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Uninvited staff audience at hospital birth  

post #1 of 40
Thread Starter 
I recently posted about my failed hospital waterbirth. So here is my other big issue with my birth...

This is baby # 3 for me, but this was my first non-induced natural birth. So we really didn't have any clues about how labor / birth would go, since I'd never done this before.

My labor ended up being very quick and surprisingly easy. At 5am, I arrived at the hospital at 5-6cm / 90%. I was still able to talk and walk through contractions. My baby was born shortly after 7am. I obviously progressed very quickly. I pushed for only 7 minutes.

As I said above, I had a failed waterbirth. My water broke shortly before entering the tub during transition. There was slight meconium. When my mw came in a couple minutes later, the nurse told her I had to get out of the tub due to the meconium. My mw did not agree but had to follow hospital policy. While I was already pushing, my mw got me out and took me to the bed (where I did a kneeling birth). As I got on the bed, I saw that a crowd had descended upon my room. There were quite a few L&D nurses who I previously had seen hanging out at the nurses station. Then there were all these young girls, who appeared to be setting up for my mw. I mostly understand the presence of the young girls setting up, though I think they should have hurried away and didn't. Some stuck around. The presence of the nurses *really* irritates me. (I was not able to say anything at this point.) My dh obviously did not speak up and clear the room. He thought that the nurses were just interested in observing such a quick labor / birth. I'm sure it must be interesting, but this was my private birth! It was supposed to be just me, my dh, my mw, and my doula! This is not a teaching hospital. It is a small community hospital that does not do a lot of births.

My two previous induced / medicated / OB births were so much better in this aspect. They were at a different small community hospital.

I feel violated in that I had an audience watching me birth my baby. I feel safe with my dh, my mw, and my doula - but I didn't want to share my birth with anyone else. My birth plan made this clear.

Any thoughts about this?
post #2 of 40
That you write a letter to the hospital and ask them to retrain their staff to be more considerate of patient privacy. (If they had an audience for your birth, do they also leave doors open when helping people with bedpans? sponge baths? when you ignore people's dignity it makes so many basic hospital experiences far worse than they have to be.)

And for your next, homebirth, and if your dh tries to make a fuss tell him the alternative is for him to wear a sandwich board with the key points of your birth plan in huge letters.
post #3 of 40
Quote:
Originally Posted by agnieszkaj View Post
Any thoughts about this?
Have your next baby at home. A woman is the queen of her domain in her own home.

When you are in a hospital, they call the shots, you are on their turf. Check with the paperwork you signed to see if you signed away your privacy rights.

If you were in a large teaching hospital, they have the right to call all students in to observe.
post #4 of 40
Please write a letter to your hospital. That was inappropriate and it needs to be addressed so that they are more respectful in the future of birthing mothers.
post #5 of 40
Perhaps they had never seen a non-induced natural birth?

I agree with the HB. Forget the hospital all together. Their house, their rules. My house, my rules. That's why I UC.
post #6 of 40
When my 1st was born I looked around during pushing and there were a bunch of women in there. I don't know who they all were, even now. They were like, my cheering squad. I thought I would be very private and not want anyone there, but in the moment I couldn't have cared less, and I actually have positive memories of everyone kind of cheering me on (not coaching whatsoever, just being excited with my husband and me). It was nice after such a long tiring labor.

Still, I had a UC with my 2nd with just my husband. And I definitely preferred it that way!
post #7 of 40
You must have felt so objectified, like a poor bear at Yellowstone park surrounded by gawking tourists! :

I put in my birth plan a specific request for no students and no other outside observers other than the specified HCPs, DH, and my doula. My doula was awesome when she politely but firmly chased an interested student out of the room. SOs have so much on their mind during a woman's labor, and a doula can be a valuable resource for these details.
post #8 of 40
Quote:
Originally Posted by applejuice View Post
Have your next baby at home. A woman is the queen of her domain in her own home.

When you are in a hospital, they call the shots, you are on their turf. Check with the paperwork you signed to see if you signed away your privacy rights.

If you were in a large teaching hospital, they have the right to call all students in to observe.
This is not true. My son has had many procedures done at a major university hospital and I was always asked before any students were allowed in the room. Also I was a nursing student once and I had to specifically obtain patient permission before I could help care for a person. A right to privacy is in the patients rights statement that the hospital must provide every person upon admission under HIPAA. I would write a letter, they probably did not even think that it would bother you, some people attend so many births they forget a family is being created or added in that room. A friendly letter would remind them of that.
post #9 of 40
My sister had a repeat emergency caesarean section. She had gas to knock her out. She was paired with a woman who had her baby on the way to the delivery room. The woman partied all night long, long after visiting hours. The men who were visiting in the room gawked at my sister as she attempted to clear her lungs of the anesthesia gas and tried to nurse her newborn DD. My sister was in no mood to party. She stayed four days in the hospital to recover because of the extreme loss of blood.

