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Discussion

Pushing before complete

I used to work at a facility that highly discouraged pushing with a rim...it was always best to wait and let mom labor down first. (Concerns about cervical swelling and lacerations). This was for both primips and multips.

At my new job, I checked my pt and she was 7cm, and the doc said to see if she could push through it. The other nurses think I'm nuts because I refused. It may be the norm at this facility but I don't feel comfortable doing it.

Does anyone agree?

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Calling 6-7 complete?? That's really pushing again (again, no pun intended).

I couldn't agree with Daqueengene more... laboring down is a good thing. What's the rush after all? God designed our bodies and that urge to push when the body is ready. Doing before so causes a lot of problems.

If possible, keep those pushy docs (no pun intended yet again) out of the way and safely tucked into their offices (seeing other patients) until the mom is complete and has the urge to push. Personally I can't stand it when docs think their office or golf game is more important than good labor management. God forbid we nurses don't have out crystal balls all out and polished to give them an exact birth time.Sometimes not telling them the patient is fully is a way to kkep them out of the room until the absolute last minute. :rotfl:

I do what Bets does. Keep the docs away til it's truly time to push. I let them labor down as much as possible, before pushing at all, even if they have been complete a while. Especially true in the case of primip's. That is one advantage of working nights. We truly manage these patients on our own with little impatient interference from the docs.

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