Quote from fourbirds4me
In the past week we have had 4 nurse deliveries 2 with the same doc (and the same nurse). He hates missing a delivery and is generally a well respected and well liked doctor. However, he is very upset and is threatening to give orders (or make standing orders) to do SVE on his pts q1hour for primips Q30 minutes for multips... I think he is just upset and if he thinks about it he will just realize these deliveries were just a case of curcumstance and not a breakdown in nursing care.
In general we have maybe <2 nurse deliveries per 100/deliveries. How many are happening at your place?
Iwork in a level III L&D. In the late 80's and early 1990's I delivered a baby nearly every day I worked. We had ONE resident in house... and over 70% of the laboring patients were his/hers.
Now we always have at least 3 residents... but I still have the occasion to catch a baby, for various reasons. Today I had a delightful G6 P5 who wanted no intervention. Her water broke at 1712... she sat down on the bed and said "the baby is coming" and there it was! A healthy 7 lb. 3 oz girl... It was just her, me and her cousin.
Earlier today I had a 22 week DIU that I delivered because all the residents were at "Grand Rounds". Fridays are notorious for nurse births.
Looking at stats for nurse births, we have no 3rd or 4th degree tears; mostly 1 degrees that don't need suturing.
BTW... our private docs occasionally let the nurse birth the baby so that they know we are capable. We have some WONDERFUL doctors!!!
Counting midwifery school I have personally "caught" over 400 babies in my 20+ years of labor nursing.