kathiecnm

I know that this battle has been going on for years without a clear resolution. I am familiar with the AWHONN position statement on this topic that was last reviewed & reaffirmed in 2007. I believe that AWHONN made this statement because there ...

We are going to the ACOG recommended 1:1 pitocin concentration soon at two local hospitals. This should be easier & safer for the nurses since there are no calculations involved for either induction or augmentation of labor. My two questions ho...

Our hospital is growing & we now need to order new IV pumps We want a "smart pump" that meets the needs of all of the hospital, including L&D & PP. I am just asking for your pros/cons, vote on the 3 IV pumps we are considering: SIGMA, ...

I am trying to be sure we provide the best perinatal care to all pregnant women who are patients on units other than L&D at our hospital. This especially applies to those 20-24 weeks gestation & further who have a potentaily viable fetus. C...

OK, I have two questions on EFM to throw out to the OB commuity for consideration. This is one way I check to see if this hospital is practicing in a similar manner to other hospitals of like size & level of care. This is a Level III facility w...

I know that this is a hodge podge of questions, but that's just how my day has gone. #1 -Just checking with the other L&D units to see how you handle keeping a patient on CEFM when moving the patient from room to room. Had a demise between room...

We do 4800+ births per year We have one anesthesiologist 24/7, but they do C/S on the floor as well as epidural anesthesia One practice has an OB & occassionally a CNM in house 24/7, but they cover two hsopitals & occassionally the OB gets ca...

Doesn't anyone use Leopold's maneuvers to find the fetal heart & assist in placing the fetal monitor? I love the clicking sound of a direct placement over the fetal heart! Plus it is evidence based practice. Fluffy women & wigglers are a c...

Thanks to RAIZIE and NRSKarenRN for reminding us of evidence based practice. As a CNM I placed many foley catheters as a prefered choice for women who wanted to avoid oxytocin if at all possible. The level of discomfort with placement was nil to mil...

I read an interesting editorial in the Nov. 23, 2006, edition of the NEJM by Dr. Michael F. Greene. It's entitiled "Obstetricians Still Await a Deus ex Machina" & it is about the research into EFM over the past 30 years. The last sentence reads ...

I am so frustrated this week with how possible legal issues are changing the face of childbirth. Even with evidence-based research we are required more & more to intervene or limit women from just having babies because of the fear of lawsuits. ...

We are doing 450 births/month, 5,400/year. We have 24/7 anesthesiology coverage & one group has an OB in-house 24/7 who ends up covering all the emergencies when the physician of record is not in house. We do all our own scheduled & emergen...

First live born & sociopathic father. I ended up being the mother to my mother & 2 brothers, but it all turned out well, so that's OK.

First live born & sociopathic father & I ended up being the mother to my mother & 2 brothers. It all turned out well, so that's OK.

Well, I think I've come up with a topic not seen here before. We recently had a woman come in via ambulance with a cord prolapse & the paramedics tried hard to do their best by keeping a hand in the vagina lifting the head off the cord, starting...

I am currently working in a "conservative" L&D area & recently a couple in the community has gotten consent from their OB & want to try a water birth here. Some progress towards full scope women's birthing options has occured over the pa...

Last comment for the day. I was using the recommendations from AWHONN & the IOM report on magnesium sulfate to teach safest care of the mother on high risk medications in Professional Development Day (annual,reqired competency+ class) recently. ...

All our L&D RNs are becoming ACLS certified because be do our own C/S & have a PACU. Probably overkill, but still required.

Thanks mitchsmom! I am willing to share what I know & have. I didn't get where I am on my own. Good to know others are willing to help too.

I have to say that a new OB I worked with, who did her residency in Mississippi told me she had a patient with twins name them Lemonjollo & Orangejello as was mentioned earlier. That's what they offered her on the menu every day & she though...

If you are just learning about fetal monitoring, you should know that terms & how nurses document or "talk" about it changes from time to time. To be most current, you need to know that AWHONN adopted the NICHD (National Institue for Child Healt...

We do 5400 birth per year & this is still a growing community. We have one anesthesiologist on L&D 24/7. Frequently not enough coverage. We have one OB group that has an OB or OB & CNM here 24/7, unless the OB is alone & gets called ...

Ours is a very busy teriary care unit with 450+ births/month. You can add the skills of sterile speculum exams, amniotic fluid & fFN collection. Under coplications/other duties add incompetent cervix & cerclage placement. Under education ...

Congratulations & welcome to the sisterhood! Birth is such a miracle & we are so blessed to participate in it. You will never forget this experience & it will happen again & you'll be even better at it then. Worth smiling about, al...

There is no policy against doing an emergency C/S with local anesthesia, just the gut reaction by those involved & those hearing the story to the physical & emotional pain the mother experienced. What mother wouldn't risk that pain to try &a...