People's attitudes are often interesting to observe and occasionally they are mildly incomprehensible.
I have a client that has an interesting history: a history of alcohol and drug abuse (she tried to abort the pregnancy with these early on, which didn't work), and the relationship that produced this pregnancy was very new. Because of the drug use I was obligated to make a report to the Children's Aid Society (CAS). They usually want a simple drug test for the baby and if that is fine, then there is no further involvement needed. My plan for this client was to bring it up at her last appointment, when she was 31 weeks. By that point we would have established a relationship of trust, but it was still far enough away from the birth that we would have time to deal with CAS in a reasonable manner. She came into the office for her appointment in a rather unstable mood, and we had a talk about depression and I referred her to the clinic that has a depression treatment program. I decided to hold off on letting her know about the need for CAS involvement until the next appointment two weeks later.
A week later, I got a page from her: she was having contractions, every 10 minutes, lasting a minute. So off I go to check her at home. Most of these calls are false alarms: Braxton-Hicks contractions or ligament pain. I arrived at her home, and palpated a pretty good contraction. So I check her, and lo and behold, she is 2cm dilated and 75% effaced, with the head nice and low! So, I called the obstetrician at University hospital and she requested I send her in by ambulance. I let the client and her partner know that she was in labour and that we were going to send her in by ambulance. Her reaction was atypical to say the least. Most moms at 32 weeks would be super-worried: the baby isn't ready to be born yet! She and her partner were very excited and happy that she was in labour! Strange indeed...
Anyway, after starting the IV I explained that CAS would need to be involved, and she was okay with that plan. She was 3cm by the time she got to the hospital, but then her labour quit and now we are waiting to see what will happen...
I have a client that has an interesting history: a history of alcohol and drug abuse (she tried to abort the pregnancy with these early on, which didn't work), and the relationship that produced this pregnancy was very new. Because of the drug use I was obligated to make a report to the Children's Aid Society (CAS). They usually want a simple drug test for the baby and if that is fine, then there is no further involvement needed. My plan for this client was to bring it up at her last appointment, when she was 31 weeks. By that point we would have established a relationship of trust, but it was still far enough away from the birth that we would have time to deal with CAS in a reasonable manner. She came into the office for her appointment in a rather unstable mood, and we had a talk about depression and I referred her to the clinic that has a depression treatment program. I decided to hold off on letting her know about the need for CAS involvement until the next appointment two weeks later.
A week later, I got a page from her: she was having contractions, every 10 minutes, lasting a minute. So off I go to check her at home. Most of these calls are false alarms: Braxton-Hicks contractions or ligament pain. I arrived at her home, and palpated a pretty good contraction. So I check her, and lo and behold, she is 2cm dilated and 75% effaced, with the head nice and low! So, I called the obstetrician at University hospital and she requested I send her in by ambulance. I let the client and her partner know that she was in labour and that we were going to send her in by ambulance. Her reaction was atypical to say the least. Most moms at 32 weeks would be super-worried: the baby isn't ready to be born yet! She and her partner were very excited and happy that she was in labour! Strange indeed...
Anyway, after starting the IV I explained that CAS would need to be involved, and she was okay with that plan. She was 3cm by the time she got to the hospital, but then her labour quit and now we are waiting to see what will happen...
posted by Stork at 7:45 AM
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