We've come full circle and then some on this issue... In 1996 my sisters insurance company notified her that she HAD to attempt a VBAC; they WOULD NOT UNDER ANY CIRCUMSTANCES pay for a "repeat". This...
midwife2b replied to webbiedebbie's topic in Ob/Gyn
Agreed; not unusual in some areas. Studies have been done that demonstrated accurate results if pt does it vs. provider. Just another method of giving a little power to the
At our Level III regional medical center, gravity only with room temp fluid unless a rate has been prescribed, and that rate has to be under 50cc/hr. Our residents have done a longterm study on...
You did an excellent job by far! I hope you realize that! An ER nurse does not immediately think OB when a female comes in; an OB nurse does not think epileptic seizure when a pregnant woman...
My limited experience on this issue: The SCHOOLS will educate you. Not a problem. The issue is after school, when your resume and experience are evaluated for a job, no L&D experience may be a...
I'm interested in hearing what you like about your birthing beds and what you don't like. My unit is investigating changing models. We have some new beds with stirrups that stay attached to the bed...
I caution each of you who looks into midwifery programs to learn what "community focus" means to each program. I say this because when I was researching CNM schools the subject of "community" came up...
In theory, any attempt to induce contractions (such as with induction of labor) can be considered a "contraction stress test". I work in a tertiary care facility and we will do a CST if there is a...
Ladies (and gents), I need a little help please. I've been asked to be on an interviewing committee and next week we will be interviewing six nurses for 2 Labor and Delivery positions. I know two of...
Welcome, Miriam! (what a lovely name!) So glad you had a wonderful, memorable HOME birth. In my part of the country home births are not well accepted, so to hear about a wonderful experience such as...
Yes, second trimester placentas take a while to detach. We occasionally use a very high dose pitocin protocol and in the absence of heavy bleeding and unstable vitals, we'd pit the mom for up to 18...
You can start on the Internet. Begin with Google searches for topics and go from there. For example, the March of Dimes website has great information on a lot of topics. I'd also suggest you write a...
midwife2b replied to Katydidit34's topic in Ob/Gyn
The best thing our administration did was put an "Abusive Physician Policy" in place. WOW did things change! I highly recommend you investigate putting such a policy in place. We currently have one...
midwife2b replied to pebbles1977's topic in Ob/Gyn
So I guess I'm wondering what's the longest 2nd stage you guys have seen, and what was the outcome? At what point during pushing do you call the docs bc things aren't progressing?? This summer I had...
midwife2b replied to wannabenursetx's topic in Ob/Gyn
I had a labor patient today who came in for labor eval with a uterus didelphys; we could see both cervices on speculum exam. Each cervix was 3-4 cm. and 80% effaced. I could feel the head through the...
midwife2b replied to labornicurn's topic in Ob/Gyn
From AAP/ACOG Guidelines for Perinatal Care, 2002, p. 24: RN/Patient Ratio Intrapartum: 1:2 Patients in labor 1:1 Patients in second stage of labor 1:1 Patients with medical or obstetric...
My favorite: potato chips and lemonade. Something about the salt and the tangy sweet has helped a lot of people. Ginger has actually been studied and found to be helpful as well. Another hint is to...
midwife2b replied to SarasotaRN2b's topic in General Nursing
The surveyors talk to "selected" staff nurses during the survey, with no nurse managers or administration of any kind. They will tell you they already know not everyone likes tsome work conditions;...
midwife2b replied to SarasotaRN2b's topic in General Nursing
Our hospital attained Magnet status in 2003. We worked very hard and made a lot of changes. We have good benefits and I think we are a little more respected by the doctors now because of the Magnet...
midwife2b replied to momof4plus1hubby's topic in Ob/Gyn
If you are concerned, you can get a Parvovirus IgG and IgM test. Gives an indication of whether you have been exposed to the disease in the past or have a current infection. Most of the time the...