jarrn03

Have you ever had a pt and her spouse have sex in their room "to get things going naturally"? We had a couple come in that had had intercourse that am, stimulating contractions. Her cervix was changing but then stalled out around 7 CM. The mother to ...

The doctor never instructed them to have sex in the hospital. He had no idea that it had happened until he came out of the OR.

Your approach to your deliveries are about the same as mine. I totally get a kick how the familys always ask how much babe weighed, no one asks if they are breathing etc. My babies stay on their mommy as long as I can keep them there. I do eyes/thigh...

The doctor was unaware of it happening until the nurse told him.

Has anyone had a pt bring in a pic of their mucous plug on their cell phone? I've gotten 2 in 4yrs. I about died!! Thank god for cell phones!

Days-$48 Eve-$50 Noc-$52 Here in Oregon.

I can totally relate to the moms not getting to see their babies because of meds. I delivered at 28wks due to preeclampsia and was on Mag. It was pure torture. I think I finally whinned enough the nurse took me down at about 22 hrs post op. I only...

We had the same thing happen a few months ago but we were fortunate that nothing horrible happened. I was so happy that I wasn't working that night. It went through 3 nurses and a CRNA before the night shift nurse found it. Of course it happened to ...

The longer you wait for the bath the more the skin absorbs it and less you have to wash. I don't try hard at all to get it off. Why waste a good thing! Julie

My son also had a 2 vessel cord. It was DX at my 20 wk ultrasound. I was sent for a level 2 US and nothing else was found so we elected not to have an amnio. 8 wks later I delivered due to pre-eclampsia. He spent 74 days in the NICU. After he was se...

We have a policy that if they meet critieria such as late entry to care..after 20 wks, past history of use, any + screens, precip labors. Mom's have to give consent, but we don't have to have consent to screen the kiddo. If they have any of the above...

My son also had a 2 vessel cord. It was DX at my 20 wk ultrasound. I was sent for a level 2 US and nothing else was found so we elected not to have an amnio. 8 wks later I delivered due to pre-eclampsia. He spent 74 days in the NICU. After he wa...

Currently our facility uses stadol. We are looking into using Fentanyl. For those of you that use it can you tell me what you like and don't like about it. What are the usual dosages? Thanks for your help. Julie

What they were doing is called amnioinfusion. This is done for different reasons. One is when the amniotic sac has broke and water has came out, the cord loses some cushion. If the baby is laying on the cord or it is being compressed in anyway it ...

I tell my pts "Natural" is coming out the magic door. Doesn't matter how you get there, just as long as it comes out the magic door. Everyone has a choice. C-sections are not natural so we do everything we can to make it happen "natural".

We use stadol. I've only had to give Narcan once because of mulitple doses. I generally tend not to give it after 8 cm unless the doc okays it. I have seen Morphine given a few times. Some of our docs use a Demerol/Phenegran cocktail for a long prod...

We have a new nurse on our unit who came from a large hospital that did a lot of midwifery deliveries. We are a small rural hospital that does about 30 deliveries a month. Anyhow the other night we had a primp that went very quickly, 4 to complete i...

This drives me nuts..when I admit patients and start EFM I explain the US and Toco. I explain the Toco can tell me how often and how long the contractions are BUT not how strong. That the number means nothing as long as we are using it externally. S...

I work with a female doc that does this quite often. If she has a mulitip mom who's kind of stuck and has a mushy cervix she will have them push with a contraction. I've seen a woman go from 5 to delivery in 10 minutes with her doing this. I've se...

I am a Labor and Delivery Nurse in a small rural hospital. I am curious to how you do your consents. Do you expect the labor and delivery nurse to have them signed before you get there? Do you do a full PAR? We have a few CRNA's and Docs that do abso...

I work in a small rural hospital. 300 births a yr. We had a 23 1/7 wk mom walk in at 0250, complaining of mild cramping since having intercourse around 1700. States she is feeling better. Rates pain 4, compares to mild period cramp. It had been a...

The patient came in at 300am and delivered at 330am. There was barely time to turn on a warmer. As for the parents not given a choice, they were told your baby is only 23 wks and is not viable by the doc. The nearest NICU is 45 min away via ambul...

Thank you! I've only been an OB nurse 18 mo and that was my first and I know not my last. I look at it as a learning experience and I know I was blessed to been able to be there for the parents. You don't forget the ones that were there with you du...

Thank you so much for all your replies. I do feel much better. I am a mom of a 28 wker so I have a little experiece with a healthy preemie. What bothered me the most was the doc was 30 min away. Spoke to the pt by phone and wasn't really given a c...

Did you do Cappa before? What didn't you like about them if so? I am just checking into it. Thanks