CEG

CEG

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All Content by CEG

  1. Leaving facility AMA...

    CEG replied to JenTheRN's topic in Ob/Gyn

    Why wouldn't they d/c baby? Why shouldn't a healthy mom leave 4 hours after

  2. Interesting thoughts on autonomy

    CEG replied to Elvish's topic in Ob/Gyn

    I attended an interesting lecture on this recently at the ACNM annual meeting. The speaker (Dr Andrew Kotaska) concludes that in maternity care we often provide coercion rather than consent. "Your...

  3. March of Dimes: Less than 39 weeks

    CEG replied to Elvish's topic in Ob/Gyn

    You must have had a run of bad luck... or the results of the stress of unnecesary inductions on babies. The evidence shows that the risks to babies (of stillbirth, what we are inducing to avoid) go...

  4. Frontier vs Emory University

    CEG replied to SuperMujer2373's topic in Certified Nurse-Midwives, CNM

    If you are in Atlanta and think you will live there or in the surrounding area when you work I would consider Emory for that reason. I relocated to the area and had a very hard time finding a job...

  5. I cry after I see a baby born-can you give me some advice

    CEG replied to JerseyBSN's topic in Ob/Gyn

    I sometimes still tear up at nice births. Especially if I know my patient well. Especially when I was

  6. L&D nurses - can you look at my birth plan?

    CEG replied to Lola77's topic in Ob/Gyn

    Sorry, I should clarify the doula should be ready to remind her or spouse to remind the HCP about the delayed cord clamping. Although as a CNM I have no problem with a doula reminding me of something...

  7. L&D nurses - can you look at my birth plan?

    CEG replied to Lola77's topic in Ob/Gyn

    I personally would refuse "mandatory" nursery time. It CAN be done and there is absolutely no valid reason to require a healthy baby to go to the nursery. In fact, quite the opposite, the only...

  8. MD orders no external monitor on Pt w/ preterm contractions

    CEG replied to JeneraterRN's topic in Ob/Gyn

    The ones I have dealt with don't cover it. Not sure if there are any that do-- I have never seen

  9. Epidural vs. nature births

    CEG replied to winter_green's topic in Ob/Gyn

    The pitocin packaging does state that it is associated with higher rates of jaundice in the neonate. I don't know if it is truly a causal relationship given the relatively high rates of pitocin use...

  10. Administering meds (like Pitocin) without medical indication

    CEG replied to serenity729's topic in Ob/Gyn

    Honestly, most interventions in the L&D setting do not have a true medical indication,nor are they evidence-based. You will need to learn to pick your battles or you will get fired quickly. You...

  11. Scope of practice

    CEG replied to jeyre1847's topic in Certified Nurse-Midwives, CNM

    A CNM works indepenently, but typically collaboratively with a physician. So the CNM would see her own patients, do their deliveries, etc but have a physician they call on for complicated cases....

  12. Epidural vs. nature births

    CEG replied to winter_green's topic in Ob/Gyn

    That may be the case where you delivered but I definitely do not do that to my patients, nor have we done it any of the multiple regions/places I have worked. If mom has a very heavy block we may...

  13. Have you CYA if you make a "note" that a patient won't follow policy?

    CEG replied to peeweedelivery's topic in Ob/Gyn

    Being vaccinated does not cause a positive Hep B result, nor do you "heal" from Hep B, it's a chronic disease. You always have it once you have it. Back to the original question, patient autonomy...

  14. Nursing dilemma relating to OB

    CEG replied to rtready2Brn's topic in Ob/Gyn

    The mag thing doesn't really strike me as an ethical dilemma, it's more a practice issue. There is no ethical question about whether mag should be on a pump or not, it's just a medical risk to run it...

  15. Variable vs. Late decels

    CEG replied to winter_green's topic in Ob/Gyn

    You need to read current NICHD terminology. It gives a clear definition of each type of decel as well as how to define the racing in categories. The website the above poster gave is full of great...

  16. SUNY Downstate-Midwifery: Anti-Nursing?

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

    For clarification, I think SUNY downstate offers the CM credential and those students are in classes alongside the CNM students-- it is the same exam. That's what the OP is referring to. As a CNM who...

  17. How did you/would you (OB nurses) handle your own hospital birth?

    CEG replied to Florence NightinFAIL's topic in Ob/Gyn

    I was working in a terrible facility as an RN and had a homebirth with my third;) I am now a CNM and planning another homebirth (different and better facility) but everyone just attributes it to me...

  18. tachysystole vs hyperstimulation

    CEG replied to Deirdre's topic in Ob/Gyn

    The "new" (not really so new anymore!) NICHD guidelines use tachysystole in place of hyperstimulation. The reason they abandoned the old terms (as told from someone who sat on the committee) is that...

  19. Please help. Need help with Nurse career project!

    CEG replied to MelNY29's topic in Ob/Gyn

    The International Association of Forensic Nurses (IAFN) might be able to put you in contact with someone. I don't have their web address handy. Otherwise try contacting a SANE program in your area...

  20. Have you ever had a pt have sex...

    CEG replied to jarrn03's topic in Ob/Gyn

    Sex has a heck of a lot fewer side effects than labor augmenting drugs and c-sections. Also much more comfortable! Even at 7 cm! Remember this is a forum for L & D nurses so we are quite aware...

  21. CNM vs. WHNP?

    CEG replied to twodollarbills's topic in Ob/Gyn

    Technically CNMs can provide primary care to women per Medicare Regulations (which trickles down to private insurers as well). I assume it's the same for WHNP. Primary care is part of the curriculum...

  22. My first OB Interview

    CEG replied to RaziRN's topic in Ob/Gyn

  23. HPV straim that causes cervical cancer and pregnancy?

    CEG replied to tempestxoxo's topic in Ob/Gyn

    There are reported cases of baby getting HPV in the throat following lady partsl delivery. I don't know the exact statistics on that, but very rare. HPV (any strain) is not considered a...

  24. L&D CNA....what do they do?

    CEG replied to afox's topic in Ob/Gyn

    If you want to work L & D as a nurse (RN) I would definitely apply for this job because that's a great way to get your foot in the door-- L & D can be very competitive. Typically though...

  25. Risks & Benefits of Hospital Birth vs. Birthing Center

    CEG replied to chanelagonzalez's topic in Ob/Gyn

    "Pushed" by Jennifer Block is also a great read-- it's very well organized and has a lot of evidence to support the statements. Anything Ina May has written is also