I went to the nurse's station and complained that my sister was being subjected to excessive oogling and noise. I also told them they could not have done a worse job of pairing patients. The nurses were annoyed with me since I disrupted their personal time at work and they did not confront the offending party. They simply made another useless announcement on the public address system and left it at that. I wrote a letter to the hospital, giving the names of the lazy nurses, and my sister got a letter apologizing for the inconvenience and she also got one day written off.

The nurses know the HIPPA laws. If your hospital is not going to enforce it, you have to remind them.
post #10 of 40
Quote:
Originally Posted by rozzie'sma View Post
Also I was a nursing student once and I had to specifically obtain patient permission before I could help care for a person.
Nursing student here. There is no permission to be gotten from a patient- we're just assigned to them- or them to us, however you look at it.
We just get our list of patients the day before (unless you're LDRP then it's tough to know ahead of time who you will be caring for!) & familiarize ourselves with their healthy history, and they're ours (of course we work in conjunction with their primary nurse).
Now.. a patient can refuse a student nurse after they've been assigned- but I've never seen that happen as a student (although I personally shooed a student nurse out of my room after my VBAC ). Anyway- my point was that there is no actual 'permission' sought out.
And it's so extremely rare that a patient doesn't want to be cared for by a student nurse (the students have a much lighter load, so you actually get SO much more attention- not sure if all patients would see that as a good thing ) that they probably don't even think about it.
But I totally get not wanting additional people present at your birth- as I said, I specifically requested no students or any unnecessary ppl at my VBAC.
post #11 of 40
I agree that when you are at the hospital it's their rules. Next time plan a HB so you can be in a safe place.
post #12 of 40
I have a chronic illness and some of my specialists are in a large teaching hospital. They always ask me if I mind if a student observes or assists and people always let me know if they are a student.

Course, that's Drs, I haven't ever birthed in a teaching hospital so it might be totally different with L&D.
post #13 of 40
Quote:
Originally Posted by ollineeba View Post
Nursing student here. There is no permission to be gotten from a patient- we're just assigned to them- or them to us, however you look at it.
We just get our list of patients the day before (unless you're LDRP then it's tough to know ahead of time who you will be caring for!) & familiarize ourselves with their healthy history, and they're ours (of course we work in conjunction with their primary nurse).
Now.. a patient can refuse a student nurse after they've been assigned- but I've never seen that happen as a student (although I personally shooed a student nurse out of my room after my VBAC ). Anyway- my point was that there is no actual 'permission' sought out.
And it's so extremely rare that a patient doesn't want to be cared for by a student nurse (the students have a much lighter load, so you actually get SO much more attention- not sure if all patients would see that as a good thing ) that they probably don't even think about it.
But I totally get not wanting additional people present at your birth- as I said, I specifically requested no students or any unnecessary ppl at my VBAC.
I always introduced myself to my patients "Hi, I'm not now. I'll be your student nurse today is that ok?" I was never refused but the male students were refused often (on all floors) and I remember one female student being refused.

I never watched a vaginal delivery when I was in school. I opted out and would always jump over to post-partum because I felt that watching a vaginal was way too personal. I did scrub in for a c-section because it was an awesome oppertunity, the mom didn't care.

As far as extra people in the room...kick them out! I'm a nurse and I have no problem kicking people out of my room. Hell, I'll kick a nurse out of my room if she makes me mad. The man is more than willing to kick people out for me.

I kick people (visitors) out of my patients room and have caught all kinds of fury from family members. I don't care, there are visiting rules and I follow them. My patients comfort first, then I'll worry about the visitors.
post #14 of 40
Quote:
Originally Posted by agnieszkaj View Post
I recently posted about my failed hospital waterbirth. So here is my other big issue with my birth...

This is baby # 3 for me, but this was my first non-induced natural birth. So we really didn't have any clues about how labor / birth would go, since I'd never done this before.

My labor ended up being very quick and surprisingly easy. At 5am, I arrived at the hospital at 5-6cm / 90%. I was still able to talk and walk through contractions. My baby was born shortly after 7am. I obviously progressed very quickly. I pushed for only 7 minutes.

