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In our facility, as well as others I've worked in, we also use sterile technique, and limit exams following ROM. In the doctors office, it would make sense to use clean technique, as you'd only be introducing the patient's microbes to herself. However, in using sterile technique during labor, you're primarily attempting to limit the number of microbes that you'd introduce to the baby, who has a higher susceptibility to infection. So, although the sterile technique is not totally sterile (due to flora in the lady partsl vault)-it still seems worthwhile to use sterile gloves and limit exams after ROM. In my humble opinion, of course!
Pamela67
12 Posts
Some nursing literature states that lady partsl exams only need clean technique, not sterile. The doctor offices only use clean technique but in the hosptial setting we always use sterile. What do other facilities use? Also, in the same article it recommends only clean technique for after the membranes have ruptured. It states just to limit the exams. Please give me your thoughts on the subject.