CEG

CEG

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All Content by CEG

  1. Sleepy Time

    CEG replied to ikimiwi's topic in Ob/Gyn

    The baby needs to have about one good feed in the first 24 hours. This is evidence-based and also the recommendentation of La Lech League. Remember that in years past, hospitals would actually keep...

  2. Doctorate in Nurse-Midwifery?

    CEG replied to BonnieSc's topic in Certified Nurse-Midwives, CNM

    If you have a Masters you will be "grandmothered" in and a Doctorate will not be required. Many programs are moving to offer the DNP only (no MS). I think my school is, not sure though because I...

  3. What are your thoughts on AROM?

    CEG replied to Mary C's topic in Ob/Gyn

    I don't have time to look for the links right now but the "official" answer is that AROM speeds up labor by about 15-20 minutes- worth

  4. Have you ever had a Episiotomy or have knowledge about it?? Quick questions!

    CEG replied to Back2Nursing09's topic in Ob/Gyn

    You can also try physical therapy- there are therapists that specialize in pelvic floor

  5. Having a h ard time processing something that happend yesterday

    CEG replied to mugwump's topic in Ob/Gyn

    I am wondering why a squad was called at all? If there was some issue with mom (pre-eclampsia, hemorrhage) then she wouldn't have been able to hold the baby anyway. If there was no issue why wasn't...

  6. Do any U.S.A Labour and Delivery wards have Entanox available for Pain relief?

    CEG replied to woodhill30's topic in Ob/Gyn

    Sometimes I wonder about myself and we don't even have entanox :chuckle Thanks for the info-- like I said I had been told that it free flows the way O2 does and it's a ventilation issue. Evidently...

  7. Pushing Instructions

    CEG replied to aunttae's topic in Ob/Gyn

    AWHONN also discourages the use of stirrups and encourages a supported squat position. Seems to depend on the hospital though whether stirrups are used widely. I usually start out with my patients...

  8. Pain in childbirth 'a good thing'

    CEG replied to Anxious Patient's topic in Ob/Gyn

    Keep in mind that iatrogenic pre-term birth has been on the rise for many years- with March of Dimes issuing a call to action a couple of years ago. I am certainly not denying the pre-term birth is a...

  9. Vag exams with sterile gloves or regular gloves?

    CEG replied to RNBelle's topic in Ob/Gyn

    When I do prenatal paps and pelvic exams I do not use sterile gloves/technique. When someone is term, r/o labor at any point, r/o PPROM/PROM/SROM I do. We do sterile spec exams for r/o SROM. That's...

  10. Pain in childbirth 'a good thing'

    CEG replied to Anxious Patient's topic in Ob/Gyn

    You may want to check out some perinatal stats. The US ranks 27th worst among developed countries in perinatal mortality. We are worse than many developing countries. Women and babies in the US die...

  11. My L&D misadventure

    CEG replied to labordude's topic in Ob/Gyn

    I work with a male CNM who the patients love. I don't have much insight to add to your discussion. Just wanted to let you know I have a female friend with a male name- her mom gave her that name so...

  12. Do any U.S.A Labour and Delivery wards have Entanox available for Pain relief?

    CEG replied to woodhill30's topic in Ob/Gyn

    I have always been told that it is a safety issue for health care providers. Without ventilation they would be inhaling it as well. I don't know how true this is or how the providers in England are...

  13. Pain in childbirth 'a good thing'

    CEG replied to Anxious Patient's topic in Ob/Gyn

    Sorry if my response is hard to read- the multi-quote function eludes me :) The reason listed for a c-section is never going to be epidural. The thing is epidurals cause the other issues:...

  14. Post-partum/newborn overflow to med surg

    CEG replied to obnursesteff's topic in Ob/Gyn

    It's bad practice to put any pt with an infectious patient, whether it is mother/baby or med-surg. Would someone recovering from a surgery be cohorted with a c-dif or MRSA patient? It's bigger than...

  15. Pain in childbirth 'a good thing'

    CEG replied to Anxious Patient's topic in Ob/Gyn

    There is copious evidence of this. I don't have time to do the research at the moment, but a simple google search will give you this info. No one who works in the OB field should be surprised at...

  16. Pain in childbirth 'a good thing'

    CEG replied to Anxious Patient's topic in Ob/Gyn

    I think it really depends on the woman- for some the pain of labor could be/is traumatic. On the other hand, society has really devalued the childbirth process, the challenge of it, the idea of it as...

  17. Do birth plans grate on your nerves?

    CEG replied to cradlecrewer's topic in Ob/Gyn

    Truly it is difficult for a pt to be aware of current practice. In all honesty many docs are not aware of nursing practices and will often tell their patients what they want to hear. Your hospital...

  18. Certified Nurse Midwife vs. Women's Health NP?

    CEG replied to whatshername's topic in Ob/Gyn

    Basically a CNM and a WHNP do the same thing except the CNM also does deliveries. Both do well-woman, prenatal, problem gyne, midlife, menopause, etc. The benefit to having both is that sometimes a...

  19. Plastic card for fetal heart monitoring strips

    CEG replied to OhioMTCRN07's topic in Ob/Gyn

    The one I have I got an an EFM class by Lisa Miller. Here is a link:

  20. OB nurse and childcare - help!

    CEG replied to TarheelRN's topic in Ob/Gyn

    We have an au pair. That provides us a lot of flexibility in our schedule and is also much cheaper than day care. They are restricted to 45 hours a week, no more than 10 hours a day, so you have to...

  21. MVU's

    CEG replied to Nichols9878's topic in Ob/Gyn

    You want to look at a ten minute period. I usually fold the strip so I don't get confused about where I started/ended. You just add the MVU's above baseline together. So if you have a baseline of 20...

  22. Who do you see as an OB?

    CEG replied to Mary C's topic in Ob/Gyn

    Here is a link to the CDC guidelines FYI:

  23. Who do you see as an OB?

    CEG replied to Mary C's topic in Ob/Gyn

    Another vote for CNM care- I would never see an OB unless I somehow became high risk. I am also curious why your HPV requires frequent exams? That isn't usually the case unless there are some...

  24. Suctioning after birth

    CEG replied to NiesyLuv0o's topic in Ob/Gyn

    I wanted to add that re: bulb syringe it is very much an individual provider thing. I simply wipe the baby's face off with a towel and do not use the bulb unless I feel I need to (and I never do). I...

  25. Suctioning after birth

    CEG replied to NiesyLuv0o's topic in Ob/Gyn

    Not really. Current NRP guidelines do not recommend suction on the perineum. Suction should be performed only if the infant is not vigorous, and not on the perineum because you cannot tell if it is...