OzMW

OzMW has 21 years experience and specializes in Midwifery.

Latest Activity

1. TC bili meters

   OzMW replied to lmc512's topic in Ob/Gyn

   I have personal experience with these (as a new mum) and little professional experience. The TCB reading said my babys level was fine- serum bili was extremely high requiring two days of photo...

2. Labor and Delivery Travel Nursing in NZ or Australia

   OzMW replied to tnilwhit's topic in International Nursing

   In Australia one needs to be a midwife to care for a woman during labour and birth. In the state I work in it is illegal to provide care during birth unless you are a midwife or training to be one(or...

3. Admission during labor

   OzMW replied to short1978's topic in Ob/Gyn

   A multip at 4cm also could be just a multi OS. If shes contracting I'd keep her and reassess in two hours;if theres no change in dilation (and often a decrease in contractions) I'd send her home if...

4. Admission during labor

   OzMW replied to short1978's topic in Ob/Gyn

   We generally send them home if they aren't dilated; if they present again we tend to more often admit them for analgesia. SROM are offered options i.e immediate IOL/home/admission. The ones who go...

5. fundal checks

   OzMW replied to short1978's topic in Ob/Gyn

   Yow...my uterus aches at the thought of it although in recovery they at least will still have some analgesia

6. fundal checks

   OzMW replied to short1978's topic in Ob/Gyn

   And just to add Elvish, our women don't get palpated in OT in recovery either. They are post op'ed by general nurses who aren't often mid trained. All very

7. fundal checks

   OzMW replied to short1978's topic in Ob/Gyn

   Yes definitely - gentle checking with no loss - but not that often. No I know your not being snarky - this is truly interesting and its good to reflect I think. Certainly has had me doing so. And...

8. fundal checks

   OzMW replied to short1978's topic in Ob/Gyn

   And to add - not sure if this makes any difference. Most of our section babys come out to the ward with their mothers. So our women are encouraged to be fairly active from the word go. Not saying we...

9. fundal checks

   OzMW replied to short1978's topic in Ob/Gyn

   Yep different practices and can I say it's not just something I choose to do - no dr or midwife or nurse in our unit palpates fundus' on post section pts routinely; it seems to be something that is...

10. fundal checks

    OzMW replied to short1978's topic in Ob/Gyn

    We will have to disagree SMBEs - my "anecdotal" evidence is the opposite. Your woman still had the PPH; still needed transfusing- so did the fundal check prevent it from being nasty or did the drugs...

11. fundal checks

    OzMW replied to short1978's topic in Ob/Gyn

    I disagree! There are other ways of monitoring a womans condition. I'd be interested to see research that supports fundal checks on any postpartum woman ( after the intial post birth period) - as far...

12. fundal checks

    OzMW replied to short1978's topic in Ob/Gyn

    We don't palpate fundus' on post CS women - too painful. The only time I would do it is if I'm concerned that the woman has a uterus full of clot. Our vag births get done 1/2 hrly for 2 hours and then...

13. Does your hospital have a policy on no walking after ROM?

    OzMW replied to paintedbison's topic in Ob/Gyn

    Or maybe telling labouring women that that is the policy but you can't physically stop them from getting out of bed - and that walking is much better for them? Its a policy but it ain't the...

14. Does your hospital have a policy on no walking after ROM?

    OzMW replied to paintedbison's topic in Ob/Gyn

    Sorry but that is the funniest thing I have heard! BEDPANS!!!!!!!!!!Contrary to the belief of the people who write these policies women don't just drop cords out if they've SROMed and walk around -...

15. Does your hospital have a policy on no walking after ROM?

    OzMW replied to paintedbison's topic in Ob/Gyn

    What she