So are your antepartums breaking like ours?

Specialties Ob/Gyn

Published

Specializes in Community, OB, Nursery.

We have seen more breaking antepartums in the last few weeks than I have seen in a very long while. Is it me or is it happening everywhere? Sheesh! They can stop any time now!!!

Specializes in OB, HH, ADMIN, IC, ED, QI.
We have seen more breaking antepartums in the last few weeks than I have seen in a very long while. Is it me or is it happening everywhere? Sheesh! They can stop any time now!!!

What do you mean by "breaking antipartums"? Membranes ruptured? emotional breakdown due to stress?

Specializes in Community, OB, Nursery.

I'm talking about someone that's been on our floor for a while with whatever condition got them there to begin with...we keep antepartums with PTL, PPROM, previa, or whatever on the floor once they're stabilized. We keep them for weeks, sometimes even months. Breaking = they decide (rather, their bodies decide for them) that they're done and baby is coming.

We have had a run these past few weeks wherein it seems like darn near everybody breaks.

Specializes in L&D, QI, Public Health.

Perhaps the obvious is that the holidays are here and they want to be home with their family. I still think it's a stupid reason to 'break', but I understand their train of thought.

Specializes in Community, OB, Nursery.

No, I don't mean they're doing it on purpose. I just mean that they all seem to be 'going' at the same time. I'm talking about pretermers here, not people who are just tired of being pregnant....like 29 and 30 weekers in who've been there a while all of a sudden, we find them on the toilet trying to push. And it seems like just about every single pt on our floor has gone like that in the last couple weeks.

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

I hear what you mean, and knew what it meant from an OB standpoint. I have seen this phenomenon before, during times of stress or in really rough weather. I saw it most in Oklahoma, when tornadic conditions were present.

Fortunately, this is not the case where I am, even though the weather in the PAC NW is horrible, to say the least.

Good luck in weathering this time with your ante's and labor patients!!!! Hopefully there will be "room at the inn" when they need it, and sanity time for you, as I know you do, Elvish!!!

Specializes in L&D,Lactation.

We call it "breaking through" , meaning whatever treatment we were using stops being effective.

Specializes in L&D and NICU.

Not so much coming from our antipartum untit but we have had a lot of preterm pts come in and we just cant cant seem to get them stopped, or they have already progressed to transition, or have ruptured membranes. We usually get a trickle, but it seems pretty busy with these pts lately. Yesterday we actually had 2 different pretermers arrive about 5 minutes apart, both delivered within the hour.

Yup. It is making me crazy! I think it must be all the storms we are having here.

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