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Bedadine for vaginal birth

Ob/Gyn   (4,563 Views | 16 Replies)

2,106 Profile Views; 30 Posts

Just a question does your hospital use mainly bedadine for vaginal prep in a patient who is getting ready to deliver vaginally or do you use soap and water to prep the patient. The hospital i work at uses mainly bedadine for the patient prep who is getting ready to deliver bedadine is widely used in our labor and delivery area's any feed back is greatly appriciated

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LibraSunCNM has 10 years experience as a MSN and specializes in OB.

1,385 Posts; 25,759 Profile Views

We don't use any prep, except wiping away any stool that's passed while pushing. There's no evidence behind it.

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klone has 14 years experience as a MSN, RN and specializes in Women's Health/OB Leadership.

6 Followers; 13,527 Posts; 118,327 Profile Views

The place where I started working as a new nurse used a boat of 4x4s, warm water and a healthy squirt of Phisoderm. Then I moved to a hospital that practiced EBM/EBP and we didn't do any vaginal prep except, as Libra mentioned, cleaning off the perineum if there is stool there.

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8 Posts; 559 Profile Views

My hospital does not do any sort of wiping except if patient has a bowel movement during pushing.

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melmarie23 is a MSN, RN and specializes in L&D/Maternity nursing.

1,171 Posts; 11,774 Profile Views

We don't use a prep either. We just wipe away stool as needed.

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Katie71275 has 2 years experience and specializes in L&D.

947 Posts; 15,018 Profile Views

We are still using a betadine prep and then washing off with a soap/water solution.

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JoyfulRN14 is a BSN, RN and specializes in ICU.

86 Posts; 4,356 Profile Views

We don't do a vaginal prep (as in anything internal) but most of our MD's do a sponge wiping of outer areas with betadine mixed with warm water. Our midwives do not.

Sent from my iPhone using allnurses

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cayenne06 has 10 years experience as a MSN, CNM and specializes in Reproductive & Public Health.

1,394 Posts; 18,552 Profile Views

no evidence to support any sort of perineal/vulvar prep for routine SVB. In fact with all the new data we are seeing regarding microbiomes and their effect on health, it's not unlikely that antiseptic preps are downright harmful. And anyway betadine is readily "inactivated" by the low vaginal pH and the copious amounts of blood and other fluid at birth, and hibiclens has the potential for serious GU irritation. I guess a little soap and water would be fairly benign, as long as we make sure the baby doesn't get soap on their face.

Maybe it's just my woo, but I don't want my genitals and unborn baby's head to be dowsed in an antiseptic unless there is a clear indication of benefit.

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7 Posts; 365 Profile Views

I work in 2 differnt facilities in my community, one uses Betadine scrub for vag deliveries and the other does not do any prep at vag deliveries

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Julius Seizure specializes in Pediatric Critical Care.

1 Follower; 2,243 Posts; 24,869 Profile Views

Wow, the things that I would never think of mentioning to my care team before delivery.

"Please dont betadine my vagina prior to delivery, thanks" never would have crossed my mind, but it will now!

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southernbelle08 has 8 years experience and specializes in Oncology, Med-Surg, Nursery.

396 Posts; 4,613 Profile Views

Our hospital either uses Betadine or Hebiclens - OBs preference.

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3 Followers; 4,693 Posts; 36,253 Profile Views

no evidence to support any sort of perineal/vulvar prep for routine SVB. In fact with all the new data we are seeing regarding microbiomes and their effect on health, it's not unlikely that antiseptic preps are downright harmful. And anyway betadine is readily "inactivated" by the low vaginal pH and the copious amounts of blood and other fluid at birth, and hibiclens has the potential for serious GU irritation. I guess a little soap and water would be fairly benign, as long as we make sure the baby doesn't get soap on their face.

Maybe it's just my woo, but I don't want my genitals and unborn baby's head to be dowsed in an antiseptic unless there is a clear indication of benefit.

your woo?

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