[Elvish]

Originally Posted by KT-Jay731

Now my question: Is there a difference between belonging to your state division of AWHONN or the national organization?

Nope. You send your dues to the headquarters in DC and you're a member of the nationwide organization which has state/local chapters that meet every so often.

[cubbynurse]

Hi everyone-
I am going to be starting as a RN on a high risk antepartum/postpartum floor in 2 weeks and am reviewing common medications given on the floor. I have been a nursing assistant on the floor for my last year of school and know that many of the patients are started on birth control if they want it prior to discharge.
-Is depo-provera ever given if the mother is going to be breastfeeding? It says use with caution if lactating. Would any hormonal birth control be used for a breastfeeding mother?
-It also lists thromboemolism/ pulmonary embolism as a life-threatening complication of this medication....which confused me. I thought that estrogen was what caused clots to form and if depo-provera does not contain estrogen, how is this a side-effect of it?
-My book says it comes in both PO and oil suspension...how often is the PO form used in the postpartum setting?
I'm sorry if some of these questions seem kind of silly Thanks in advance!

I am using the 20th Anniversary 2007 Mosby's Nursing Drug Reference if that helps anyone.

[Jolie]

Originally Posted by cubbynurse

-Is depo-provera ever given if the mother is going to be breastfeeding? It says use with caution if lactating. Would any hormonal birth control be used for a breastfeeding mother?

In my experience, most OBs and CNMs want their patients to establish breastfeeding before starting hormonal contraceptives. I can't recall a breastfeeding mom being started on these medications in the immediate post-partum period (while in the hospital). It is not uncommon for them to be instructed to avoid intercourse until their 6 weeks PP check-up, at which time contraceptives are started, since breastfeeding is well-established by then.
-It also lists thromboemolism/ pulmonary embolism as a life-threatening complication of this medication....which confused me. I thought that estrogen was what caused clots to form and if depo-provera does not contain estrogen, how is this a side-effect of it?

Not sure about this one I'd have to look it up.


-My book says it comes in both PO and oil suspension...how often is the PO form used in the postpartum setting?

Provera is available in a number of forms. However, "depo" refers to a long-acting injectible form. Depo-provera is an IM injection given approximately every 3 months. The oral form of Provera is not a contraceptive, to my knowledge, but is used as hormone replacement therapy. The oil suspension of Provera is a short-acting form used as progesterone replacement.

I'm sorry if some of these questions seem kind of silly Thanks in advance!

No question is silly! Enjoy your new job!

[UPanRUNNIN]

OK I probably should not answer this as I havent even reached the RN level yet. But I can speak from experience. After I had my second son while still in the hospital I received the depo provera shot. I had a c-section and was there for 4 days, I received the shot on the 3rd day. And I was breast feeding. I would hope that especially with a c-section if there was a risk of clotting they would not have given me the shot. Maybe if the patient is in good health and had no complications on previous labor and postpartum recovery it is just a call the DR. makes. I dont exactly know, but thats what happened to me and thought Id share it. Like I said I am not yet an RN, still in school.

[Poopsie Gigglebuns]

Can someone give me some good references on the ins/outs of using pit? as a new nurse, i'm getting conflicting info. some say ctx should be 250 mvu and 1.5 min apart - others say different. some rns have increased dosage even after 1 or 2 lates. some increase even if we haven't been getting good info from toco/cardio b/c patient is too fat. also, some say turn pit off if patient has been on overnight and is not progressing(receptors saturated); others say you should turn it up when this happens. policy of hospital pretty much says do what MD prescribes. i don't know enough to step in and say not a good idea. all my drug book says is CI and AE, which is pretty much useless. So confused!!!

[flipflop239]

Hi! i have a question, i am goin gto the university of central florida this fall with a pre-nursing major to get my BSN in nursing. I want to work in labor/delivery, but dont mistake me, i dont want to be a midwife, but how long does it takeonce you get your BSN to get into that program and working in the hospitals working in L&D? is there a program i have to go thru after the i get my BSN?? thanks so much, i just want to know what my path is for me and what i should plan for, im so excited!

[Poopsie Gigglebuns]

congrats on your choice of l/d. i don't know much about florida, but in texas, there are a few hospitals that will let you do your internship in l/d right away, others will make you work in antepartum or postpartum for a year first. depends on the hospital.

[ladyinred667]

Originally Posted by flipflop239

Hi! i have a question, i am goin gto the university of central florida this fall with a pre-nursing major to get my BSN in nursing. I want to work in labor/delivery, but dont mistake me, i dont want to be a midwife, but how long does it takeonce you get your BSN to get into that program and working in the hospitals working in L&D? is there a program i have to go thru after the i get my BSN?? thanks so much, i just want to know what my path is for me and what i should plan for, im so excited!

Are you asking how long it takes to work in L&D after you become an RN? I just passed the NCLEX last month and am able to apply to jobs in L&D. Some take new grads and some do not. I am in South Florida.

[babycatcher7]

Hello everyone! I am writing because I have just recently passed the NCLEX and am looking for a good new grad training program. I am interested in moving to Los angeles so have started to explore options there. My first choice is NICU, then post partum/well baby nursery, then L&D.

I found a L&D program at Cedar Sinai, but have gotten feedback that it is not a very supportive learning environment for new grads. In terms of my background I am have been working as a doula for 3 years and trained for some time under a licensed midwife. I am debating pursuing a career as licensed midwife or a CNM. I would like to work as a RN to sharpen my clinical skills in the hospital, make a decent salary, and get clarity on what type of midwifery I will practice.

Does anyone have any suggestions on good new grad training programs?

[CocoSweet]

Hi, I am just finishing up my pre-reqs at FCCJ. I am going into nursing. I already know that I want to be an OB Nurse. My question is when will I be able to do strictly OB nursing? Will I be able to do my 90 hours in a hospital on the L/D floor or what?