CEG

CEG

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All Content by CEG

  1. VBAC for a Lady Who Has Had 2 Previous C-sections

    My former facility did them, the medical director was very passionate about the fact that they should be offered. The increased risk of rupture is marginal and the benefits of a lady partsl birth for...
  2. I struggled with this as an L & D nurse. I had a lot of patients who came in for induction at 39 weeks with no indication. When I asked them why they were being induced they didn't know or it was...
  3. Yes they can. I had a CNM attended homebirth there 1.5 years ago and I have three friends in the Chicago area who own their own CNM homebirth
  4. TLAC vs Scheduled section

    Failure to progress is often called "failure to be patient" and can mean anything from an unsuccesful induction to a slow laborer to a doctor who had something planned. So I wouldn't take FTP as a...
  5. Recruiting questions

    thanks for the response. I guess I will have to start being an annoying person who calls all the time:) I wish there was a definitive source of info where I could look things
  6. My recruiter is apparently not big on "returning phone calls" or "replying to e-mails" so I wanted to see if I could get some answers to my questions from the experts here. I am prior service looking...
  7. licensing exam for CNMs

    I think I did make it sound more complicated that it is. It was essentially the same process as what I went through with my NCLEX and RN license. A national examination but a state license. I would...
  8. licensing exam for CNMs

    It's a fine point, but it is a "certification" exam rather than a licensing exam. When you graduate from your program they send the American Midwifery Certification board (AMCB) a form and you fill...
  9. Not evidence based, but on the natural side of things I have always been taught that coupling is normal, especially in transition. Also that coupling may be a symptom of OP position. Medically I have...
  10. Bizzare medical question

    I would crawl out of my skin if I truly thought that the remnants of other people stayed for seven years. There is no way this is true and I can't even think of what information got twisted into...
  11. Traditional postpartum care?

    I don't know why you would think the infection rate would go up. Nurseries are proven to increase the infection rate- that's the only way babies are exposed to anything. If they are in the room with...
  12. RN babysiting gig gone south

    Very, very, very irresponsible. If I were the parents I would have come home immediately. Anyone who would leave an 8 year old alone should not be trusted with children. Of course I would not have...
  13. Finding the right words...

    We have an interesting shift in our culture. In years past babies were kept NPOX 24 hours, then glucose water and if tolerated given formula. Evidence does support neonates in going at least 24...
  14. Tylenol for newborn fever?

    It is within the scope of practice of a CNM to provide care to newborns up to six weeks. It does concern me that the CNM made this order, but it also concerns me that her priveliges will be pulled....
  15. L&D charge nurses required to have patients

    At my former facility the charge nurse took patients (about 100 deliveries a month). My current facility (about 100 deliveries a month, different part of the country) they do not take pts unless very...
  16. Documenting decelerations

    While I wouldn't necessarily take any action based on seeing one decel I would document it. I would certainly both take action and document if 50% of contractions had decels. That seems a little off...
  17. OBLC March/ I got my orders!!!!!!!

    Can I ask what type of NP you are? I was looking at going in as a CNM and Stewart was an option, just wondering if they are looking for a lot of people or what.
  18. Required to watch circumcision?

    It's actually called smegma, unless you're referring to something else. It's pretty much the same thing as lady partsl
  19. Dual military question

    I think it's Hunter Army Airfield, not an air force base. Personally, I was dual military in the Army. Neither of us was MEDDAC and we had a tough time getting stationed together with two common...
  20. Most FNPs have years of nursing experience prior to becoming FNPs. If we are going to include the physician's resident time as part of their education we need to include the nurse practice as...
  21. jacuzzi use during labor

    Ahh, I see. Birth soup can be a little gross if it isn't fresh;) I am still dreaming about your facility where your docs are pushing water labor while I am trying to get my ruptured patients able to...
  22. jacuzzi use during labor

    Have you seen many waterbirths? I ask because I think the mess is so much less than a land birth. Use a fish net for the big stuff and let everything else go down the drain. Just curious if you...
  23. Homebirth isn't illegal anywhere. You can't legislate place of birth. Otherwise we would have to throw those women who deliver by the side of the road in jail along with the planned homebirthers....
  24. jacuzzi use during labor

    A lot of places consider ROM a contraindication but it really isn't. I don't usually have a problem with my lady parts filling with water in the swimming pool, bathtub, etc. Nor do laboring women....
  25. jacuzzi use during labor

    I would check out the website of Waterbirth International (www.waterbirth.org). They promote water birth as opposed to just water labor but I am sure you will find some good evidence-based info and...