OB Nurses....Question For Ya

passionate · Jul 22, 2007

Zofran is great but if you use it once and no relief doesn't do any good to remedicate. I hate the phenergan side effects too. Fluid is still one of the best anitemetics around.!!!!!!!

mitchsmom · Jul 22, 2007

I don't remember ever seeing frank blood w/ a foley, but I've only been doing this for a year so it's probably just a matter of time.

With our current epidural infusion mix (naropin & fentanyl) I find that about maybe 1/2 of my pts need a foley & 1/2 can still pee on their own.

Usually if I have to cath, I just go ahead & do a foley b/c we tend to give a lot of fluids and pts therefore have to pee a lot. Our MD's break water ASAP -> resulting in more pain and more urgency for delivery -> so more Pit -> and so more epidurals early on, ... combined with a primip + a lot of fluids that would be a lot of straight cathing in some cases.

Foley comes out for pushing but SBE's routine of deflating it & keeping in place sounds good to me.

If it's the end of labor or maybe a quick moving labor, I'll just straight cath. It depends on the individual case.

SmilingBluEyes · Jul 23, 2007

In very short labors, a foley surely is not necessary. Also, in many cases, the mom will void at delivery, solving the problem of a full bladder. Unfortunately, when I was not paying close attention, I got caught with my proverbial pants down.....

had a natural labor pt the other day who had voided in labor, but not at delivery. She had a PP tubal ligation about 1 1/2 hours after her birth. Well, when I moved her to the OR table, I noted a lot of blood. Massaged a very boggy and displaced-to-the-right fundus for several clots and lots of blood. And there I was, DUH----I had forgotten the cardinal rule: CHECK BLADDER STATUS. Cathed her after her spinal, for over 550ml of urine. Shame on me......

Funny how things have a way of reminding me, I sure do not know everything and I had better pay attention to the little, yet obvious ones.