You have a 9 wk pregnant female with c/o new onset bleeding 2 hours ago, bleeding has not even filled one regular pad. This is the first time she has ever been pregnant. You have started a line drawn blood and told pt is going to need to go to ultrasound. Now first of all, at my last job, the MD would do a pelvic exam to see if the blood was coming from the cervix. My new job apparently they just do an ultrasound, no biggie just different. But to do this ultrasound they order me to put a foley in. I was a bit appaled at this. My last job we just hung a liter of fluids and told them to put on the light when they felt the need to go. I was told that the foley was necessary so the ultrasound tech can fill the bladder and if the pt needs to go to surgery then the Foley was already in. Now in 3 years I've only sent one OB patient to emergency surgery. Frankly I think this practice is quite invasive for what she needed, could easily lead to more complications, and it's true value is so the staff don't have to wait 30 minutes for her bladder to fill...which isn't a patient focused reason. Yes, if she looked bad(pale, low bp, lots of bleeding,fever) I probably wouldn't be so critcal but thatwas not the case and in fact is not the case for most treated abortion or total abortion patients I've seen. I just was wondering if foley insertion for this was more common than I thought or am I right to be a bit shocked by this?