LOTS of changes from my first job in L&D (age 20) until now (49 and holding...)
1. Sterile delivery room. Just mom, doc and me. Caps, masks and gowns. Trilene inhalers (inhaled sedation) or some nitrous administered by ME (no ologists or CRNA's).
2. Tie arms down. Strap legs in stirrups. NO EXCEPTIONS.
3. I sterilized all our delivery instruments. We used all glass supplies: including syringes. Reused needles.
4. Circs were done immediately after birth, before the baby left the delivery room. NO anesthetic of any kind. (what a mess!)
5. Dads were usually not present at birth. They waited in the "fathers waiting room".
6. Babies were placed in bassinets on their right sides with the head down for 24 hours to help mucus come out.
7. Some peds wanted gastric lavage on every newborn so they wouldn't spit. So we inserted an OG tube and lavaged with saline. IMHO it did help with spitting...
8. Babies were "shown" twice daily in the nursery. All the relatives gathered in front of the nursery to ooh and ahh over their niece, grandchild, etc. The babies were our property! Only MOMS could touch them. Dads had to gown before the baby came into the room.
9. We cared for primarily farmers, the Amish, and Native Americans. Our breast feeding rates were pretty high. Our nursing moms got a bottle of beer (Genesee or Iron City) each night to help their milk come in.
10. Bottle fed moms got a shot of Deladumone OB as the head was crowning. OR, better yet, they got three days worth of Tace or DES (!)
11. Best of all... if a mom was going to feed her baby Pet milk or goats milk at home, WE MADE THEIR FORMULA FOR THEM!!!
circa 1978... :) (Those were the days !?@%$) :lol2: