It's almost Christmas, a season that can turn the most placid of households upside down; so it follows that the chaos that exists on a daily basis in our house is multiplied three-fold during this time of the year. Shopping, cards, wrapping (or not wrapping as is our case), prepping the house, and controlling the building Christmas fervor from young CindyLou and keeping the Bean from upending the tree makes day to day life that much more, um, full. Ha.
Labor and Delivery is not immune to Christmas Chaos, either. Every induction slot is filled with patients hoping to check "have a baby" off of their pre-Christmas to-do list, much like the shopping for and wrapping of gifts. To be honest, I'm not really certain how I feel about that. Let's face it, no one, doctor or patient, wants to be in the hospital on Christmas Eve or Christmas Day. Doctors hope to spend those rare days away from the office with the people that they love, not in the nurse's station on L&D. Pregnant women with children want to be certain to secure the holiday for their children that have already been born. There are enormous familial pressures for these women to have their babies "home for Christmas." It makes for a lot of soft, elective induction calls, and sometimes, when a patient truly needs to have a baby for medical reasons, it throws everyone's nice, neat plans into a tailspin. I've seen a few of these holiday plans get ruined by a true medical emergency, and while it is unfortunate, sometimes I wonder if it doesn't serve us right for trying to control as much about labor as we do.
Personally, I have 2 patients due right around Christmas Day, one of whom has a potentially macrosomic baby, and, since they are both healthy and doing well in all other aspects of their pregnancies, we are not scheduling them for induction this week. I hope they will go into labor without medical assistance. It makes it difficult to make definitive holiday plans, given the unpredictability of my profession. OtherDoc and I try to split up Christmas Eve/Day, and New Year's Eve/Day, in order to get some of that time off with our families. I approached him about doing that this week, and he has not decided which days he wants to take call. I already worked the long Thanksgiving holiday, and I hope he takes that into consideration. I am almost giddy that I won't have to deal with this BS next year, and if I do work Christmas, I certainly won't be working Thanksgiving or New Year's. I. Can't. Wait.
So, I will end this rambling, no point post here. What ever your holiday plans may be, I wish you and yours a peaceful season. I enjoy sharing glimpses of life with you, and hope that you will continue to read here in 2009. Merry Christmas from all the Whoos down in Whoo-ville! :)