As I said above, I had a failed waterbirth. My water broke shortly before entering the tub during transition. There was slight meconium. When my mw came in a couple minutes later, the nurse told her I had to get out of the tub due to the meconium. My mw did not agree but had to follow hospital policy. While I was already pushing, my mw got me out and took me to the bed (where I did a kneeling birth). As I got on the bed, I saw that a crowd had descended upon my room. There were quite a few L&D nurses who I previously had seen hanging out at the nurses station. Then there were all these young girls, who appeared to be setting up for my mw. I mostly understand the presence of the young girls setting up, though I think they should have hurried away and didn't. Some stuck around. The presence of the nurses *really* irritates me. (I was not able to say anything at this point.) My dh obviously did not speak up and clear the room. He thought that the nurses were just interested in observing such a quick labor / birth. I'm sure it must be interesting, but this was my private birth! It was supposed to be just me, my dh, my mw, and my doula! This is not a teaching hospital. It is a small community hospital that does not do a lot of births.

My two previous induced / medicated / OB births were so much better in this aspect. They were at a different small community hospital.

I feel violated in that I had an audience watching me birth my baby. I feel safe with my dh, my mw, and my doula - but I didn't want to share my birth with anyone else. My birth plan made this clear.

Any thoughts about this?
I wonder why your doula didn't ask them to leave?
It should not have been up to you to ask them to leave.
Isn't that what doulas are there for?
post #15 of 40
Quote:
Originally Posted by applejuice View Post

If you were in a large teaching hospital, they have the right to call all students in to observe.
The patient always has the right to have any and all students leave the room. Period.

If a patient specifically requests students and/or unnecessary staff to leave the room and that request is refused, the list of people I would complain to would be long and wouldn't stop at just hospital administration. That would be completely unacceptable.
post #16 of 40
I SCARED a male nurse out of my room when he tried to walk in to see my son delivered. I started screaming at him to get out, and he looked shocked and split. I was pushing too, so it must have been horrifying for him. OTOH, if you had a successful non-medicated birth and pushed in a non-supine position, perhaps those who observed you will get some ideas about more natural ways of birthing?!? You might have helped another woman out!
post #17 of 40
Thread Starter 
I have an issue with the whole doula thing to. My doula *was* very helpful to me in my labor. That is where it ends for her apparently. I wanted her to be my voice when I could not speak. She had my birth plan. We had talked about it a lot. I think she is terrified of getting sued. She was always afraid to talk to me about anything somewhat technical, as I think she was afraid I would sue her. Anyway, I'm not thrilled with how it turned out with her. I think next time I would not hire one unless I have a friend who happens to be a doula. Instead, I would ask a true friend to support me in my labor.



Quote:
Originally Posted by Lorette View Post
I wonder why your doula didn't ask them to leave?
It should not have been up to you to ask them to leave.
Isn't that what doulas are there for?
post #18 of 40
Quote:
Originally Posted by agnieszkaj View Post
I have an issue with the whole doula thing to. My doula *was* very helpful to me in my labor. That is where it ends for her apparently. I wanted her to be my voice when I could not speak. She had my birth plan. We had talked about it a lot. I think she is terrified of getting sued. She was always afraid to talk to me about anything somewhat technical, as I think she was afraid I would sue her. Anyway, I'm not thrilled with how it turned out with her. I think next time I would not hire one unless I have a friend who happens to be a doula. Instead, I would ask a true friend to support me in my labor.

I think she should have protected you in this situation.
I'm sorry that happened to you.

Lorette
post #19 of 40
I would write a letter of complaint to the hospital admin, L&D admin, and find out who the charge nurse was that day- and tell her off too, nicely of course.

We have discussed your Doula? right? Well- what about your MW? Why aren't you writing HER about all this, as she uses this hospital too- she's equally at fault. She knew of your birth plan? and obviously she knew about your right to privacy.

If you have another baby I would make a sign in BIG BOLD LETTER that state VERY CLEARLY - NO AUDIENCE, GAWKING, or DISTURBANCES of anykind. I would post this EVERYWHERE- but especially on the outside of the door. I would make sure they CLOSED the door- and kept it closed and the curtains too. I had this similar at my 3rd baby- still too raw to talk about it (she's 2) and I had to YELL at everyone to GET OUT!!! and THEN my OBGYN got mad at all the nurses and anestiesia because they were interfering with ME. I was pissed. I too don't talk when birthing. Don't let this prevent you from having another baby- and a hospital can be doable- but now you know to post signs and make it VERY CLEAR- BUTT OUT!!!

Hugs, warm and healing vibes to you!
post #20 of 40
I totally understand your frustration. I had the opposite reaction, however, to the gaggle of hospital staff that crowded in the doorway to watch. So what if I was naked; it might be the only unmedicated birth they ever see. And I wasn't howling in pain, and I was friendly and cracking jokes right after. That has to be a positive influence.

But yeah, they should have asked in advance. Even if it was a teaching hospital.
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