Some of you may have seen my Yelp review on Cedars hospital, "Hospital to the Stars".
They love intervention and DRUGS, they LOVE DRUGS, and even when they promise you they don't intervene, wont offer you drugs, will allow natural birthing options, alternative methods of laboring and alternative pushing positions, they do not.
My client had a very, very specific birth plan, it was completely natural and entailed even things like husband wanted to catch the baby, etc. This is what happened to the major points of it.
Birth Plan Violation #1 (Do not offer me drugs) Requested No epidural- was literally convinced into epidural- was told epidural had no narcotics. By Nurse Violet and two other attending nurses, all with a dismissive "oh, no, of course it doesn't!" No narcotics, ever! (While the MD Anesthesiologist) confirmed the fact that their particular epidural combination HAS and did in fact have a narcotic component which was in fact put into my clients body and was probably what was causing the itching and discomfort- allergic reaction.
Birth Plan Violation #2 (No Residents, or not fully licensed professionals) Requested no Residents work of her or her baby- 3 Residents were forced upon us, and Doctor and Nurse gave them OK to work on baby despite the fact that I just informed the pediatric team she did not want residents to work on her baby.
Birth Plan Violation #3 (My Doula speaks for me and forwards you my reuqest) Upon attempting to discuss something in private with Client, Nurse Violet decided to have a screaming confrontation with me telling me I couldn't give the client a professional perspective because "she" was a professional and I wasn't. And I was "biased" against pitocin- not having spoken to my client about pitocin until that very moment in time. I had an internal chuckle at this- because whatever choices she made about Pitocin came from her own research and her Lamaze class. So, I just snapped and told her, I actually haven't' spoken to my client about Pitocin at all. And it was a mess. A horrible dramatic mess right in front of the patient. I don't generally loose my cool, but my last couple of hospital experiences one at Kaiser Sunset and Cedars, have left me a little more on edge, because they have both been very concerning.
Birth Plan Violation #4 (Please do not give me pitocin) was talked into Pitocin due to "non effective contractions" per Doctor and Nurse Violet who told her that Pitocin has "no known links to c-section". I just shook my head at this point.
Birth plan Violation # 5 (Asked to use alternative pushing positions, was told she could use bar to squat and push.) Nurse Violet brought in pushing bar, and proceeded to humorously tell doctor what the "theory" behind using bar was. Doctor simply laughed at her and told her she wasn't going to use bar and she was going to push out baby on her back because baby was already on her way down..
Birth plan Violation # 6 ( Do light massage of uterus.) Doctor proceeded with an extra ordinary invasive uterine massage, told her "She didn't care if she killed her, she was going to it to save her from bleeding". Patient had NORMAL bleeding. Nothing extraordinary, uterus clamped down as normal right away.
Birth Plan Violatio #7 (Unecessary Interventions) Was told baby had an emergency and thus birth plan options did not apply. Baby had a debatable +3 meconium, which was actually about +2, I saw it myself, I've seen +3 meconium, there's no doubt, that this was not what this was. I observed it, the original attending OB confirmed a +1, +2, baby was immediately responsive, yet they kept working on her as if she wasn't. They scared the shit out of the parents, because the fully licensed Pediatric Nurse was teaching 3 other students- thus- I'm sure the full display of "all the things that can happen with a meconium baby" had to be achieved. Violating present and clear research that was recently published regarding proceeding with aggressive suctioning and old meconium procedures despite responsiveness of newborn. She was put on an oxygen measurement machine, though she was pink and responsive. I could go on, but it will get too technical.
Birth plan Violation # 8 (Do not do unathorized procedures to the newborn) Bloods were drawn on the baby for sugar levels, according to the nurses (Nurse Violet) and the Pediatric Nurse, due to "concerns for sugar levels with meconium babies). I asked them for this protocol in writing, never having heard of it, and never having heard of correlation between meconium babies and low sugar levels.) Unless they were trying to determine if baby had suffered an oxygen insult above and beyond the normal process of birth- but even then, the fact that the newborn was responsive 1 min after birth. They stared blankly at me and left the room, never giving me an answer. Turns out, best we can figure that they assumed the baby was small for the gestational age of pregnancy, even though patient told them repeatedly that small babies ran in her family and culture. Not only was blood drawn from babies arm without consent or full disclosure, upon asking Nurse Violet if bloods had been drawn before newborn had a chance to breastfeed, making the results questionable, she said "No, way, never! No, we don't do that here without you breastfeeding first, ever!" AFTER the fact that it had already done it. .
Turns out baby was "fine". No problems breathing, with oxygen loads, with sugars, with anything. And yet all the drama. I don't believe that I should be able to recognize a baby who is responsive and be able to recognize meconium stages better than the "professionals" but apparently- YES. That is correct. I don't know how they have never seen a responsive baby Vs a non responsive baby.
And how they have never seen actual +3 meconium, but I have and can recognize the difference in how it looks, and how it interacts with the newborn.
And I'm going to assume that they have in fact seen a SGA baby before- Small for Gestational Age baby before- rather than a circumstantially small child, and they actually know how to tell the telltale signs of an actual SGA and can tell the difference!
I'm going to assume that the reason these unnecessary things were done to the fragile, traumatized newborn, who took in about 8 loads of epidural an one heavy load of pitocin was not because they are stupid but because they needed to check off some items in the pediatric teams licensing.
Birth plan Violation # 5 (Please do not do any of the "Standard" procedures on baby until 24 hours of birth) All procedures where done to baby at once. Arythromicin, Vitamin K, possibly even Vaccines.
(I'm horrified, all this time the mother was asking for her baby. Which she asked for them to work on on her bed- which they didn't.)
Birth Plan Violation # 9 ( Breastfeeding only) Was told to give baby formula in between breastfeeding due to a few oz "too much" weight loss after delivery. Despite the fact they had pumped her with 4 x the usual fluids during labor. And they did not properly inform her of the possible bad affects of giving a new born formula and how that would affect breastfeeding for her- which it did.
Those are the major things. I hope you can see why I had to write this. And I hope you can use the information for your own good.
Much Love,
Claudia