If you did call him when she started pushing, she'd still be pushing. We like to think we know when babies are coming, but they like to surprise us sometimes. Sometimes that's alot faster than we...
Talking to her OB is a good idea, but she could also talk with the anesthesia dept where she will be delivering. We don't generally turn off, or even turn down epidurals unless Mom is so numb she...
We ask everyone on admission if they are married, single, divorced, seperated. It helps understand the family dynamic, IMO, and has little to do with paternity when we ask it. I've had married pts...
Oh, and yes, Mom/Baby is couplet care. During the day, our nurses take 4 couplets, at night, 5. And yes, there is training for breastfeeding, fetal loss,
I agree with SBE. With your experience, GYN surgery might be an easier transition, but it is not really related to L&D. I would definitely try for the Mom/Baby position to get your foot in the...
Yes, doulas are helpful. Yes, it seems more women are hiring doulas (depending on the area). And yes, I was a doula before I was a L&D nurse. :) We see a doula every couple months. We have about...
Yep, I think she means the surgigator, too. The sitz is a little different as you sit in the water while it sprays up. Whereas the surgigator is just a hand held wand bottom
We had an unassisted HB last year. It was simple to go downtown and fill out the birth certificate form, then. If that legislation passes, we would have to jump through hoops to get a
It's "underground" here in Ohio, although the DEM's do usually have discreet physician back up. Ohio is actually working to make it much harder for women to choose HB. If they want a birth...
Unfortunately, have seen this before. We've tried complete bed rest in trendelenberg but it never works for very long. The worst case we had was a 24 weeker with hour glassing membranes who ended up...
There's also the cost factor to consider. I don't know how much a drug screen is, but since most insurance carriers pay a standard reimbursement rate for a vag delivery, I wonder who would eat the...
We use INTRANS and have just started using Koalas. We have a couple docs who seem to place them on most of their pts, but most of our docs don't use them very often. We are a fairly low intervention...
We don't get permission for a drug screen either, which may be part of the reason I don't think it should be done routinely. It just seems sneaky and deceptive. I suppose if it was part of the...
We have a couple docs who feel comfortable and will attend a breech vag delivery. They are usually twin b in a breech or transverse presentation situations. Although we have had a few singleton breech...
We don't do routine drug screens on admission. They are done for pts presenting with no prenatal care, positive history of drug use, placental abruptions, and sometimes, preterm labor. Personally, I...
We are SUPPOSED to get those over 20 weeks with a pregnancy related issue. I have learned that there will always be issues between OB and ER regardless of what policies are in place. We'll always...