sterile or clean

Specialties Ob/Gyn

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hi guys i just want to know if vag delivery is suppose to be sterile or clean

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As sterile as possible, especially when considering use of instruments for cutting/repairing episiotomies or lacerations and cutting the cord, or when the dr needs to do more invasive exam to retrieve retained placenta. Our drs., right now, do full sterile drape of pt and themselves but in the past, we've had others that just don sterile gown and gloves and don't drape pt.

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Specializes in Family NP, OB Nursing.

A midwife I used to work with would say, "There ain't nothing sterile about a lady partsl delivery." That being said she believed in keeping things as close to sterile as possible...but she wasn't feaky about it.

Most of the docs I work with like their instruments and table sterile, they gown and glove sterile, but since when is a lady parts sterile? Once the doc touches anything that was in the lady parts he is no longer sterile. Most of our docs get that, they aim for keeping away any germs that don't belong to the pt.

One is ridiculous about keeping things sterile wants dad and RN in clean gowns, masks,then he sterile drapes everything and will even change gloves after the delivery if he needs to repair. On the other hand we have a doc that doesn't gown, and wouldn't use gloves at all if he could get away with it (YUCK!!).

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Specializes in L&D.

lady partsl delivery is not sterile - you try to keep things as "clean" as possible - but the goal is reduction of transmission of germs from provider to patient/baby.

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A midwife I used to work with would say, "There ain't nothing sterile about a lady partsl delivery." That being said she believed in keeping things as close to sterile as possible...but she wasn't feaky about it.

Most of the docs I work with like their instruments and table sterile, they gown and glove sterile, but since when is a lady parts sterile? Once the doc touches anything that was in the lady parts he is no longer sterile. Most of our docs get that, they aim for keeping away any germs that don't belong to the pt.

One is ridiculous about keeping things sterile wants dad and RN in clean gowns, masks,then he sterile drapes everything and will even change gloves after the delivery if he needs to repair. On the other hand we have a doc that doesn't gown, and wouldn't use gloves at all if he could get away with it (YUCK!!).

:yeahthat:

Although I guess I don't think it's all that strange to change gloves. I usually do before I do a repair. Not that I think it helps things stay more sterile, but it's just nicer to have clean gloves on.

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Clean

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hi guys thanks for the reply i asked this cuz my co worker who is new too told me that accidently she dropped the gel packet on the side of the table not on the instruments and this dr. who is new too got mad at her and embarassed her infront of the family member

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