Do you always keep emergency meds on hand for deliveries?

Specialties Ob/Gyn

Published

I have a colleague who brings cytotec, hemabate AND methergine to every single delivery. I understand wanting to be prepared but I think that's a bit much. Don't get me wrong. If I get a G12 or a 2nd day induction patient I'll probably bring all that stuff to a delivery too, or at the very least, some IM pitocin. Do you bring emergency drugs to every single delivery?

Specializes in L&D, Mother/Baby.

I worked at a facility that had a delivery med kit: IM and IV Pit, cytotec, mineral oil, lidocaine, eyes & thighs. Haven't seen methergine or hemabate at beside. I haven't done a study or anything, but I doubt the seconds saved by having it at the bedside increases outcomes. Unless of course you work at a facility where you can't rely on extra hands to help you in an emergency, which is the case sometimes. ?

Specializes in OB-Gyn/Primary Care/Ambulatory Leadership.

why mineral oil?

Specializes in OB.
why mineral oil?

Some practioners like to use mineral oil on the perineum to help prevent tearing.

Specializes in OB-Gyn/Primary Care/Ambulatory Leadership.

Ah. We just squirt a couple packets of lube on the perineum.

Specializes in L&D, infusion, urology.

I'm at a FSBC, and we have a med container in one room with everything we could need (no hemabate). The two rooms are right next to each other, so it would be easy to go from one to the other PRN. The bin comes out for eyes and thighs, and may be out for sterile water injections or other things that may have come up at some point during labor. I wouldn't pull anything out ahead of time, but it's not like when meds are across the unit in a Pyxis.

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