sharonx

We feel the same way and we are bringing this up the chain. Thanks for your post!!!!

This is our intention for the next physician meeting with administration. So what I was able to gather were many stories from women who have gone through this first hand. Hoping that all women will be given the choice for themselves. Will continue till we are heard!!

We are struggling with this as you can understand living on both this sides of this. I am so sorry for your loss. I have sent stories like yours to our nurse manager that I have found, hoping that we can use them to demonstrate how important relieving the physical pain during these times really is. And it starts with them and we need them to understand this. Yes it is frustrating and we need to advocate for our patients. Won't give up till the mission is accomplished! Thank you for sharing.

OOPS! late night typo....EBP Evidence-based practice.

We only do elective inductions for fetal demises. So ethics should not be an issue for any of them. We are trying to bring this up the chain of command but want to gather EPB if possible.

This is what we are trying to have offered to our patients. The anesthesiologists come and do a consult but do not offer this. We are trying to gather EBP.

Our anesthesiologists are refusing to do epidurals on mothers delivering a stillborn. They think that other meds are appropriate and enough because at this point we don't have to worry about harm to the baby. We think pain management would be so much better with an epidural. We cannot seem to find any research on this topic. I cannot believe that this is standard procedure. What is everyone else out there doing for these patients and if anyone has research articles, that would be so helpful to defend our case for these moms.

One can never go wrong with gaining med/surg experience. Mother's today are sicker than ever before. Skills r/t dx. early sepsis, managing DM, HTN, etc. are skills that are used daily when caring for these patients. Getting your foot in the door is valuable as well. Always apply even when it says experience is required. We have recently hire new nurses without much experience because of need. These new nurses will be an great assess to us as we teach them best practices of our field! Good luck!

Mine never leaves my neck! That way when someone burrows it, they must ask for it and I chase them down for it if needed:yes:

We are a very small unit and 3 mid wives. two of them put it on the table as you do and the other does nothing that would be more of an effort. Thanks, I think your method is definitely the safest. Thanks!

Great. These are all things that I have been thinking of or doing on my own. Most docs seem receptive to placing the plastic clamp on. Have some docs and even a mid wife believe it or not who are very resistant to doing this. I am going to clamp like you mention down by the hemostat and re-clamp on the warmer later in those cases :-)

Do you know if Umb drug screening is more expensive? I have been thinking of bring this one to Unit counsel. We only do meconium. sometimes it takes forever to collect it and sometimes we fear the moms will throw the diapers out.

Looking to see how umbilical cord clamping is handle at other L&D hospitals. The doctors have always clamped with hemostats and then handed the newborn to the nursery nurse where she placed the clamp on the infant under the warmer. Now we do immediate to the mother's abdomen then skin to skin as soon as possible. The docs leave the hemostat dangling while the infant is given the immediate care needed, and then it is very difficult for the nurse to get safely in position to clamp and cut. There are usually many people directly at the bedside and the positioning of the infant makes handling and visualization a problem. I think the hemostat can cause serious harm to a newborn if it comes intact with the infant. Any insights would be helpful. Thanks. Any evidence-base information would be great!