Given the news that nurses at 5 Allina hospitals are set to strike starting
Saturday Sunday, there are a few things to keep in mind if you’re due soon and are facing the chances of going in to give birth and were planning to have your baby at United, Abbott, or Mercy, there are some things you should be aware of.
The replacement nurses will be trained in Labor and Delivery. That’s the good news. The bad news is that they will bring in their own ideas, which will very likely be very different than the hospitals regular protocols and policies. We have far better outcomes in Minnesota than, say, the South. Many of these nurses will be coming from areas with very high c-section rates, where waterbirth is banned, where there are de facto VBAC bans, etc. Be aware that you may face huge opposition from your nurse if she’s not normally around these things that families in Minnesota have come to expect as the norm.
Also, when replacements are brought in to any strike situation and cross the picket line, patient safety becomes a concern. Nurses unfamiliar with even where various items are kept or who will be struggling with an unfamiliar Electronic Health Record system won’t be able to provide the same level of care that the staff nurses can provide. Also, if staffing agencies had a hard time recruiting enough L&D nurses, patient ratios may be even worse than normal– a long time sticking point between the nurses union and Allina.
So, what can you do if you’re facing an impending strike and you’re days away from birth?
If you have the option to give birth at a non-Allina hospital with your current maternity care practice, do so. If you don’t have a non-Allina option, speak with your doctor (and since Allina is the only hospital group without a midwife group, it’s probably just a doctor that you have) about how he or she is planning to help keep patients safe during the strike. Will they be spending more time in the hospital while patients are laboring?
And even at this late stage, consider hiring a doula. She can’t provide medical care, but she will be able to be another set of eyes and hands and can help protect your birth, even with replacement nurses. It may be possible to hire a private doula, but I can get families birth doulas my non-profit. Our fees are on a sliding scale, too. You can find more info here.
It was stressful for patients during the last widespread strike, even though that strike only lasted 24 hours. Hospital administrators will always spin things to try to reassure patients, but parents have a right to understand that things won’t be the same.
If you have any specific questions, post them in the comment section!