CEG

CEG

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All Content by CEG

  1. I do not think I can make it in L&D... devastated

    I am in the same position as you. I went to school to become a CNM and now am working in LDRP while working on my MSN. I hate labor to say the least. I am so tired of watching every woman come in for...
  2. Cytotec for Inductions

    This is a really high dose. The high doses are what is associated with poor outcomes- I believe no more than 50 mcg Q 4 H is what is recommended so it may be prudent to look into that. Most of our...
  3. Nurses managing epidurals on L&D

    Our anesthesia essentially places the catheter and we do the rest- we program the pump, spike the bag, spike a new bag, d/c the epidural, d/c the catheter. The only thing we cannot do is restart an...
  4. The Circumcision Discussion

    FYI, the AAP does not recommend circ to prevent penile cancer. Here is a link to their policy statement: http://aappolicy.aappublications.org/cgi/content/full/pediatrics%3b103/3/686 They discuss that...
  5. Would you give birth at the hospital where you work?

    No, probably not. As hospitals go its okay. If I wanted an epidural and didn't mind induction, pit, AROM, CEFM etc (like most of our patients) it would be okay. I am not into that and in fact...
  6. Midwifery?

    Midwifery is a very much growing field. Midwives have better outcomes than obstetricians in low-risk pregnancies due to the fact that midwives cause fewer iatrogenic complications than OBs due (i.e....
  7. Checking dilation and effacement

    I've seen a few babies with heads so large you have to wonder how they even fit in there in the first place! Congrats on your little (big) one. It is possible to deliver an OP baby lady partslly, but...
  8. torn between two loves! your opinion:

    I'm coming from a doula background to nursing as well. I would recommend staying away from L & D. The reason is because what goes on there does not go hand-in-hand with doula ideals- not just...
  9. WHO not IT

    I try to say he or she but it is so hard to remember sometimes if I have a couple of laboring patients so I will often say "your baby" or "the baby." I am also 27 weeks pregnant and do not know what...
  10. Integrative Medicine/CAM and OB

    Thanks for the info. Perhaps I'll give it a try this
  11. GBS - stupid question

    Cases have declined from 2-3/1000 before universal screening to .5/1000 now. I am not saying that we shouldn't be treating, only that our treatment is not the greatest. There are many other things...
  12. GBS - stupid question

    Right, but it was relatively rare. Now we are most likely creating common antibiotic-resistant GBS and causing big problems for future generations. Even the CDC says our current solution is only a...
  13. GBS - stupid question

    No, it is transient. So in fact you can have it at 36 weeks when you are tested and not have it at delivery and vice versa. You can also test positive in one pregnancy and negative in another....
  14. the nursing school process

    It's a process completely independant of wanting to be a CNM. You can do an ADN program (usually 4 semesters of nursing courses with clinicals in med-surg, OB, long-term care, OR, etc and required...
  15. Integrative Medicine/CAM and OB

    I was wondering if anyone did this. I tried it as a doula with great success. Now as an RN none of the nurses I work with have heard of it. Do you have to get an order or have a policy about it or...
  16. Direct-entry CNM programs

    In the upper right-hand corner there is a drop down menu. Select "direct entry programs" under MSN. You can put in a zip code if you like and it will return a list of
  17. Direct-entry CNM programs

    Nope, regular programs. I am not sure it's possible for a direct-entry program to be all on-line, the clinical requirements are pretty extensive. I do have some on-line courses in my MSN
  18. Direct-entry CNM programs

    There is a website where you can look for programs, it's www.allnursingschools.com That's how I found my direct-entry program, I go to UIC. There are (or were when I was applying) about 40...
  19. the phrase "breaking the bed"

    I don't know if there is a real down side but it certainly puts mom in the stranded beetle position. I like to lower the foot of the bed a little and sit there while I push with her. I HATE stirrups...
  20. How long until they take apps for L&D?

    I am a new grad working in LDRP and I had two other L & D job offers so in my area it is very common for new grads to work in specialty
  21. GBS - stupid question

    It's not an infection, just a colonization of bacteria. It is present in 25-40% of the US
  22. Question about pumping at work.

    In many states you are guaranteed the right to pump while you work. Check with your local la leche league to see what the laws are in your area. To be honest, I wouldn't count on your colleagues...
  23. Hospital "gift" for mom?

    Well, it actually is THEIR baby, not the hospital's :) We give a little box with a baby spoon, cap, blankie in it, but it is actually not provided by the hospital, it's given by the volunteers. I...
  24. What about women who choose elective c-sections or inductions? Should they be charged if something goes wrong? There are known risks to mom and baby with those choices. How about epidurals? Women...
  25. Hep B shot on newborn

    It doesn't make any sense- the infants who receive the hospital dose are receiving 4 doses of a 3 dose series when they complete the immunization schedule. Makes me want to scream! If you check out...