beckinben CNM

Latest Activity

1. L&D Labs

   beckinben replied to jennfinn's topic in Ob/Gyn

   I have never worked at a hospital or even heard of routinely checking the blood sugar of a non-diabetic mother in labor. Newborns, yes, although routinely checking their blood sugars is not recommended either, but it's still done. The only labs I rou...

2. Confused about the process...

   beckinben replied to TWUness1's topic in CNM

   Becoming a CNM almost always requires a master's degree. It is usually a 2 year program full time. My suggestion would be to go to the American College of Nurse Midwives website at http://www.acnm.org or http://www.midwife.org and click on the tab th...

3. Skin to skin contact

   beckinben replied to at your cervix's topic in Ob/Gyn

   This is the article I refer to when people ask me about delayed cord clamping. I believe in the benefits of it, however, our nursery staff seem unable to evaluate babies anywhere except the warmer, so I have been pressured to cut the cord earlier so ...

4. Are you allowed to deliver?

   beckinben replied to Aneroo's topic in CNM

   Limiting the practice of CNMs to non-delivering roles might be a way to increase workload for residents - they have requirements on how many deliveries they have to do and the hospital might not have the volume for other providers. It might also be d...

5. Community hospitals????

   beckinben replied to Elvish's topic in Ob/Gyn

   Why do they have to come in to see a labor check? I don't go in to see simple labor checks. I review the strip on my computer at home and dictate a note stating that serial exams by the RN showed no cervical change, the strip was reactive, and that s...

6. Does a CNM do post-partum repairs?

   beckinben replied to justme1972's topic in CNM

   I repair 1st and 2nd degree lacerations. If I have a 3rd, one of my backup docs comes in. I do know CNMs that have privileges to repair 3rd degree lacerations. I haven't seen or had enough 3rd degrees to feel anywhere near comfortable doing them myse...

7. Ugh! Delivered Baby On My Own The Other Day...

   beckinben replied to jenrninmi's topic in Ob/Gyn

   If it was a private patient of the attending, no, he probably won't get paid for the delivery if he wasn't in the room. Don't feel bad. If he was that invested, he could have stayed in the room with his patient. He made the decision not to. I haven't...

8. "Old" vs. "New" Midwifery Books

   beckinben replied to lugnutz's topic in CNM

   Holistic Midwifery by Anne Frye is probably the most comprehensive text for out of hospital birth. There are two volumes - prenatal care and intrapartum care. Volume 1 is getting older (1998), but I've heard it's good. I have volume 2, it came out in...

9. Twins...Gest. age and induction/c-section

   beckinben replied to shortstuff31117's topic in Ob/Gyn

   We've had three sets of twins in my practice this year, and all were induced 36-37 weeks due to PIH issues. In general, though, we don't induce prior to 39 weeks. My physicians will do vaginal deliveries as long as baby A is vertex. One does vaginal ...

10. L&D nurses? Are you all for natural births?

    beckinben replied to MIcrunchyRN's topic in Ob/Gyn

    And if I'm really thinking someone might deliver on the toilet, or she's worried about the baby falling in, I'll put a hat in there, just to help with that fear. Hats are good for placentas, too. Sometimes just sitting on the toilet gets that placent...

11. How Many C-Sections are Safe?

    beckinben replied to Nicky30's topic in CNM

    Of the women I know, the most any one has had is 9 (yes, nine) c-sections. Her last was a planned section at 36 weeks due to the increased risk of uterine rupture. The baby did have some problems related to preterm birth. In the last month, I've firs...

12. the phrase "breaking the bed"

    beckinben replied to smallwonders07's topic in CNM

    I rarely, rarely get the stirrups out. I probably have a 50% epidural rate (for a variety of reasons), and I still try to get the ones with an epidural into a side lying position for delivery. It's better for preventing or decreasing tears, and reduc...

13. Direct-entry CNM programs

    beckinben replied to smallwonders07's topic in CNM

    If you go the more traditional route to CNM, where you attend nursing school, receive an RN license, and then continue on to a graduate program in midwifery, most people do choose to work as a RN between the RN program and the CNM program. After you ...

14. the phrase "breaking the bed"

    beckinben replied to smallwonders07's topic in CNM

    Interesting that the nurses have that preference. At my hospital, I (virtually) never break the bed. I've really had to get the nurses used to it. I think it's easier to keep the bed clean if you break it down, but the advantages of not breaking the ...

15. Birth in the Media

    beckinben replied to Nefertari1279's topic in Ob/Gyn

    I was first assisting one of my docs on a c-section yesterday, and the patient asked us in the middle if we were almost done yet. We told her no, and she actually said "but it doesn't take this long on A Baby Story." :smackingf