sunshineLDRN

Yeah how different, huh? I hope to do some travel nursing soon to see how things are done differently in other places. Also, though being a county hospital, we get a lot of pts who have had no prenatal care and come in only when they they are symptomatic, so catching pre-e before it gets severe is often difficult with our pt population. I would love to travel nurse in Canada. I have heard so many good things about the health system over there.

That interesting. Do you guys use Mag Sulfate for seizure prophylaxis? We do so maybe that's the diff. Mag Sulfate being a tocolytic can prolong their labor. We also don't use Cervidil or Prostin ( Only lady partslly for induction of a fetal demise). Our first go to is usually 100mcg Misoprostil orally if they meet the criteria by our protocol (max of 2 doses). Probably not as effective as lady partsl cervidil.

Max @ 42mU/min @ my facility and we occasionally do hit this max. But then again we have a lot of primip pretermers with severe PreE on Mag so labor is usually extremely slow going. (less pit receptors) TX