Published
We do roughly 750-800 deliveries/year (small community hospital with 110 beds)
OB on-call (but not necessarily in-house) 24/7
we also have 24/7 anesthesia coverage on-call for OB (but not necessarily in-house---they are about 10 minutes out at night).
If there is a high-risk labor situation, MDA stays in-house, along with OB. until the patient is delivered. (VBAC being the main high-risk labor that requires in-house OB and MDA).
We do approx 400-500 del / year
No to OB anesthesia 24/7 ( or at all for that matter, we don't do epidurals) regular anesthesia for c/s get called in.
No to in house OB/GYN / FP doc (they do deliveries too)- they get called in when necessary, sometimes don't make it if someone precips - but we have 24/7 ER doc who can attend a delivery if we anticipate problems - but usually RN just delivers if OB/FP doc can't make it. The ER doc freak if they have to come up to OB - that freaks out the pt's. *laugh*
We do 5400 birth per year & this is still a growing community.
We have one anesthesiologist on L&D 24/7. Frequently not enough coverage.
We have one OB group that has an OB or OB & CNM here 24/7, unless the OB is alone & gets called to another hospital for awhile.....
ER docs always "freak out" about doing OB! Big babies!!!
mitchsmom
1,907 Posts
How many births does your unit have per year?
Do you have 24/7 in-house anesthesia?
Do you have 24/7 in-house OB provider covereage?