beckinben

beckinben CNM

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All Content by beckinben

  1. L&D Labs

    beckinben replied to jennfinn's topic in Ob/Gyn

    I have never worked at a hospital or even heard of routinely checking the blood sugar of a non-diabetic mother in labor. Newborns, yes, although routinely checking their blood sugars is not...

  2. Confused about the process...

    beckinben replied to TWUness1's topic in Certified Nurse-Midwives, CNM

    Becoming a CNM almost always requires a master's degree. It is usually a 2 year program full time. My suggestion would be to go to the American College of Nurse Midwives website at http://www.acnm.org...

  3. Skin to skin contact

    beckinben replied to at your cervix's topic in Ob/Gyn

    This is the article I refer to when people ask me about delayed cord clamping. I believe in the benefits of it, however, our nursery staff seem unable to evaluate babies anywhere except the warmer, so...

  4. Are you allowed to deliver?

    beckinben replied to Aneroo's topic in Certified Nurse-Midwives, CNM

    Limiting the practice of CNMs to non-delivering roles might be a way to increase workload for residents - they have requirements on how many deliveries they have to do and the hospital might not have...

  5. Community hospitals????

    beckinben replied to Elvish's topic in Ob/Gyn

    Why do they have to come in to see a labor check? I don't go in to see simple labor checks. I review the strip on my computer at home and dictate a note stating that serial exams by the RN showed no...

  6. Does a CNM do post-partum repairs?

    beckinben replied to justme1972's topic in Certified Nurse-Midwives, CNM

    I repair 1st and 2nd degree lacerations. If I have a 3rd, one of my backup docs comes in. I do know CNMs that have privileges to repair 3rd degree lacerations. I haven't seen or had enough 3rd degrees...

  7. Ugh! Delivered Baby On My Own The Other Day...

    beckinben replied to jenrninmi's topic in Ob/Gyn

    If it was a private patient of the attending, no, he probably won't get paid for the delivery if he wasn't in the room. Don't feel bad. If he was that invested, he could have stayed in the room with...

  8. "Old" vs. "New" Midwifery Books

    beckinben replied to lugnutz's topic in Certified Nurse-Midwives, CNM

    Holistic Midwifery by Anne Frye is probably the most comprehensive text for out of hospital birth. There are two volumes - prenatal care and intrapartum care. Volume 1 is getting older (1998), but...

  9. Twins...Gest. age and induction/c-section

    beckinben replied to shortstuff31117's topic in Ob/Gyn

    We've had three sets of twins in my practice this year, and all were induced 36-37 weeks due to PIH issues. In general, though, we don't induce prior to 39 weeks. My physicians will do lady partsl...

  10. L&D nurses? Are you all for natural births?

    beckinben replied to MIcrunchyRN's topic in Ob/Gyn

    And if I'm really thinking someone might deliver on the toilet, or she's worried about the baby falling in, I'll put a hat in there, just to help with that fear. Hats are good for placentas, too....

  11. How Many C-Sections are Safe?

    beckinben replied to Nicky30's topic in Certified Nurse-Midwives, CNM

    Of the women I know, the most any one has had is 9 (yes, nine) c-sections. Her last was a planned section at 36 weeks due to the increased risk of uterine rupture. The baby did have some problems...

  12. the phrase "breaking the bed"

    beckinben replied to smallwonders07's topic in Certified Nurse-Midwives, CNM

    I rarely, rarely get the stirrups out. I probably have a 50% epidural rate (for a variety of reasons), and I still try to get the ones with an epidural into a side lying position for delivery. It's...

  13. Direct-entry CNM programs

    beckinben replied to smallwonders07's topic in Certified Nurse-Midwives, CNM

    If you go the more traditional route to CNM, where you attend nursing school, receive an RN license, and then continue on to a graduate program in midwifery, most people do choose to work as a RN...

  14. the phrase "breaking the bed"

    beckinben replied to smallwonders07's topic in Certified Nurse-Midwives, CNM

    Interesting that the nurses have that preference. At my hospital, I (virtually) never break the bed. I've really had to get the nurses used to it. I think it's easier to keep the bed clean if you...

  15. Birth in the Media

    beckinben replied to Nefertari1279's topic in Ob/Gyn

    I was first assisting one of my docs on a c-section yesterday, and the patient asked us in the middle if we were almost done yet. We told her no, and she actually said "but it doesn't take this long...

  16. Will I EVER be a CNM?

    beckinben replied to dinah77's topic in Certified Nurse-Midwives, CNM

    Have you thought about doing postpartum/mother baby nursing? For one, having 6 months or so of postpartum experience can make it easier to get into a labor and delivery unit than applying as a brand...

  17. advanced degrees for L&D?

    beckinben replied to anursenow's topic in Ob/Gyn

    Most CNM schools use Varney's Midwifery for a text. I wouldn't buy it for a good read, it's on the dry side....

  18. How to answer questions about doctors and delivery preferences

    beckinben replied to pirap's topic in Ob/Gyn

    I think ACOG's current recs are consider cesarean if over 4500g (9lb14oz) in a diabetic pregnancy and 5000g (11lb) in a non-diabetic. But I've heard individual OBs recommend section at much lower...

  19. Large placenta = c-section???

    beckinben replied to shortstuff31117's topic in Ob/Gyn

    But in this case, they probably wouldn't have induced labor with a known previa. My guess is either something is missing in translation (i.e. this is an acreta) or this is one of the ever increasing...

  20. Policy on leaving AMA w/baby?

    beckinben replied to cherokeesummer's topic in Ob/Gyn

    With both of my babies (here in the States, no less!) I had early discharge (12 to 24 hours after birth) with home follow up visits by an APN - either a NP or a CNM - provided by my insurance company....

  21. Cervical dilitation

    beckinben replied to AmAnRN's topic in Ob/Gyn

    I have heard of this, and I will quit doing hospital births if my hospital ever tries to get one of these. This could so easily become the continuous fetal monitoring of the 21st century - more...

  22. Policy on leaving AMA w/baby?

    beckinben replied to cherokeesummer's topic in Ob/Gyn

    In my practice, if we have someone who wants to go home less than 24 hours and is medically stable, we will discharge them. What usually keeps people is that the pediatricians will not usually...

  23. midwifery program at Parkland in Dallas, TX?

    beckinben replied to premedturnednursing's topic in Certified Nurse-Midwives, CNM

    I would suspect this program no longer exists. For one, it is not on the ACNM site. Primarily, though, the website (which has a copyright of 2003) states it is a basic certificate program. All...

  24. How to answer questions about doctors and delivery preferences

    beckinben replied to pirap's topic in Ob/Gyn

    http://www.childbirthconnection.org/ Great evidence-based site with PDF files you can download and print out for your students. Lots on cesarean sections - very supportive of

  25. how much experience needed to be CNM?

    beckinben replied to kitchenluvr's topic in Certified Nurse-Midwives, CNM

    Personally I would agree with the not wanting to become too exposed to the medical side of OB by working L&D, but the reality is that some employers will not hire you if you have not worked Labor...