While pregnancy is a time of joy and anticipation, it can also be a stressor, particularly for those working in the healthcare field. The rewarding nature of healthcare work also exposes pregnant individuals to a range of potential risks. It's important for pregnant nurses to be aware of these risks and take proactive steps to mitigate them.
By understanding these hazards and taking proactive steps, nurses can ensure a healthy pregnancy while providing patient care. This blog will review essential knowledge for pregnant nurses to advocate for their health and the health of their developing baby.
Medications to Avoid During Pregnancy
The healthcare environment exposes nurses to various medications that can be harmful. Exposure to certain medications during pregnancy can have detrimental effects on fetal development.
Teratogenic medications are substances capable of causing birth defects. Common examples encountered in various nursing specialties include chemotherapeutic agents, such as cyclophosphamide and methotrexate, and anticonvulsants, like valproic acid.
Antibiotics, anticoagulants, and other commonly used medications may require careful consideration. Nurses who are pregnant should consult with their healthcare provider and the pharmacist about any risks when handling certain medications.
Common examples encountered in various nursing specialties include:
- Cyclophosphamide
- Methotrexate
- Doxorubicin
- Fluconazole
- Valproic acid
- Lisinopril
- Mycophenolate
- Heparin
- Warfarin
- Tobramycin
- Gentamycin
Pregnant nurses should follow strict handling procedures to minimize exposure to medications. This includes:
- Wearing appropriate personal protective equipment (PPE), such as gloves and gowns, when handling medications.
- Using electronic equipment, such as medication safety cabinets, to reduce exposure.
- Following proper disposal procedures for hazardous medications.
By understanding the potential risks associated with medications and implementing safe handling practices, pregnant nurses can significantly reduce their exposure to harmful substances.
Procedures to Watch Out For
Nurses are involved in a wide range of different procedures in the hospital. Some of them involve exposure to certain materials that can pose a risk to people who are pregnant and fetuses. Radiation exposure, such as during X-rays or fluoroscopy, can potentially harm the fetus. If radiation exposure is unavoidable, then lead protection equipment should be used.
Lifting and other strenuous activities are also common challenges for nurses who are pregnant. Nurses frequently boost patients into bed, lift people, help them walk, and take on others' full body weight. Pregnant nurses should ensure they are using proper body mechanics and assistance devices, as well as delegating tasks as needed.
Chemical agents are frequently used in the healthcare setting. These include agents such as bone cement used in surgery and cleaning detergents used in sterilizing equipment. Exposure to chemical agents is a risk, so adherence to universal precautions is essential for protecting not only the nurse but also the unborn baby.
Other Situations to Avoid
The healthcare environment exposes nurses to various infectious agents, some of which can have severe consequences during pregnancy. Talk to your healthcare provider about which vaccines may be right for you while working as a nurse. Certain vaccines, such as influenza, COVID-19, and Tdap, may be recommended, especially when working with a vulnerable population.
Exposure to hazardous materials, such as chemotherapy waste and certain disinfectants, can be harmful. Pregnant nurses should strictly adhere to proper handling procedures, including the use of appropriate protective equipment and adequate ventilation.
Nurses are frequently on their feet and rarely get breaks. Extended periods of standing can lead to discomfort and increased risk of complications. Taking regular breaks, wearing compression stockings, and using ergonomic aids can help relieve discomfort.
Take breaks to rest your legs and empty your bladder as needed to prevent a urinary tract infection. Mastitis is also a risk developing later in pregnancy if unable to relieve breast milk as needed. Take frequent short breaks as needed to move around and prevent pregnancy-related complications from occurring.
The demanding nature of healthcare can contribute to emotional stress. Pregnant nurses should prioritize self-care, incorporating stress management techniques like mindfulness and exercise into their routines.
The emotional stress of nursing can impact both the mother and baby. To manage stress:
- Stress Management Techniques: Incorporate relaxation techniques such as deep breathing, meditation, or yoga into daily routines.
- Support Systems: Build a strong support network of family, friends, and colleagues.
- Seek Professional Help: Consider seeking professional counseling or therapy if stress becomes overwhelming.
By being mindful of these factors and implementing preventive measures, pregnant nurses can create a healthier work environment and reduce the risk of complications.
Communication and Advocacy
Open communication with supervisors and healthcare providers is essential for pregnant nurses. Discussing any concerns or limitations allows for necessary accommodations to be implemented. Reasonable adjustments, such as modified work schedules or task reassignments, can help create a safe and supportive work environment.
Open and honest communication with supervisors, colleagues, and healthcare providers is crucial. Pregnant nurses should:
- Notify their supervisor about the pregnancy as soon as possible to allow for necessary accommodations.
- Express any concerns or limitations related to the pregnancy and potential job duties.
- Build a strong support system within the workplace to provide emotional and practical support.
Numerous resources are available to assist pregnant nurses. Organizations like the American Nurses Association offer guidance and support.
Conclusion
Balancing the demands of a nursing career with the joys of pregnancy is achievable with awareness, planning, and proactive measures. By understanding the potential risks and taking appropriate precautions, pregnant nurses can protect their health and the well-being of their developing baby while continuing to provide exceptional patient care.
Open communication with supervisors, colleagues, and healthcare providers is essential for creating a supportive work environment. Advocating for reasonable accommodations and utilizing available resources can empower pregnant nurses to successfully balance their professional and personal lives.
References:
Centers for Disease Control and Prevention. (2023). Pregnancy & vaccines. Centers for Disease Control and Prevention. https://www.cdc.gov/vaccines/parents/by-age/pregnancy.html
Lee, H., Chang, H. E., & Ha, J. (2020). Nurses clinical work experience during pregnancy. Healthcare, 9(1), 16. https://doi.org/10.3390/healthcare9010016
Rainbow, J. G., Dolan, H. R., & Farland, L. (2021). Nurses experiences of working while pregnant: A qualitative descriptive study. International Journal of Nursing Studies, 124, 104092. https://doi.org/10.1016/j.ijnurstu.2021.104092
About the Author:
Breann Kakacek, BSN, RN, has been a registered nurse since 2015 and a CNA prior to that for two years while going through the nursing program. Most of her nursing years included working in the medical ICU, cardiovascular ICU, and the OR as a circulating nurse. She has always had a passion for writing and enjoys using her nursing knowledge to create unique online content. You can learn more about her writing career and services at ghostnursewriter.com
Breann is an independent contributor to CEUfast's Nursing Blog Program. Please note that the views, thoughts, and opinions expressed in this blog post are solely of the independent contributor and do not necessarily represent those of CEUfast. This blog post is not medical advice. Always consult with your personal healthcare provider for any health-related questions or concerns.
If you want to learn more about CEUfasts Nursing Blog Program or would like to submit a blog post for consideration, please visit https://ceufast.com/blog/submissions.
