Abortions on PP vs L&D

  1. Anyone have any say on this? Is one better than the other? Is there a protocol? What about delivering a fetus w/o a physician present on PP? Looking for feedback.
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  2. 13 Comments

  3. by   ShandyLynnRN
    As far as IUFD's, we deliver them in labor rooms. Our hospital does not do elective AB's. I have had patients less than 20 weeks that I have delivered, with the doc on the way, but generally the doc is present.
  4. by   anitame
    My joint does them the same as Shandy.
  5. by   littlemack
    For whatever reason they are delivering, we always have them on L&D. But on occasion they have delivered on PP.
  6. by   canoehead
    Because of the intensity of the care perhaps L&D is best until the fetus is out. How do the mums feel about being among all those happy families? Should they just be done on a gyn floor?

    My hospital is very pro-life, so we never do abortions.
  7. by   Nurse Izzy
    Our hospital does IUFDs on the LD floor and then they do go to Post-Partum but are put away from all the "happy" moms with the leaf/raindrop sign. I had a pt who was an IUFD at 19 wks and then for G2 delivered at 39 wks. Very open about talking about the G1 and told us that she didn't mind. It was sad for her but it made her feel better at the same time - reminded her that her life wasn't over and that she would be on the other side and hopefully soon. Luckily the G2 was a healthy bouncing baby boy!
  8. by   mark_LD_RN
    delivery should be in a labor unit.
  9. by   SmilingBluEyes
    We do not do abortions either place I work but if we did, I would imagine these patients would be best-served by obstetric personnel in their care thoughout the procedure.
  10. by   cindyln
    Being a government hospital we don't do abortions. All deliveries, alive or deceased are done on L&D. I have had 1 patient miscarry in a postpartum bed. I was there to deliver the fetus. The OB doc was not responding to my pages,another topic all together. But the patient was very happy with my care.
  11. by   webbiedebbie
    Thanks for responding. This hospital does all ABs on the PP unit. I am not comfortable with it. Even the threatened and inevitable ABs are done on this floor. Had one yesterday at 15 weeks on Pit. Plus, the orientee taking care of her had 2 other patients. (I am also orienting). When I asked about it, I was told that we keep our other patients. When I questioned the Pit, I was told that the postpartums come to the floor with Pit. I believe this is different....they have already delivered. And, they don't run the Pit on a pump. (because the pumps don't work and the Pit is only running low enough to get things going). This hospital is in a military town. I tried to check the AWHONN site for information but couldn't find anything.
  12. by   SmilingBluEyes
    well Debbie sounds like a dangerous situation with a potentially troublesome outcome. A PP nurse who never does labor care may get in deep water (as would her patient). Not a wise thing in my opinion! Sounds like a real mess waiting to happen!
  13. by   Texagain
    I'm not entirely clear on the question but I'll respond anyway. We don't do VTP's. All our AB's deliver in L&D, and stay in L&D or go to antepartum for the rest of thier stay. We don't like having them on post-partum.
  14. by   webbiedebbie
    Well, I guess they figure our floor is also antepartum.

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