CEG

CEG

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All Content by CEG

  1. one practicum question

    CEG replied to whitebunny's topic in Ob/Gyn

    With amnioinfusion, it is not recommended for meconium any more. It does not decrease incidence of meconium aspiration syndrome. It can improve cord compression and is actually linked with reduced...

  2. Left side lying?

    CEG replied to KJRN79's topic in Ob/Gyn

    Seems a shame for her to quit school- there's no evidence to support bedrest as beneficial in preventing pre-term delivery. It would be best for all involved if some way was found for mom to continue...

  3. Help! ? about fetal monitoring

    CEG replied to Lovelee82's topic in Ob/Gyn

    Ahh, I see. In that case I actually also would have expected to monitor continuously prior to moving to the OR. If the thought was that there was an abruption then if there was a lag time before...

  4. Help! ? about fetal monitoring

    CEG replied to Lovelee82's topic in Ob/Gyn

    Due to the immature neurological system a 29 week baby would not meet the same criteria as a term baby. It cn also be hard to continuously monitor these babies because of their size. Also,...

  5. Please Help! L&D interview

    CEG replied to jkilla's topic in Ob/Gyn

    Hope this isn't too late, just time for a quick response. 1). I enjoy helping women make the transition to parents. It's a privelege to be a part of a very special day that they will remember...

  6. Homebirth Gone Awry

    CEG replied to mamafeliz's topic in Ob/Gyn

    Just wanted to share that ACOG just came out in support of allowing clear liquids PO during labor. So although I will not expect to see things quickly, even ACOG supports

  7. Discouraged L&D RN

    CEG replied to obrn22's topic in Ob/Gyn

    I used to work at a place like that. It was really tough- I had a job offer at a big hospital in the city with a huge midwifery practice, very busy, etc. I also had an offer at a very rural...

  8. Homebirth Gone Awry

    CEG replied to mamafeliz's topic in Ob/Gyn

    I could write several stories called "Hospital Birth Gone Awry". I can if you want me to. Evidence has proven over and over again that for the low risk patient a homebirth has equal mortality with...

  9. Hi, just a question on MESs of PIH patients

    CEG replied to whitebunny's topic in Ob/Gyn

    Keep in mind that elevated BP is only a symptom of PIH and even if it is lowered does not fix the underlying problem. Edema is no longer considered diagnostic of PIH, but even if we could correct for...

  10. Is immediate, undisrupted breastfeeding needed for long term success?

    CEG replied to SiennaGreen's topic in Ob/Gyn

    Research shows that getting baby to breast within one hour of birth is PREDICTIVE of success, but not required for success. A hospital that cannot commit to getting a baby to mom's breast in an hour...

  11. OB in house

    CEG replied to eandgsma's topic in Ob/Gyn

    Where I used to work we did not have in-house OB. During the day most of our OBs worked in the adjoining building. At night they were anywhere from 15 min to an hour away. It was very dangerous....

  12. WHCNP vs CNM

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

    In some cases it may not be possible for a CNM to provide full scope care- in some areas is it not accepted by the medical community, in other cases laws and policies are too restrictive. In those...

  13. how likely is infection after water breaks?

    CEG replied to melmarie23's topic in Certified Nurse-Midwives, CNM

    I don't have the specific data in front of me so I can give you generalizations. The risk of infection is relative to the type of care. A woman having a homebirth with no lady partsl exams has an...

  14. Policy Questions and Hello

    CEG replied to SoCalL&DRN's topic in Ob/Gyn

    We wear surgical scrubs for our entire shift. I rarely go to the OR (CNM) but occasionally I do and I am ready. I do not prep for a lady partsl delivery. I don't there is any good reason. There is...

  15. Breast baby after C-Section and GD

    CEG replied to nkochrn's topic in Ob/Gyn

    You don't have to get SNS (they are expensive). You can actually use any medical lines. I can't remember what I used with my baby but it seems like it was NG tubing (?) You put the expressed...

  16. Need Your help... Vaginal Delivery Management & "NOT pushing"

    CEG replied to Mommi007's topic in Ob/Gyn

    The biggest risk factor for future incontinence is episiotomy. In the absence of episiotomy, women who have c-sections are actually at higher risk for future incontinence issues than women who have...

  17. Need Your help... Vaginal Delivery Management & "NOT pushing"

    CEG replied to Mommi007's topic in Ob/Gyn

    Babies are often born without pushing... in fact the evidence shows that laboring down doesn't increase the length of second stage at all. The uterus is very efficient. Of course when I have seen...

  18. Need Your help... Vaginal Delivery Management & "NOT pushing"

    CEG replied to Mommi007's topic in Ob/Gyn

    This is just my opinion, I don't have any experience or knowledge about this condition. It is absolutely possible for a baby to be born with no pushing... But a patient without an epidural will more...

  19. Patient Compliant...Taking it Really Hard

    CEG replied to Diva7332's topic in Ob/Gyn

    It's obvious that this doctor has never put a foley in a laboring patient or he would KNOW how hard it can be to find the urethra. He is showing his own ignorance. Not to mention that having a...

  20. need help to choose a maternity project ttile!

    CEG replied to whitebunny's topic in Ob/Gyn

    I actually happen to think that group beta strep is a very interesting topic. It seems the HCP take for granted the antibiotics for GBS is the thing to do, when in reality there are many risks,...

  21. Birth Doulas

    CEG replied to pamela100's topic in Ob/Gyn

    There is a religious exemption. Often, people who object to the test on philosophical grounds use the religious exemption when no other one is available. The law does not preclude informed consent...

  22. breastfeeding gone wrong

    CEG replied to adpiRN's topic in Ob/Gyn

    Thanks for the clarification... what would you consider the cutoff for following the "initial" guidelines. Just curious because I had never differentiated with my newborns who left my care

  23. Birth Doulas

    CEG replied to pamela100's topic in Ob/Gyn

    No doubt then with your attitude you are one of the ones who can and do give labor support. I have never had the privilege of 1:1, where I work it was "officially" 1:2 and in reality 1:3 or more....

  24. breastfeeding gone wrong

    CEG replied to adpiRN's topic in Ob/Gyn

    The breast does not occlude the baby's nose. Breastfeeding requires suction which requires air. A baby who is suffocating is not going to continue sucking at all costs and commit nipple suicide. It...

  25. Birth Doulas

    CEG replied to pamela100's topic in Ob/Gyn

    I think I might have a different perspective as someone who is a former doula. I think doulas are wonderful. In my experience most nurses do not have time to provide true labor support, very few...