cnm in progress

I hardly think anyone would have even NOTICED if he had accessed all of OUR records, let alone prosecuted him. I'm confident that the celebrity status had a lot to do with it. Edited to add: Sorry geocachingRN... I just finished reading the posts af...

I don't quite understand the rationale for such high-dose protocols, but not because of uterine rupture issues. A 24 week uterus doesn't have many pitocin receptors, so what are we accomplishing with such a high dose? Even a full-term uterus doesn't ...

At 24 weeks gestation, the lower uterine segment is still quite thick.

The risk of uterine rupture in a 24 week uterus is really low. Risk of rupture becomes more of an issue as the uterus is stretched to its maximum. That's why this protocol (and high dose misoprostol) are both safe in prior c/s patients.

Ditto!!

Not here either.

Congratulations! You'll love Frontier! I'm in Class 61... just 10 more births to go... I thought I was scared starting the program, but now I'm REALLY scared! Boards... Independence...

YEAH!! That sounds like an ideal setting! Where is it located? I'm at a large university teaching hospital, and we have tons of midwives, but no separate birth center (which I would love to change!!). We do have a free-standing birth center in our ci...

Interesting. I'm thinking some women are really sensitive to it... and for others it does nothing at all.

The most accurate way would be for them to sit upright or in a semi-fowler's position. You're correct that if she's on her left side and you take it in her right arm then it is slightly lowered. If she's on her left side and you take it in her left a...

Definitely true regarding the inability to remove it after placement. As a practitioner, I know that I will pick and choose very carefully who is a good candidate for cytotec for that very reason. I've heard cytotec called cytoblast by others as wel...

I just looked at the U. of C. website. Part of their curriculum includes 900 clinical hours. Frontier only requires 675 clinical hours, yet their required numbers of births, labor managements, postpartum visits, new ob visits, etc... is double that o...

I did a little research, because I've never heard/read that Cervidil can't be repeated. I work in a very large, well-respected teaching hospital that is usually up-to-date on practice standards... and we've definitely repeated Cervidil in the past. I...

I have to admit, I'm speechless... maybe I'm being naive, but why would a hospital need a waiver for a patient to use a birthing ball? Next we're going to have women signing a waiver to be allowed to ambulate after her birth, or to be allowed to wear...

#1: requires you to have l&d nursing experience (to me that implies a certain base level of knowledge required for entrance at cincinnati) not necessarily so. i admit that i don't know enough about u. of c.'s program, but i can tell you that a ba...

If that infant had developed complications after birth, I'd like to see how he would defend his actions in court...

From my experience as a nurse in L & D... some students were incredible and some shouldn't have been there. I'm a former teacher and regularly oriented new nurses on our unit, so I have no problems teaching. But I refuse to "find" the nursing stu...

I'm a current Frontier student who will finish in June. Although I might be biased, I think it's a fantastic program. I know several Frontier grads who are excellent midwives. I haven't met a single one from Cincinnati, so I have no personal knowledg...

Yes... lots of Amish in that area. There are several thriving CNM practices in that part of the state that serve the Amish and non-Amish populations.

CNM's can and do attend homebirths in Pennsylvania. The Pittsburgh area has no CNM's currently attending births at home because of the lack of physicians willing to be their collaborating physician. I live in the Pittsburgh area and know a couple CNM...

Terbutaline is a very common tocolytic in OB. Consider the risk vs. benefit... in this case there is a known placenta previa. Continued contractions will lead to dilation which can lead to fetal death. Giving terb will quiet the uterus and potentiall...

Yep... T=term (37+ weeks) P=preterm (less than 37 weeks) A=abortions (spontaneous & therapeutic) L=living children M=multiple pregnancies

This is partially correct. If she carries triplets, after delivery she is a G2 P2 using the G/P system. But if you're using G/TPAL or G/TPALM (which everyone involved in obstetrics probably should be using), then she is a G2 P40041 (assuming they wer...

here are the cdc guidelines for hiv screening in pregnancy: for pregnant women hiv screening should be included in the routine panel of prenatal screening tests for all pregnant women. hiv screening is recommended after the patient is notified that...

Technically... When she becomes pregnant the first time she is a primigravida. When she becomes pregnant the second time she is a secundigravida. (a very rarely used term...most people talk about parity, not gravidity) When she becomes pregnant the t...