Scrub dresses that snapped at the neck and tied at the waist. Once an anesthesist left the patient to wander around the room, stopped by me to "check the chart" and stuck his hand in the back of my dress between the snap and the tie. "Walter, get your hand out of my dress!" Silence fell as the entire surgical and pediatric team turned to look at us. He never bothered me again, but nothing more was said to him as sexual harassment wasn't recognized as a problem. The only females allowed to wear pants were the few female doctors.
IV alcohol for preterm labor. Dose calculated by weight,but it worked out to about 1L the first hour, then a maintenance rate of about 150ml/hr for at least 24 hours. The patients started to giggle, then cry, then vomit, then pass out and be incontinent for he rest of the treatment.
Physohex baths for all newborns. Breast fed babies were allowed to nurse 3 min per side the first time, add one min per side with each feed to prevent sore nipples. It didn't work. Bag Balm for nipple care. Deladumone to dry up the milk for bottle feeding moms. It didn't work.
Auscultating FHR q15min during labor because there were no fetal monitors yet. Taking Mom to X ray for pelvimetry to check for CPD if labor was not progressing. Yes, I delivered a few babies between X ray and L&D. Start the Pit at 5ggt/min and increase by 5gtt/min q15min, using the roller clamp to adjust he rate. More than once, it was time to increase the rate by the time I finally got it adjusted. A full pubic and perineal shave on admission and a soap suds enema. It was a big deal when we mov d to mini preps where we left hair on the mons. Now, most women come in preshaved.
Demerol 50 mg Largon 20 mg q3h for pain in labor. We used a fair amount of Narcan on the he babies. Sometimes we added Scopalomine to the he Demerol and Largon for "twilight sleep". Those who got that often really acted out, but they had retrograde amnesia so didn't remember much. Paracervical block for labor pain, watching FHR fall and waiting for it to, hopefully, come back up as baby metabolized the giant dose of lidocaine it picked up from the mother's bloodstream. Handheld Penthrane masks. Some places are now starting to use N2O2 masks for labor pain, it hear good reports about it. Labor room to delivery room to recovery room. Leather wrist restraints on the delivery table so mom wouldn't reach for the baby and contaminate the doctor. General anesthesia or spinal blocks (rarely saw a true saddle block) for delivery. Mom flat for 8 hours after delivery if she had a spinal to avoid a spinal headache.