33-weeker

33-weeker

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All Content by 33-weeker

  1. nuchal cords...

    Yes. I agree. Even without a dystocia, those babies often need more rescusitation than babies with intact cords. Then again, if the baby is preciping, a dystocia is less likely than with moms who...
  2. Help with Apgar Scoring

    Our charting system says 'centrally pink with blue extremities' = 1. Acrocyanosis is a normal newborn finding. I don't count off for
  3. Pushing/delivery positions and epidurals

    I guess post OP pain relief and labor pain relief different. I didn't find labor all that bad, but I was home and moving around, not stuck in some hospital bed being poked and prodded.
  4. Time between twins?

    I was a 'stretchy 7' between my twins, but it was because twin B wouldn't put pressure on the cervix. Once I stood up for a while and got him to move down, it went
  5. Pushing/delivery positions and epidurals

    having some med-surg history, i know there are such things as post-op or 'walking' epidurals. it all depends on the amount and combinations of meds injected. why can't these be used for laboring...
  6. Time between twins?

    My twins were born at home, 2 hours and 15 minutes apart. Both vertex, apgars 9:10, 10:10. 36 weeks, 6 & 7 lbs. Total labor time, 3 hrs. 15 min. I have not seen much time given in the hospitals...
  7. How long to wait for Madame Placenta??

    Our nurses labor down if possible and call doc to arrive just as baby is ready to be pushed out. I thought at first telling mom not to push was cruel, but there's actually much less intervention this...
  8. Interesting places where women have given birth

    Yea. I heard about it, too. Where did it
  9. Interesting places where women have given birth

    I do. Following giving birth to a 9 Lb. posterior girl (big sister) with a 13hr. labor and 1 1/2 hours of pushing, my 6 Lb. twin 'A' came after only an hour of labor, and only 15 minutes of that was...
  10. Interesting places where women have given birth

    When I went for my comp. visit with the OB, he gave me a PRN prescription for methergine. The pedi I chose called in the scripts for the vitamin K and eye ointment. I gave my daughter the vitamin K...
  11. does the FOB really get cursed out????

    If you really want to get a dirty look, just ask a mom fresh after delivery when she plans to have the next
  12. does the FOB really get cursed out????

    I don't hear many mom's cuss the father, but I did hear one very upper-middle-class-dignified-lady-type threaten to "string the anesthesiologist up by his b@lls" if he didn't hurry up and get there to...
  13. No more VBACs

    :yeahthat:
  14. No more VBACs

    Amen to that. There ARE too many primary sections to start with. I had my twins vag (vertex x2) with 9:10 & 10:10 apgars, respectively. 6# 2oz. & 7#s. My 9# daughter paved the way for...
  15. No more VBACs

    we're a little more relaxed around here. we've got a couple of docs that do vag twins. i've even seen one do a vag breech. perfectly fine if you know what you're
  16. ughhhhh...

    First off, you shouldn't have been by yourself in that situation until you've had more experience. Grab someone next time something like that is going down. Not fussing at you, just giving my 2c...
  17. Ethical Dilemma

    I knew of a pre-viable baby aborted via labor induction due to 'anomalies incompatible with life'. The baby on autopsy (how I 'know') showed a couple of minor anomalies that could have been fixed...
  18. Do you ever deal with pregnant patients who "flip out"?

    MM - You can always drop in the ER - so many moms do. They won't turn you away. Better yet... are there any midwives in your area? They might attend you for little or no charge, and you'd likely...
  19. Would you rather have a child said to be SS or abort?

    Good
  20. Bilirubin level: What would you do?

    If you are unsure about borderline results, you can always call it just before going off shift, also. (I've even waited until giving report and offered to my replacement, "would you like me to call...
  21. Do you ever deal with pregnant patients who "flip out"?

    I don't need to be pregnant for that... PMS dose it for me.
  22. Would you rather have a child said to be SS or abort?

    I guess it depends on whether abortion is a 'black & white' or 'shades of grey' issue for you. I've seen too many mistakes in prenatal Dx. Best thing to do... ask around and see if anyone you...
  23. Foley Balloons for cervical ripening?

    All I can say is OWWWWWW. Do these mothers find insertion painful? I'm in TX and have never heard of this until now. Maybe it IS a regional thing. I'll have to ask my friends over in L&D about...
  24. OB explanation??

    It varies from place to place. You just have to ask around before taking a
  25. Bilirubin level: What would you do?

    One thing you could do to avoid that scenario entirely is to wait until later in the am to draw the lab. We usually draw our labs at night between 4-5 am, that way by the time the results come back,...