I am still biting my tongue from yesterday.  I tried to help a mom with a 38
week old baby who was C-Sectioned for macrosomia.  No labor even tried.  The
baby was 6 pounds 8 ounces.  Supposedly, two weeks ago the ultrasound said the
baby was 7 lbs. 5 oz.  And it was felt that if the baby was probably 8 1/2 lbs
by now so why even try labor.  The woman was a big woman, not even petite.  I
wanted to say to her my petite mom birthed me frank breach then had a 10
pound and then her last was over an 8 pound baby.  But I bit my tongue.  I looked
at her and husband and said, so what did you think when this tiny baby was
born?  They both said they were shocked but they were NOT upset at ALL with the
fact she had a C-Section.  It just makes me sick to my stomach.  I guess it is
the wave of the future here.  Of course since I couldn't just magically get
the baby on the mom stated if it was going to be this difficult bottle feeding
was just fine for her since she and her siblings all were fed formula.  I went
through the whole entire we know more now speech, educate yourself before you
make that decision, normal newborn behavior the first 2 days of life (the baby
was 15 hours old), etc.  She got a little miffed at me and said once again
that she and her siblings were fine (she is rather a LARGE woman) and she knows
her baby would be just a perfect on formula so she really didn't care what I
had to say.  Oh, dear....another trip into my bosses office when her eval comes
in!!  I later found out her mother adopted her and her siblings.  I did try
to go over stomach capacity and overfeeding on bottles if she did decide to go
that route so I at least documented I addressed everything on her chart.  Back
to work today.  I guess I won't even ask why the moms had surgery so my blood
pressure won't go off the charts!  For those of you who see moms in cultures
where C-sections are routine how do you do it day after day?!

Pam Hendrix, BA, RN, IBCLC
S. Flordia Hospital Based






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