midwife2b

midwife2b

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All Content by midwife2b

  1. Cone biopsy, bad experience

    I recently had some oral surgery and while discussing options with my peridontist, Versed came up as an appropriate agent. I was concerned that I would still feel pain. I have issues with people...
  2. bottle vs breast feeding

    The best time is within the first hour of birth. Of course, baby must be stable and mom must be stable. We look for cues that the baby is ready. Often if the baby is skin to skin with mom sucking...
  3. Mild p-e and CNMs... or high-risk OB?

    My practice would probably allow the CNM's to "comanage" you. I would order labs and any testing and offer to send you and those results to one of my docs. You might see a doctor once a week or so......
  4. midwifery interview coming up

    I think your mom is thinking about Birkenstocks and peasant tops :) Which is NOT what I wore, btw. I think I wore a twinset sweater and a skirt. The professor who interviewed me had on the...
  5. NP or Nurse-midwife - sonography

    Having been through both a WHNP and CNM program, I can tell you the main differences lie in the labor and birth and followup care of the infant. I got similar GYN and office OB experiences in both...
  6. Tonight I had the best birth ever! It was my "first" as a practicing CNM (being an old labor nurse I've had hundreds)... A perfect baby BOY! Screaming before he was out all the way! Mom had no tears,...
  7. Researching Culture Aspects of OB

    Try this link: May need to scroll down to "Hindu" and "Indian"
  8. Staffing & Pt Assignments

    The hospital where I now deliver follows AAP/ACOG guidelines. So a nurse may have 2 laboring patients but when an epidural is going in or second stage begins she is only responsible for that one...
  9. Betamethasone & PTL

    Years ago we would give betamethasone to our antepartum patients, and 12-18 hrs later they would inevitably start complaining of contractions. Now if someone gets it they must be continuously...
  10. Midwives...

    I work in a 7 doctor practice with one other midwife. I am in the office 3 days a week and see midwife and Dr. patients. I make rounds at the hospital on all PP moms and discharge those who are ready...
  11. Any one using glyburide in GDM instead of insulin?

    The Indian Reservation where I did my midwifery integration had a HUGE population of Type II DM, and about 20% of the pregnant ladies either had it or gestational DM. Lots of those ladies used...
  12. Who does your daily blood work?

    We get admission blood work when we start IV's. After that, unless its a dire emergency (like a type and cross as the pt is going to the OR), our phlebotomists do it.
  13. Dansko Shoes are killing my feet!!!

    I have high arches and had some trouble like you have with my Dansko clogs. I wear a size 37. I had the tops of the shoes stretched by a shoe repairman and it helped tremendously. There are just some...
  14. Lay Midwives?

    I live in an area where homebirth is not supported. There are "underground" midwives who provide services for these families and for the most part things go well. One lady just got credentialed as a...
  15. Uterine rupture & maternal code

    I am worried that we will see MORE uterine ruptures now that VBACs are being limited. Had a horrible situation recently where a G3 P2 with 2 previous C-births tried to have a homebirth. SEVERE...
  16. Interesting article

    Please, do share!!! What a tragic event, but how great it is that it is shared with
  17. 14 weeks is just too early to be talking about inducing
  18. Diabetes treatment and why success does not pay

    Excellent point. When I worked on the Navajo Reservation I saw many people with diabetes and other chronic diseases. Once I was having a discussion about the meaning of time with one of the Native...
  19. Postpartum Self Medication Program

    Does your hospital provide a postpartum self medication plan for your new moms? What does it consist of? Where are the medications kept? I just learned that the self med plan that had been in place...
  20. LPN's in OB?

    Our Level III L&D uses LPN's as scrub techs. They also help tremendously with transitional newborn care, triage, second stage pushing, etc. However, the LPN's must be working toward an RN within...
  21. Coworker quit/fired! Should we know what happened or not?

    Give her a call. Send her a card. Invite her out to lunch. Let her know you still care about her. It has happened several times where I used to work, and it felt like the person died. We had the...
  22. Running the Board....

    :rotfl: :rotfl: :rotfl: :rotfl: You crack me
  23. Jobs that accommodate school...gotta eat!

    My sister worked 16 hr. weekends as a ICU tech/unit clerk while in nursing school (7am-11pm). For two days of work she earned a decent living plus benefits. Monday-Friday was study time, although she...
  24. Central monitoring also has a big benefit for your medical records department. All strips can be archived on a disc, eliminating the need to save thousands of strips in big boxes that take up a huge...
  25. placentral abruption

    WOW!!!!!!!!!! Dayray, you are a HERO!!!!!!!!!!!!!!:balloons: :balloons: