Altalorraine

Altalorraine

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All Content by Altalorraine

  1. Uterine rupture & maternal code

    Altalorraine replied to RNLaborNurse4U's topic in Ob/Gyn

    You'd be better off making an informed decision based on statistical risk rather than anecdote. C sections can have frightening consequences too.

  2. Starting PO after c/s

    Altalorraine replied to Altalorraine's topic in Ob/Gyn

    I found an interesting study: http://www.greenjournal.org/cgi/content/full/98/1/113 and here are some more...

  3. When doctors don't listen

    Altalorraine replied to eden's topic in Ob/Gyn

    I didn't get from your original post that the tracing was a problem, and as a scalp clip is not therapy I don't quite understand how your difference of opinion with the resident on whether to use one...

  4. When doctors don't listen

    Altalorraine replied to eden's topic in Ob/Gyn

    Did the use of the scalp clip make any difference in how the delivery was managed? If you disagree with labor and delivery management you need to use the chain of command.

  5. "glorified birth junkies"

    Altalorraine replied to OB_or_NICU_hopeful's topic in Ob/Gyn

    I think you're very perceptive. RNs and doulas have very different jobs during labor and delivery, though there is some overlap- as different as an RNs and an OBs jobs. Just because you love one...

  6. Opinion Q...Why, do you think more and more Drs are pushing induction?

    Altalorraine replied to Kaseyrn2b's topic in Ob/Gyn

    I think it's because the risk (real or perceived) of doing nothing and getting sued for negligence is higher than the real but small risk of a slightly preterm baby or complications from a c-section....

  7. Coaching women during childbirth has little impact

    Altalorraine replied to URO-RN's topic in Ob/Gyn

    Note that the article is about coaching during second stage. It is not addressing labor support (which we often call "coaching") at all. There are plenty of studies about the utility of quality...

  8. Postpartum Cardiomyopathy

    Altalorraine replied to HillNPStudent's topic in Ob/Gyn

    There may well be such a thing as familial PPCM, but what I said is there is no evidence that CMP in nonpregnant/non-postpartum family members is linked to a risk for PPCM.

  9. Postpartum Cardiomyopathy

    Altalorraine replied to HillNPStudent's topic in Ob/Gyn

    "Cardiomyopathy" is a general descriptive term of a clinical condition; there are many causes. I can't find anything in the literature that suggests that family history of CMP in a nonpregnant...

  10. How am I going to do in the program

    Altalorraine replied to mleggs_09's topic in First Year After Licensure

    I don't think that that kind of formula is very meaningful. I have four children, worked two jobs, took care of an aging parent, and earned straight A's in nursing school. Everyone in my class had...

  11. pain med...

    Altalorraine replied to stephera's topic in Ob/Gyn

    I think this is another case of people having a strong opinion about what is healthiest/safest/lowest risk (e.g. breastfeeding; unmedicated birth), and people who choose to do otherwise calling it...

  12. Post-op pain!

    Altalorraine replied to epiphany's topic in Ob/Gyn

    Our anesthesiologists always remove the epidural catheter in the OR. The patients either have Duramorph or are ordered for a PCA by the OB (it's the nurse's job to actually call the pain service to...

  13. Stillbirths

    Altalorraine replied to eden's topic in Ob/Gyn

    I handle it because I believe with all my heart that the mother, father and family need me. My own feelings, while strong, are not what it's about, and while I do allow myself to grieve (and even to...

  14. Job Shadowing

    Altalorraine replied to Marissa22's topic in Ob/Gyn

    No, it is not true of most hospitals. If there is a teaching/university hospital near you, try contacting them.

  15. A little discouraged

    Altalorraine posted a topic in Ob/Gyn

    It's so hard to take pride in what I do, to maintain my belief in the importance of nursing care, and to want to be my best when I and my fellow nurses are treated as nearly invisible servants by the...

  16. A little discouraged

    Altalorraine replied to Altalorraine's topic in Ob/Gyn

    Thanks to everyone for the kind words. I know I need to do some internal "headspace" work which insulates me from the external chipping away that so gets to me. I think, as many of you have pointed...

  17. ? About not breastfeeding

    Altalorraine replied to Schmoo1022's topic in Ob/Gyn

    It's a nurse's job to teach and promote healthy behaviors- whether that is teaching about the risks of cesarean section, the risks of smoking, the risks of drug use, or the risks of not breast...

  18. Outcomes

    Altalorraine posted a topic in Ob/Gyn

    I had a birth the other night that scared the daylights out of me. There was nothing terribly concerning about the labor other than it was very long. Baby looked good; pushing took one and a half...

  19. Outcomes

    Altalorraine replied to Altalorraine's topic in Ob/Gyn

    I checked today, and baby is fine so that was a big relief. Mom had chorio so that could explain part of the baby's "transition difficulty". I also did some research which said that acute hypoxia at...

  20. more questions

    Altalorraine replied to OB_or_NICU_hopeful's topic in Ob/Gyn

    In my experience the scariest thing about L&D is being treated badly (disrespectfully, dismissively, sarcastically, snidely, belittleingly, rudely) by the doctors who treat nurses as peons and...

  21. Vaginal birth not linked to urinary incontinence

    Altalorraine replied to mitchsmom's topic in Ob/Gyn

    Well, we can all sing Kumbaya, but opinion is not science.

  22. Vaginal birth not linked to urinary incontinence

    Altalorraine replied to mitchsmom's topic in Ob/Gyn

    "The rate of urinary incontinence among the women with children was 50 percent, not a statistically significant difference from the 48-percent rate seen among the women who had not given birth, the...

  23. OB techs?

    Altalorraine replied to Ariel70113's topic in Ob/Gyn

    Our OB techs are really "OR techs"; they scrub for sections and other procedures; sometimes they prep the patient; they set up, maintain and stock all supplies, including OR tables and delivery carts;...

  24. MD's "pushing" epidurals?

    Altalorraine replied to Mrs.S's topic in Ob/Gyn

    Yes, the way obstetrics is practiced in this country is grotesque. Keep doing what you're doing. Altalorraine P.S. I hear ya about the way some doctors (many, MANY doctors) are nasty to nurses with...

  25. When circ's go bad...

    Altalorraine replied to newgrad2005's topic in Ob/Gyn

    My point is, no one said a man with a foreskin compared his sexual experience to one who has no foreskin. It's about how high two groups of men, one with foreskins and one without rate their own...