Can we talk about deliveries without MD's?

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Specializes in many.

Had my first on Monday of this week. Who knew a primip could push so well through half an epidural? (right side was gone)

MD checks after I check, "Yup, she's complete, you all can start pushing and call me back when she's ready to deliver."

10 minutes later I am seeing some deep decels, get her to left side, apply O2, increase IV infusion to wide open, pull on the first glove and -HEY!!! what's that head doing there?

Oh Crap, Oh Crap, get the other glove on, call for backup, check for nuchal cord, which one first?

Ended up with a happy baby, happy parents, happy doctor, and a dad who wanted to know if the MD was going to charge the same rate for coming in just to check for lacerations as she would for a full delivery. "After all Doc, the nurse did the delivery part.":lol2:

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Yup, done that. Now When I do cervical checks I always make sure I have both hands gloved.

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Last weekend. My patient was 8-9 FOREVER. WHY? She was a multip. As I reported off to the day nurse,her and I (the nurse) decided to get patient on her hands and knees. Fully and pusinhg. Voila! I say goodbye and go out to chart. I hear some loud sounds coming from the room another night nurse and I go in and my dayshift counterpart is there supporting this head that was crowning. I put 1 glove on, no time for the other. Out comes the head. HA! Doc was down the hall. She (doc) came in and laughed. She finished the delivery. Patient was so happy. She said we were great with her. She thought she might end up a section. Next time I put someone on hands and knees, I am putting 2 gloves on too. That was my first one w/ pt. in that position, even though it was only half the delivery.

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We had the delivery with the MD in the room, but his nose was in the TV as he was trying to get on his gown and gloves, ....

"Hey doc, the head is emerging here, actually here it is" as he stares at the TV and at the baby lying in the bed, he continues to put his gloves on and carries on a conversation about what was on TV.

The nurse clamped the cord and cut it, handed the baby to mom, as the doc is still standing there, half paying attention.....she finally says "are you going to deliver the placenta at least?"

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We had the delivery with the MD in the room, but his nose was in the TV as he was trying to get on his gown and gloves, ....

"Hey doc, the head is emerging here, actually here it is" as he stares at the TV and at the baby lying in the bed, he continues to put his gloves on and carries on a conversation about what was on TV.

The nurse clamped the cord and cut it, handed the baby to mom, as the doc is still standing there, half paying attention.....she finally says "are you going to deliver the placenta at least?"

I work with this guy's soulmate. Was there a really great college basketball game on?

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as i reported off to the day nurse,her and i (the nurse) decided to get patient on her hands and knees.

aaaah, good ol' hands and knees. i love to put them in that position when they are "stuck". sometimes only takes a couple of contractions to bring that baby down.

i had an unattended last weekend. typical g2p1 with a fast labor. came in complete, explosive srom after about 10 minutes there, and then there's the head. it was the first nuchal cord that i couldn't reduce so that was new for me, but ended up with a healthy baby and mama. that's all i could want.

i also only had one glove on though, and my fellow nurse put another one on my left hand as i guided the head out w/my right! learned my lesson too! :smackingf

jennifer

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

yep been there, done it quite a few times.

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Specializes in ER, Tele, L&D. ICU.

Yup, too many times to count. We should start getting a cut of the pay....j/k.

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