cvssc

YES,YES,YES!!!!!! Worked in an inner city teaching hospital---lots of research with lots of cases. The information say it occurs in about 1 of roughly 300 pregnancies.. Where I'm from, seems MUCH more often

We have had some residents who did very well with breech deliveries. My patient opted for a c/s. She was a G 3 or 4 I believe. She was given options and elected c/s. The only bad breech deliveries I remember were mothers coming in (home vitamin C inductions) with baby entrapped. Those are horrible. Thank God people do have training to assist with these stuations. Hopefully, we can help prevent more bad outcomes with more education and preventive programs.

They came to visit us. This one time (after 8 years of nursing) they spoke with me. While speaking, heard a decel. Left the conversation. How nice.--baby was fine!!!!

If you had a physician and his upper level, I assume they had an Attending. That's where I would go. I wouldn't start Pit and if I am that concerned, I find the Attending. I don't care whose feelings get hurt. Mom and baby are my priority. Not, some resident's attitude. We had real staffing issues where I worked--dangerously short. Emergency came in. I was the nurse watching all patients. Told resident everyone's Pit was going off. She states I guess no one will deliver. Amazing, they did--no bad outcomes thank GOD. When you're in a inner city teaching facility, you forget that body can do amazing things on it's own.

My cousin works in the unit. She really likes her position

After 9 years, I found my first breech. I did vag exam and felt toes moving against my fingers. I felt movement and followed it up to know it was a foot. Even after that nursing that long, it was kind of freaky. To OR for C/S Happy mom and baby.

My friend just graduated from Frontier. Seems to be a good program.

My preceptor went with me every time. We would tell the patient both of us would be doing the exam as I was new to L&D. They usually had an epidural and were agreeable. I worked in a teaching hospital, so nurses and medical students were learning. My problem was everyone I checked was 7 or more CM. It was over a year before I felt a closed or less dilated cervix. And, like the other person, I still apologize for the pain or discomfort. As an Eval nurse, if possible, I save my patient's from too many exams if they are too uncomfortable or nervous.

I don't have advice on that. But, Please, Please get a copy of your records. We have so many that come in to delivery and didn't bring records and moved to close to delivery to get a visit with a new physician in town. Records are a blessing!!!

Yes, the patient can refuse treatment. Usually, when my patient and I have discussed things, they are agreeable. However, if they say no, I won't do it. I will not be charged!

Teenage dad actually asked MD to put an extra stitch in it while patient was being repaired after vag delivery. What a great dad?!

We were crossed trained to float. We gave a list of areas we would be interested in. No one is required to float to ICU. We have rarely had floaters to L&D. If we have had them, there were from ICU and worked in recovery. I would have to refuse to be sent to ICU. That is totally out of my scope of nursing and learning. DANGEROUS!!! Sounds like they would like more lawyers visiting.

Shouldn't that be a baby by baby decision. If the child is crying, vigorous, and pink???? If they need help???What then??

We always have anesthesia to speak with patients on admission. When my patients tell me they want medicine free deliveries, I support them. However, I also requests they leave their options open (some CRNA's wont' come back if they say no upfront). Having had 3 children (by accident) without medication I can see both sides. It depends on the person, their knowledge, their coping skills and their labor.

I work in a teaching facility. Therefore, they have treated everyone like they are sick, not just pregnant. However, things are changing. Some nurses don't like the idea of doulas and birth plans. My feeling is, I can work with you if you can work with me. I understanding what your's requesting, but if NEEDS come first, just make sure you and your doula are prepared to compromise and I am prepared to give your every consideration I can. I don't mean for this to sound bad, but if I need you to get out of the way, it's not because you're a doula. It's because you or you child need something different at the time. I will explain what and why I'm doing something as soon as I can. I have had births that have had good doulas and birth plans and births that have had bad or unrealistic plans. We're all here for your comfort and protection. But, most of all, we're here for a healthy baby and Mom.