes, but knew that she did not want an epidural. Not only was she deathly afraid of needles, but she expressed an innate belief in herself to get through labor naturally.

"I know I can do this," she said to me solemnly.

"The doctor mistook her tears for anxiety."

And although she was doing it and doing it quite well, her labor stalled at around the 8 centimeter mark — she just didn't seem to be able to dilate past it. So when the doctor came in to the ward early in the afternoon to break her water, the young patient was very anxious. I updated the doctor on how the patient was doing, emphasizing that the patient was very adamant that she did not want an epidural.

When things aren't progressing

The patient found "checks" extremely painful and it took the doctor a few minutes to be able to break her water. By the time she was done, the patient was crying. The doctor mistook her tears for anxiety and suggested that an epidural might help calm her down.

The patient looked hesitant and continued to cry. The doctor again repeated her suggestion, fully convinced that what this patient really needed to get through was an easy fix: call anesthesia for an epidural, stat.

Does doctor always know best?

Honestly, the situation that unfolded was difficult. On one hand, both the doctor and I realized that for some women, choosing an epidural at this stage in labor really can help. I've seen many cases in which women, who were adamant that they didn't want the epidural, changed their minds and then loved the results; they were able to relax and labor progressed naturally and more quickly because their bodies weren't stiff and tense with the pain of contractions.

On the other hand, however, I had heard the patient express over and over to me that she really didn't want the epidural and I knew first and foremost, that it was my job to serve as an advocate for both the patient's baby and the patient. I had to let her choose the path that was best for her.

Patients and healthcare staff working together

That day, I learned that nurses and doctors can work with their patients to make sure their choices during birth are respected. That day, I was able to talk with the patient, calm her down, and figure out what she wanted — not what me or the doctor thought she should do.

It was an empowering and humbling experience to see this young woman fight for what she believed her body was capable of — and in the end, deliver a healthy baby boy.

Without an epidural.

More on birth

Why home birth is becoming more popular
Benefits of natural childbirth
How to manage labor pain naturally


recommended for you


andypsn November 14, 2014
锘縡orce, a cooperation involving Cincinnati Open Faculties in addition to 1st University student shuttle business, will be recharged like a resource to see mother and father and strengthen ridership files. But it's as well a method educational facilities are attempting to keep an eye on with their learners frequently to trace attendance.

Just simply northern part with Cincinnati, New york Town Colleges are piloting a sensible minute card technique allowing trainees to employ his or her ID playing cards pertaining to from shopping for lunchtime to taking a look at throughout should they be late.

Educational facilities during Arizona tried employing gps (GPS) motherboards for you to trace young children. It turned out achieved utilizing conflict and ended up with one particular institution with u . s . trial.

The growing option these kinds of technology swirls the discussion around the path in between safety in addition to level of privacy.

"I'd claim in the next A decade's this kind of (technologies) is going to be utilised in the majority of schools. It can be necessary." explained Chief executive Steve Whitehead within the Rutherford Start, some sort of Virginia based municipal protections organization which will sued a Colorado classes for the scholar. He was quoted saying educational facilities should be susceptible on how that they manage like packages and need go outside types of procedures due to level of privacy fears.

1st College student has created Cincinnati's preliminary ZPass application for all those Forty three on the classes district's simple faculties. Cincinnati General population Schools, any local premier faculty district, will be the 1st college centre inside Ohio to make use of know-how.

Students get hold of exceptional shuttle handmade cards utilizing microchips which use radio frequency recognition unit (RFID) technologies to help journal where and when that they mother board and find off of the shuttle. Oahu is the same form of technologies which quite a few ranchers make use of in order to its beef, suppliers make use of for you to trace quality value products on hand or maybe owners apply if they buy gas using ExxonMobil's Speedpass. Every bus currently comes with some sort of Gps navigation system that will road its course.

From the ZPass software, the actual district's travelling place of work at this point may check which will learners are saved to which busses where there're achieving along with out of. The content can be used mum or dad warnings, to be able to ridership facts, and then to inform moms and dads some sort of

<a href=>air jordan 5 independence day ebay</a>
<a href=>nike air max nomo navy blue</a>
<a href=>Moncler Jas Dames hooded jassen roze 1735 Nieuwste Verkoop Online</a>
<a href=>nike air max 95 prm tape</a>
<a href=>air max 1 black leopard office</a>
Joelxt November 05, 2014
锘縠curi upon Primary Neighborhood. is it gon<a href=>Nike Roshe Run Knitting Men MainBlack</a>na actually eat? The way is he or she visiting shell out their particular charges? Nobody is actually using the services of. Some of Sandra Minter siblings, a brother and a close friend within legislati<a href=>Nike Air Max 2013 Women Wine Red</a>ons almost all are employed at Rate.

destined to be an important success, Minter mentioned. really ost not any jobs all over right here. It intending to injured a great deal of family members. Shoemyer flows a automobile portions retail outlet and it's an ancient location councilman.

sense incredibly apologies for all of the people, Shoemyer reported. don figure out what going to happen. We just have got to believe an individual comes in together with starts most of these manufacturers. Betty Geist can be founder of The Body of water Gazette each week paper just as soon as assisted Intermet forerunner, Diemakers Inc.

This lady anxieties the effect within the Intermet bankruptcy additionally, the Speed concluding are often more major as compared to now you may appreciate right now.

gained be a flow all the way down outcome, Geist proclaimed. will certainly be a tsunami. I think most people that seen good news has a swelling with their throat as well as being in a state connected with impact. For ages, farming as well as vehicles ended up Monroe Area regarding plus butter. Vacation on Indicate Twain River provides extra appeal within the last Quarter of a century.

Webpage 3 of 2

However the National vehicle industry is looking at a number of the same economical struggles growers would while in the not as faraway prior.

By using many vacant store fronts upon Primary Avenue, several contemplate what number of economical hand techniques Monroe Town usually takes.

probably going to be a new wait around to check out factor, stated Jenine Zeiger, director on the Ben Franklin save. just simply daunting. We likely to hang in there provided we can easily. these days, the economical scenario is so that at this time there aren a lot of work available, reported Urban center Director Sean Uses up. must hope for the best. Precisely what in advance

Schedule workers have already been granted 60 days with discover that many people getting rid of their particular jobs.

Layers mentioned an organization through the Missouri Department of monetary Enhancement come in a few weeks to discuss concerning training along with position looks with workers.

Stride may entire a requests after which you can allow employees lilac moves with teams right up until all but one or two upkeep men and women are kept to finish concluding the rose.

Geist stated your Monroe Area Step connected with Org

<a href=>Nike Free Run 4 Men Gradient Volt</a>
<a href=>Nike Free Run+ 4 Women Watermelon Red</a>
<a href=>Nike Air Max 2014 Men DarkBlue Sky Red</a>
<a href=>Nike Solarsoft Mule Slides Men Blue</a>
<a href=>Nike AirMax 2012 Men CarbonBlack Blue</a>