midwife2b

midwife2b

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All Content by midwife2b

  1. Sterile Speculum exams for ?ROM

    I've seen warm sterile water used. I remember hearing or reading that saline may interfere with the sodium crystal pattern you are attempting to see on your slide. Personally I have never had a...
  2. Lay Midwives?

    I've been reading a bit about "unassisted birth" and "unassisted VBAC". Now that is kind of scary to me! Does anyone know of a family who has been that
  3. Frontier in May??

    How old is too old to start? I am 41 nowand doing my Master's as Perinatal CNS/Educator. I like education, but I really do like clinical situations. I never mind helping on the unit, etc.It will...
  4. How many pregnancies are too many?

    Too many is when your health suffers. When mama's health suffers, the entire family suffers; financially, emotionally, socially. I have always admired women with large families. They are so organized!...
  5. I have been asked to be a Doula!

    If they use a birthplan, take a CONDENSED version to the hospital. I tell my clients: the nurses would like to know what you'd like, but they really don't have time to read a 10 page detailed plan,...
  6. Frontier in May??

    Congrats to all of you!!! My partner and I are discussing the possibility of having a student sometime in 2007. Perhaps it will be someone from this board! You never
  7. questions to midwives

    I worked part time while I got my BSN, MSN, WHNP, and midwifery certificates. Children were young, teenagers, older teenagers, and grown/out of the nest with each program. You have the potential to...
  8. postpartum transferrable skills?

    I agree
  9. Do Patients Try to Tip You?

    i''ve always donated gifts of money from patients to the March of Dimes, in the family's name. They get a card and whatever satisfaction they receive from the "tip". And if someone wants to do...
  10. If you want to, what stops you?

    If there was support (read: backup) from even ONE OBGYN in my area I might consider a home birth practice. Despite the evidence that suggests homebirth is safe, it is underground here. Most women have...
  11. Preparation S?

    I remember my grandmother saying that potatoes (cold from the refrigerator, peeled and sliced) worked for her "every time". Anyone ever heard of this, or of the possible rationale behind
  12. Doula

    We are seeing more doulas (not with our CNM patients though). Most are THE GREATEST! I especially like the fact that they are seeing them in the PP period. Some of our office personnel (LPN, MA's) are...
  13. Home Birth: Is it safe where you live?

    One of my patients had a home birth with her last pregnancy and was disappointed that she couldn't find that option around here. It has me wondering where in the US is homebirth accepted, backed up by...
  14. life of a midwife

    I started school in my mid 40's. I have been a nurse since I was
  15. Water filled IUPCs

    I haven't seen a water filled IUPC in over 15 years. We use INTRAN. Trialing Koala now. Koala had a problem about 10 years ago with a rising resting tone and supposedly that is fixed. Koalas are...
  16. Teeny Tiny L&D Units

    I once worked PRN in a small hospital and most of the patients were low SES (so socioeconomically at high risk). If they were less than 35 weeks 6 days we did our best to send them off to Level 3...
  17. life of a midwife

    I am not "typical" but I'll tell you about my work life. I work 2 full days and 2 half days in the office. I see both CNM and MD patients. I make rounds for the doctors 3 days a week; so I work approx...
  18. Fiths disease exposer in l&d nurse

    For peace of mind have a Parvovirus B 19 IgG and IgM drawn. Most of my patients already have been exposed and they are relieved with the test
  19. Hydralazine question

    When I worked L&D we gave 10 mg at a time and checked BP q 5 min x 20 min. RN stays at bedside. It is a little more predictable than labetalol IMHO. If there is a continuous IV it goes in the...
  20. Regional differences in OB terminology ....

    Forgot a couple: "She needs some O's (oxygen) And about 10 years ago I worked at a small community hospital that had about 200 births a year. One of the first days I worked the discharge order was...
  21. Regional differences in OB terminology ....

    My first nursing job: "Primies" were first time moms (primagravidas) Cervix was thick, thin or complete with respect to effacement. Now: Due to a mix of northern, midwestern and southern RN's, we...
  22. Oldest and youngest mothers?

    Youngest I have cared for: 11 yrs. and 11 months. Turned out fine; she is now in her late 20's and a physical therapist. Oldest: 49; preterm triplets (GIFT after years of IVF); 2 have severe CP and...
  23. Drying up Breastmilk

    Sage tea is in my "herbal remedies" book. Sage is better at prevention than it is treatment (i.e. women who choose to bottle feed at the outset vs. those who breast feed for a few days and then stop)....
  24. positive ppd skin test, neg xray, take meds?

    Yes BCG has been given in the US. My mom once worked at a TB hospital and it was recommended that all family members recieve BCG. So my sibs and I all got it as children (1960's). I've tested negative...