Here is a link to the CDC's guidance: http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5111a1.htm Just skimming, the only mention of ROM is that GBS can cross the membrane, so intact vs ruptured is not...
The antibiotics don't take 4 hours to work, they cover for four hours. So the idea is to get a dose of antibiotics in and then repeat every four hours. I think the maximum effect is achieved after...
They have been shown time and again to result in worse outcomes. It is widely acknowledged that FM increases the c-section rate wthout improving outcomes. C/S is a complication and a morbidity- not...
Obviously it depends on the hospital but I have seen this quite a bit. Honestly if I had another baby in a hospital I would be quite suspicious of anyone who took my baby to the nursery for any...
One hospital in my area gives all the moms either a manicure or massage (their choice) and I think the dads get a steak or something. I have heard they tend to also give c-sections or episiotomies to...
That does look interesting. Seems like it would definitely decrease the number of unnecessary interventions here. I would love to read the evidence behind the standards they have created. As far as...
I guess it's already tomorrow so maybe I am too late. A lot of the way a birth goes varies hugely by hospital and care provider. So what may be NPO, IV, stay in bed, episiotomy, lithotomy, epidural,...
One other thing to consider- it is sometimes implied or even outright told to women that certain tests are "mandatory" and they can get into trouble with the state or CPS, or that their doctor will...
Sounds like she needs a new doctor who isn't a jerk. I was reading an article a while back tha theorized that disappearing twins are actually not as uncommon as we previously thought. The trend for...
You can usually access these online through the journal itself or another website like Elsevier. Sometimes there is a fee, but it's usually not too much. Good
Well, an OB goes to med school for four years then does residency for what, 4 years or so? You went to nursing school for four years, got your Master's degree for 3 years or so and have experience in...
There are many flavors of "lay midwife." The American College of Nurse Midwives recognizes and credentials "certified professional midwives" who do not have medical background but do have formal...
There is no difference in expectations for dual military versus others. If everyone in the unit has to be there at 0500 then everyone has to be there at 0500. As an officer in particular it would...
In Illinois a minor can sign for their treatment during pregnancy and for the baby after birth but cannot sign for herself after birth unless she meets one of the other criteria (married, emancipated...
GGRRR, I seriously wrote a long post about every hospital in Chicago I know and lost it all. I will try to write something more later, but please feel free to PM me if you have some questions. I...
Here's a link to the pitocin package insert which says to increase q 30-60 min and dosages over 6 mu are likely to be ineffective and increase the risk of hemorrhage......
I was taught that the CDC acknowledges that the GBS prophylaxis is at BEST a temporary fix and at worst will cause a catatstrophic problem later with abx resistant GBS infections in newborns/mothers....
Exactly! IA picked up the problem and alerted you to the fact that closer monitoring was required. IA was effective at detecting the issue and the problem was effectively dealt with. At the point...
Here's the thing: scare tactic or not, this is NOT true. Research has shown, and AWHONN teaches in the intermediate fetal monitoring class, that outcomes are no worse with IA than with CEFM. So...
As I understand it, even ACOG has said that a court-ordered c-section is not appropriate. It does seem that it is happening more. A year or so ago a mom in Pennsylvania left a hospital AMA after being...
To clarify, it's really not like Lamaze at all. It's a 10 or 12 week course that teaches a set number of items. It starts with prenatal nutrition, works up to labor support, breastfeeding,...
Well, there are a lot of differences- they really don't have much in common. A CNM provides routine well-woman care, prenatal care, and catches babies in a hospital, birth center or home. An FNP takes...
You can also become a certified lactation educator through CAPPA (www.cappa.net). I am working on that right now. It's a great stepping stone to LC in my opinion. I am hoping to get there someday....