MIchelle L. Murray's " Labor and Delivery Nursing A guide to Evidence- Based Practice" is a very good book for new grad. It is my third year in L&D, I still look it up frequently when I have...
Sorry I didn't realize there is a big gap between manufacturer recommendations and actual practices in hospitals. We don't use the second dose of cervidil in our hospital if the first dose fails. We...
No. Cervidil can't be repeated. According to my book "Intrapartum Management Modeles,"The manufacturer does not currently recommended more than one application of the cervidil because adequate studies...
Hello, Will you give terbutaline to lady partsl bleeding pt? One of my pts was G4P2, 34 weeks GA, had intermittent lady partsl bleeding. Ultrasound showed that she had placenta previa. Because she had...
Hello everyone, I finally found the evidence! In the AWHONH book, in the chapter, " Guideline for the Management of pts with Diagnosed or suspected placenta previa during the peripartum period," it...
Thank you all for your posts. They are very informative. I appreciate that. Especially thank you cnm in progress and Klone for your opinions from different points of view. I have learned a lot. I...
Hello, It is a terrible experience, and I feel so shameful to share, but I really need some advice to help me out of this deep dark hole ---I am so lost in L&D. I didn't have any confidence...
Thank you everybody for your understanding and encouragement. Your warm words really infused in lots of strength to me. I really appreciate that. No, I don't have choice to switch to the night...
Hello, I had a drug abuse pt whose drug screen result shows that she is positive in Amphetamines, Metamphetamine, Methadone, and THC last night. She screamed for UC pain all the time. The doctor...
Thank you so much SmilingBluEyes. It makes sense to me now. I really appreciate your explanations. Now I think I know how I can deal with those irritability. Go back to my original question, can you...
Hello, I am wondering if somebody can answer my stupid question. I know it is a basic question, but I just can't find the answer from my OB reference books. When I took care of my G1P0, GA 34 weeks pt...
Thank you so much NurseNora for your information. I really appreciate that. Actually the pt was on IV. When I saw those irritability, I gave her some IV bolus, and assist her to the bathroom...
Hello, I am not sure if any of you encountered such a problem, but I was bothered by this question for a while. When I turn my patients to lateral position, most of them will develop hypotension. I am...
Thank you Feisty for your response. I appreciate that. It is very interesting to hear that making judgment based on mean arterial pressure. Do you have any evidence based research? Because it is my...
Thank you SmilingBluEyes for your response. I appreciate that. Do you mean we still need to pay attention to hypotension caused by lateral position? If patient has low BP in one side, we need to turn...
Jiayou replied to butterball1980's topic in Ob/Gyn
Thank you butterball1980 for bringing up this question. I happened to have the same question as yours. When I read some books, I did see tracing of fetal heart rate, whereas the book ended up saying...
Thank you all for your comments. I really appreciate that. I found the original statements about "doubling" contractions in my books. In Michelle Murray's " Antepartal and Intrapartal fetal...
Hello, I have questions regarding to "coupling" or "doubling" contractions. One of my patients whom I took care of two weeks ago had "doubling" contractions every 3 minutes and she was already on...