Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

There’s no place like labor and delivery for the holidays

Rakhi Dimino, MD
Physician
December 5, 2019
Share
Tweet
Share

It’s that time of year when the weather outside is growing colder, the evenings seem to kick off way too early in the day, and the decorations around town remind all of us all of the fast-approaching holiday season.

But for many of us obstetricians, this can often translate into anxiety over how often we’ll be pulled away from long-scheduled holiday activities to rush to the hospital for an emergency.

I spent more holiday seasons than I care to remember darting out of restaurants, missing family events, and nervously checking my pager. At the same time, I was keenly aware of “the weekend effect,” in which infant and maternal mortality rates spike during weekends and holidays. Some have attributed this to the lack of highly trained, more senior-level full-time staff wanting to cover “undesirable shifts,” that may go to newer, less experienced physicians. Others have pointed to clinician burnout as a result of compounding stress throughout the week and holidays.

And while having a “holiday baby” can be a time of great joy for many families, holidays can be an especially hard time for patients facing less than ideal pregnancy-related situations. Miscarriages, postpartum concerns, and unexpected complications during the birthing process take no breaks in lieu of the holidays. With the heavy emphasis on family and being “home for the holidays” throughout this time of year, the impact on patients can be especially hard-hitting when things go wrong.

Seven years ago, I became an OB hospitalist. I embraced many of the benefits of a regular schedule, including the opportunity for greater predictability and control over my schedule. An average workday now finds me providing coverage, team leadership, and clinical support, either until the patient’s assigned obstetrician arrives at the hospital, or as their primary caregiver when the patient is unassigned. When the community obstetrician arrives, I either turn over patient care to the designated provider, or continue to co-assist as part of the care team. This model allows the hospital to provide the highest standard of care regardless of when the patient arrives, with seamless coverage from the perspective of the patient.

I will never forget one winter shift a few years ago when I was put in charge of assisting a pregnant woman whose holiday cheer was cut short when she was suddenly rushed to the hospital. She was suffering from an embolism characterized by sudden cardiorespiratory collapse and acute hemorrhage and was bleeding out. Her distraught husband seemed to be in shock, pleading with our team to save her life. This was a far cry from the joy of childbirth most new parents yearn for.

Our team immediately jumped in. We worked for hours to deliver the baby, stop the bleeding, and stabilize her. While it was among the more stressful medical situations I’ve had to work on, my greatest holiday gift that year was knowing that I could help that family return home with a new, healthy addition in tow. What could have been a tragedy under different circumstances was averted because of the care our team provided that night.

It is during these short winter days and cold nights that I often find myself reflecting on how no day in the hospital from the patient perspective is an average day. It is within my ability to positively affect their experience, no matter how wonderful or tragic that situation may be. Ironically, I often welcome the opportunity to cover other physicians who want to spend some much-deserved time with their own families during the holidays because of this. No one wants to be in a hospital on a holiday, but being there for our patients as a source of comfort, safety, and care during this critical time is the greatest gift that we, as physicians, can give.

Rakhi Dimino is an obstetrician-gynecologist and medical director of operations, Ob Hospitalist Group.

Image credit: Shutterstock.com

Prev

Can rural health care be saved?

December 4, 2019 Kevin 9
…
Next

Female voices: Achieving the lovely therapeutic range

December 5, 2019 Kevin 2
…

Tagged as: Hospital-Based Medicine, OB/GYN

Post navigation

< Previous Post
Can rural health care be saved?
Next Post >
Female voices: Achieving the lovely therapeutic range

ADVERTISEMENT

More by Rakhi Dimino, MD

  • A reminder of how important bedside manner is

    Rakhi Dimino, MD

Related Posts

  • There’s no such thing as work-life balance

    Katie Fortenberry, PhD
  • A specific way to improve our health care delivery system

    Lea Lefkowitz
  • The trials and tribulations of health care delivery

    Michelle Detka
  • A physician’s addiction to social media

    Amanda Xi, MD
  • Why health care delivery is an exceptionally different industry: board of directors and CEOs

    Joe Mandato and Ryan Van Wert, MD
  • Why health care delivery is an exceptionally different industry: Why does it matter?

    Joe Mandato and Ryan Van Wert, MD

More in Physician

  • How transplant recipients can pay it forward through organ donation

    Deepak Gupta, MD
  • A surgeon’s testimony, probation, and resignation from a professional society

    Stephen M. Cohen, MD, MBA
  • Locum tenens: Reclaiming purpose, autonomy, and financial freedom in medicine

    Trevor Cabrera, MD
  • Collective action as a path to patient-centered care

    American College of Physicians
  • Portraits of strength: Molly Humphreys and the unseen women of health care

    Ryan McCarthy, MD
  • When embarrassment is a teacher in medicine

    Vijay Rajput, MD
  • Most Popular

  • Past Week

    • Why your clinic waiting room may affect patient outcomes

      Ziya Altug, PT, DPT and Shirish Sachdeva, PT, DPT | Conditions
    • The backbone of health care is breaking

      Grace Yu, MD | Physician
    • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

      Robert E. White, Jr. & The Doctors Company | Policy
    • How new loan caps could destroy diversity in medical education

      Caleb Andrus-Gazyeva | Policy
    • Why transplant equity requires more than access

      Zamra Amjid, DHSc, MHA | Policy
    • The ethical crossroads of medicine and legislation

      M. Bennet Broner, PhD | Conditions
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • Why AI in health care needs stronger testing before clinical use [PODCAST]

      The Podcast by KevinMD | Podcast
    • How AI is reshaping preventive medicine

      Jalene Jacob, MD, MBA | Tech
    • How transplant recipients can pay it forward through organ donation

      Deepak Gupta, MD | Physician
    • Inside the high-stakes world of neurosurgery

      Isaac Yang, MD | Conditions
    • Why I left the clinic to lead health care from the inside

      Vandana Maurya, MHA | Conditions
    • How doctors can think like CEOs [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why your clinic waiting room may affect patient outcomes

      Ziya Altug, PT, DPT and Shirish Sachdeva, PT, DPT | Conditions
    • The backbone of health care is breaking

      Grace Yu, MD | Physician
    • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

      Robert E. White, Jr. & The Doctors Company | Policy
    • How new loan caps could destroy diversity in medical education

      Caleb Andrus-Gazyeva | Policy
    • Why transplant equity requires more than access

      Zamra Amjid, DHSc, MHA | Policy
    • The ethical crossroads of medicine and legislation

      M. Bennet Broner, PhD | Conditions
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • Why AI in health care needs stronger testing before clinical use [PODCAST]

      The Podcast by KevinMD | Podcast
    • How AI is reshaping preventive medicine

      Jalene Jacob, MD, MBA | Tech
    • How transplant recipients can pay it forward through organ donation

      Deepak Gupta, MD | Physician
    • Inside the high-stakes world of neurosurgery

      Isaac Yang, MD | Conditions
    • Why I left the clinic to lead health care from the inside

      Vandana Maurya, MHA | Conditions
    • How doctors can think like CEOs [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...