Meconium deliveries - page 2

What is your protocall for mec deliveries? Who attends? I have a hair up my butt after a busy day of running to thick, thin, terminal mec deliveries all day! I go with a resident, maybe two and as... Read More

  1. by   SmilingBluEyes
    WE do about 65-70/mo here. If mec is NON-particulate and thin, we just have nursery, labor nurse, and OB attending delivery. If mec is particulate, thin, or accompanied by a NON-reassuring strip, we call for a PED to attend the delivery. We have no NICU either; just a level 2 nursery. If they show any signs of crumping, they go to the level 3 facility about 20 miles up the road.
  2. by   cookie22039
    Our docs don't hardly ever do amnioinfusions, even if we have really thick mec they don't do them, but I have worked PRN at a hospital that does amnioinfusions for every pt that has mec , so.....
  3. by   Mimi2RN
    Originally posted by RMH
    Hopefully this isn't a stupid question, and it could pertain to mec deliveries.. Is anyone doing amnioinfusions anymore, and if so in what situations?? Thanks for any info. RMH
    Some of our docs do amnioinfusions for thick mec, and I believe it does make a difference.
  4. by   SmilingBluEyes
    we do amnioinfusions for all particulate or thick mec and make sure ped is there to visualize cords and suction/intubate. we also have cardio on standby for cord gases and assistance for ventilation if needed
  5. by   Spidey's mom
    Almost two years ago, I was preggers and started leaking green-tinged fluid. Hightailed it to the hospital (80 miles away) and was admitted, watched for awhile, pit induction started, no cervical changes, more thick mec, amnioinfused, decels started and rushed off to surgery. My son went to the NICU for a couple of hours (general nursery was very full). He is fine and will be two on July 22. My nurse said they do amnioinfusions for thick mec - pretty standard policy. The nurses are trained and certified and a nurse did my amnioinfusion.

  6. by   rn500
    We do amnioinfusions for thick/mod mec and occasionally for deep variable decels.
  7. by   HazeK
    400+/month unit: we call NICU APN to visualize and suction for thick mec
    we also call NICU to standby if we've seen NO FLUID...just in case!

    75% docs do this for thick mec IF pt is <8 cms (i.e. has time to work)
    *** remember to look for returning fluid....
    another hospital had done amnioinfusion w/o ANY return of
    fluid ever charted....and pt ended up with UTERINE RUPTURE!

  8. by   TenderTee2
    Hi...I work Labor and Delivery at night also....Well, I work at a hospital that does anywhere from 1000 - 1400 deliveries a month! So we see plenty of meconium deliveries...For all meconium deliveries, a NICU team is present.
  9. by   finallyRN
    We do about 300-400 deliveries a month. We call the Nicu team(RN and RT) to all mec deliveries. I agree most of the time there are no problems but when there are problems they are really bad. I have had a great strip with thin mec and have a really bad baby on the outside.

    We rarely do amnioinfusion unless the strip looks bad and the doc is trying to avoid a C-Section.