queenanneslace

queenanneslace ADN, MSN, APRN, CNM

Nurse-Midwife

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All Content by queenanneslace

  1. "The multicenter ARRIVE study involved 6106 women who were randomly assigned in their 38th gestational week to induction or expectant management at 39 weeks, 0 to 4 days. The women, from 41 hospitals...
  2. Thanks for all your comments and perspectives. I realize that I must be living in an area where induction practices have been modified to allow for longer onset of labor, diagnoses of 'failed...
  3. Thanks. I'd love to hear more of your questions. As far as acheiving 'lady partsl delivery at all costs' do you believe this was an intervention employed in the experimental group (IOL at 39 weeks)...
  4. Attending births with a CPM

    I attended births with CPMs, and at one point was apprenticing to become a CPM. I had chosen that route because I felt pulled toward that model of care, and wanted to provide midwifery services in...
  5. L&D/CNM: tell me everything!!

    These are such huge and broad questions. Tell you EVERYTHING? I don't know where to start. How about I ask you a question. :) What interests you about women's health and midwifery? What questions do...
  6. Feeling discouraged

    " Any L & D nurses have positive things to say about the speciality?" Loved it. It's HARD though, too. I think I love that it's hard, that no two days are the same, that no two labors are the...
  7. DNP-CNM vs. MSN-CNM

    "I'm trying to compare whether It would be worth it to go the DNP route with a CNM track or if it would be more practical going the MSN route and sitting in for AMCB exam. (In terms of: cost, job...
  8. New grad in L&D. Are these things normal?

    When I read the title of your post I was all prepared to say: "Hmpf, yeah, it's that bad." Because L&D can be ... eye-opening ... in the way things are done. But after reading the content in your...
  9. From NICU to OB

    Re: evenings to nights -- If you can sleep during the day when you get home from work, you should be fine. For me this requires two things 1) a quiet, calm house, 2) the discipline to sleep during...
  10. There are multiple pathways to becoming a certified nurse midwife. A good place to review these options is on the ACNM website. You might want to get some more experience in the respective fields...
  11. Is this a safe job?

    Ooooh, sounds terrible. Are you asking if this job is safe for patients, or safe for you? Or just safe in general? Does your hospital have policies regarding oxytocin titration in labor? Does your...
  12. CNM School with no L&D Experience?

    Keep looking for L&D jobs. I don't know of a single L&D nurse that regrets her experience prior to becoming a CNM. There are many midwives who will tell you that it's *not necessary* to have...
  13. CNM Goal Statement Help!!

    Write something cogent and sincere, and stay within the word limit. You will be fine.
  14. Student loan debt

    Not that it does any good, but I encourage nurses seeking advanced degrees to consider *not* taking the full amount of financial assistance for continuing their education. [Cue endless excuses here:...
  15. Best route to get into mother/baby

    The birth center job will provide you with many valuable experiences and skills - though that route might not make you more appealing to the hospital. It will also be more personally satisfying for...
  16. Paths to CNM - Streamlined Options?

    There are a number of streamlined options - and the best place to find those are on the ACNM website under education. There are a few progams that allow a streamlined progression from RN to MSN (or...
  17. Frontier Midwifery Program

    You're right, Jory. I don't have a clue. And since I'm currently enrolled at FNU and experiencing all the "rigor" and "excellence" first-hand, I have no right to an opinion about it. And you do....
  18. Frontier Midwifery Program

    The concept of reducing admissions standards to increase enrollment is not a theory I invented. http://www.sciedu.ca/journal/index.php/ijhe/article/download/3567/2214 It's a common phenomenon, and it...
  19. Lisa Miller Seminars?

    I attended one of her seminars and it was very good. I agree if you are totally unfamiliar with EFM it could be challenging. But I wouldn't discourage anyone from taking her course. If you're...
  20. Frontier Midwifery Program

    Well, if there's one thing I'm a stickler for, it's my math. So I went back to check on what statistics I interpreted wrong. In 2010, the attrition rate was 20.7%, this number steadily increased until...
  21. Prolonged second stage and arrest of descent

    I have seen SO MANY persistent OP babies and primips and epidurals - and yes, they all end the same way. In the back for a c-section. Once that kiddo is wedged in their after laboring down, or just...
  22. Sterile water injections - back labor

    I have seen it done OOH with two people (a midwife and an apprentice) on either side of the mother - each person makes two blebs during a contraction. In a hospital I suppose it would be RNs doing...
  23. Sterile water injections - back labor

    Sterile water injections for back labor: I'm going to assume no one is doing this except some midwives somewhere - outside of the hospital OB unit....
  24. Out of hospital Midwife?

    Before I became an RN I worked in an OOH midwifery practices with CPMs. Typically - we were on call 24/7/365. Radius for attending home births was 30 miles- but that always seemed to get stretched to...
  25. Frontier Midwifery Program

    I linked to it - I got my information from Frontier's webpage. Is that reliable enough for you? I'll link to it again: Frontier Statistics | Frontier Nursing