CEG

CEG

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All Content by CEG

  1. RN use of ultrasound in fetal demise cases

    I don't know the legalities, but in my opinion the doctor who refused to come in should have his license taken away. He obviously lacks all
  2. NPO for labor?

    All the research supports not being NPO for labor. Vomiting in labor shouldn't really even be a consideration. We all know laboring women who are NPO vomit just the same as those who have eaten....
  3. Vacuum Assisted Delivery... ugh.

    I think you are missing the point that many of the lacerations are being CAUSED by the providers. They then add insult to injury by giving meds that result in mom not being able to breastfeed/bond in...
  4. Improvement Ideas

    I think finding a niche is helpful. For instance hospitals that offer midwives and waterbirth will always be busy and popular because they offer something that other places don't. Some other treats...
  5. I'm not sure what the purpose of this post was- perhaps to make people mad and generate discussion. It worked! It is false that CNMs do not do deliveries in MO. It is false the hospital delivery is...
  6. I know several male midwives- highly respected and popular with patients. The new regional representative for the region of ACNM that covers Georgia is a man. I don't know his contact info but you...
  7. Yay, this is awesome! I hope to follow in their footsteps in my own state very
  8. Why CNM?

    It seems like you might be asking the difference between an OB/Gyn nurse and a midwife? A midwife is an independent practitioner who provides well woman, gyne, prenatal, postpartum and midlife care...
  9. doula experience helps an RN get job in L and D?

    It can help or hinder. Some units are more supportive of doulas than others. Personally, I would take the fact that a unit was unsupportive of doulas as a sign that I wouldn't want to work there....
  10. There are some other threads on this topic but to work as a nurse midwife in the US you must be an RN with a master's degree and certfication as a nurse midwife from the American Midwifery...
  11. Adoption

    This is a very lucky baby:) We recently had a situation on our unit where the nurse did not honor the birth mother's wishes in a certain choice. It wasn't because she didn't want to but because she...
  12. Cervidil by labor nurse

    It depends on local policy. In the past I have done all cervidil and cytotec as a staff nurse. In my current facility residents do
  13. Help with Presentation on PRECIPITOUS DELIVERY

    Not an EMT but I am surprised you carry pit on the truck. Do you carry cytotec? Pit has a pretty long peak (>15 minutes) and is more difficult to administer than cytotec PR. Just
  14. CNM in North Carolina?

    I am not a NC expert, but I live in another southern state. From my point of view, job search, and the research I have done, the south is just not a great place for midwives. For some reason even...
  15. PO Vitamin K?

    I have heard of it and planned to use it with my last baby but in the end just skipped it altogether (home waterbirth, membranes intact until a few minutes before delivery, no trauma whatsoever). It...
  16. Google "NICHD Fetal Monitoring Teminology" for an article released last fall and get your textbook. Between the the article from NICHD and your text you should be able to sort out a
  17. epidural and decel question

    Your patient should not be receiving an epidural without informed consent. If she does get it without being informed of the risks (which many/most do in my experience) you should not hesitate to tell...
  18. Help-updating resume-"Newer" Nurse

    A resume should not include references. Those should be provided seperately. Your goal is to have your resume fit on one page unless you have a long, long employment history that is relevant to the...
  19. Help with Presentation on PRECIPITOUS DELIVERY

    I'm curious about what you do with the baby that is safer than mom holding the baby? Do do you have a way of strapping the baby in as well? Skin to skin is proven to be very effective...
  20. Help with Presentation on PRECIPITOUS DELIVERY

    When I have taught this class I stress mostly that you typically don't need ot do anything, baby is coming either way. No reason for an ER nurse to stress about the proper way to deliver an the...
  21. who transports your babies?

    Our moms hold their babies or they are transported in open crib. We don't have a nursery
  22. No prenatal care?!

    Try not to look at it from the prenatal care standpoint. I don't know the history here but it's unlikely that prenatal care would have affected the outcome of having a stillbirth at term with mec....
  23. AAP changes stance on FGM

    No, but I don't assist with male genital mutilation
  24. Which states are CNMs permitted to do homebirths?

    It's definitely legal in IL- I had a CNM attended homebirth there a year ago! And two of my CNM friends own homebirth practices there. MANA has a summary here: http://mana.org/laws.html that mostly...
  25. Bicitra in labor?

    Is anyone giving bicitra to all laboring patients when they get an epidural? I have never heard of this practice, which is apparently our protocol. These are not patients heading for section, just...