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Topics About 'Pregnancy'.

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Found 13 results

  1. ABC News Here's what you need to know about pregnancy and COVID-19
  2. At your hospital are pregnant nurses exempt from taking care of covid patients or patients that do not have a confirmed negative result? I work in a small OR and we have two pregnant nurses that have doctors notes saying they can't take care of patients that do not have a negative covid test. A lot of our on-call cases are patients that have results pending and they are saying they can't take call because of this. It is a small OR and having 2 nurses out of the call schedule is taking a toll. We test our scheduled surgical patients 48 hours in advance, which means they do have a window of opportunity to catch covid before surgery.
  3. Racer1986

    What are you doing at home?

    I know everyone has their own unique situations...mine is that my wife is 8 months pregnant and has asthma, although mild. I work on an orthopedic med surg floor and have been taking care of COVID rule outs intermittently since we stopped elective procedures. Yesterday I was pulled to our hospital’s COVID unit as half of our unit is now shut down indefinitely. I know this is going to be happening much more frequently and I’m now going to work expecting to care for positive COVIDs. My wife has an acquaintance who has offered us the use of her family’s travel trailer for me to isolate myself. Currently, we have a fairly good system going in our house where we are basically living apart under the same roof. I am limiting myself to a bedroom and bathroom and she has the rest of the house. We don’t currently have any children, so that helps. The RV would come with some headaches, as we would have to have it pumped every couple of weeks and I’d still have to either do laundry in the house or go to a laundromat. But obviously it would add another layer of separation. We are not sure what the right choice is. Anyone else facing similar issues? What are you doing to isolate from those with whom you live and do you feel like it is enough to keep them safe? God bless us all! Thanks for any insight.
  4. AlyssaJean

    ER RN- 26 Weeks Pregnant

    Hello all, I'm just wondering if anyone has any insight regarding navigating caring for known or rule out COVID patients while pregnant. Up until this point, our census had been very low and I had not been required to go in any of these rooms. Now with census rebounding, I was taken into the office today to discuss how I cannot refuse to care for known or suspected COVID patients. The policy we have in place at my establishment supports you avoiding caring for these patient populations once you reach 36 weeks. While many studies suggest the virus can't be transmitted to the fetus, some articles I read state that some newborns were tested merely moments after birth and they were positive. So that instills doubt for me. I am also concerned because pregnancy can negatively effect your immune system and pregnant woman are at increased risk of respiratory illness at baseline, even in a non pandemic world. Even if the baby doesn't get COVID, but I do, there are negative implications upon the baby from things like fever and poor oxygenation in the mother. I also read there's a clear link to preterm labor with pregnant women who are diagnosed with COVID. I expressed to my boss that I am uncomfortable with caring for these patients because of potential risks to my child and myself. This was met with statistical reassurances of why it is low risk and there is no data that suggests it will be harmful to my baby. While some may find me to be rigid and unreasonable in my refusal to care for COVID patients- I feel that this advice and conclusion has been drawn based on an absence of evidence, rather than an absence of risk. This virus is too new for any real data to be obtained and conclusions to be drawn. Without any real clinical reassurance of safety, I am not willing for my unborn child to become an experiment. I am very stressed about working directly with these patients where I am exposed and they can potential quarantine my own baby from me for 14 days after birth if there's concerns I've been exposed or have symptoms. Does anyone know what my rights would be in a situation like this? Can I be fired for refusal to expose myself and my baby? Or would that be discrimination because I am only refusing due to concerns related to my pregnancy? Any other pregnant nurses or know anyone who is dealing with similar situations and how they are handling it? I would appreciate any insight or recommendations, I am kind of at a loss for how to proceed. They said they are going to help me try to find another area of the hospital to work in until maternity leave. But that may take time and I am curious about what I should do in the interim. I still have 3 1/2 months left to work. A.
  5. just wondering what the terms are for pregnant healthcare workers at your current facilities? Are they putting them on covid units, switching them to telemedicine where possible, or keep them in clean units? Just genuinely wondering.
  6. Starting with background info since it’s a very grey situation: I am currently 5 months pregnant and have two children ages 3 & 5 at home. I am older so I’m technically considered “elderly pregnancy.” I just moved to a new state with not much family support and was trying to find an RN job before everything got crazy. All schools are closed so I don’t have anywhere that I know of to send my kids if I work. My husband just got a new job so his focus is getting established there. I have Hx of asthma, bronchitis x 4, and pneumonia 8 months ago. I am in the COVID-19 high risk category due to these. I am “somewhat” of a new grad RN. I have 6 months experience working at a pharmaceutical company since I graduated in fall of 2018. My dream is to work in a hospital. My question is this...should I continue to stay home with my children and stay home as directed by my state or should I figure out a babysitting situation to help the fight regardless of my health history and current pregnancy? I am torn because staying home means I’m putting myself and family’s health first. But I also cannot stand sitting back and watching the healthcare community fight this fight when I really want to help. Everyone I talk to say being in-between jobs is a blessing so I can stay home with my children but....my conscience is telling me to risk my health and family’s health to help. If there are any fellow nurses out there that can provide their professional/personal opinions to help, I would greatly appreciate it. I’ve been extremely distraught over this and it’s clearly messing with my sleep since it’s 3:45am. Thank you in advance to anyone who is willing to take the time to reply.
  7. BlueJsMomma

    Pregnant RN in Covid MICU

    The 2 other pregnant nurses I work with in ICU have taken personal leaves, as our unit is covid territory. I also float to the ED, but even feel safer there somehow, because I'm not "submerged" or saturated in these patients rooms for 12 hours suffocating (I know this is in my head). A personal leave would mean no pay and I'm the only income to support my 2 year old at home. It's also said that on a personal leave management can call you back whenever they want to, which will be our peak here pretty soon. My OB said he can't write for FMLA, because there's not been enough evidence to warrant it, but he would write for a personal leave or a letter recommending a lesser risk position. I work for the Cleveland Clinic, I don't doubt they are trying to keep us safe, but now it's been implemented we will float without warning to any other hospital in the enterprise and what if that unit isn't taking it's best precaution. My biggest fear is getting sick enough to require the intervention my patients do. My baby, any fetus, would not survive excessive intubation, pronation, or paralyzation. I know the chances are slim, but I've seen younger and healthier than me get there and is it worth the chance? I've never been scared of much when it comes to work, but I'm downright terrified going in now.
  8. My dream job that I’ve been waiting for for a year at a brand spanking new hospital has finally opened up. It’s right by my house and the facility is gorgeous. I’m an RN and the job is days in ICU. I’m currently four and a half weeks pregnant with a five month old and older kids at home. I absolutely hate my current job and they are ignoring safety regulations required to take on covid patients so I may end up at risk for exposure to it anyway. Being a stay at home mom is not an option as I am the primary breadwinner of the family. This new job would likely pay me about $7 more an hour. Thoughts?
  9. Btherese

    Pregnant and working during covid

    Where are other pregnant nurses working during covid?? I am currently 7 months pregnant. I was working on a pcu unit that was made a covid unit so administration made me redeploy to my old med-surg unit. That med surg unit was then also transitioned to covid so they redeployed me again, but apparently that unit no longer has a need for me (always low census now). I have been told that they do not have a new place to redeploy me and are covering my time using my pto (I only have about 48 hours so it’s going quickly). I spoke with HR and they state I need a doctors note stating I’m “high risk” to qualify me for the new paid emergency leave program. When I spoke with my OB they can’t write a note stating I’m high risk because a lack of evidence that pregnancy is truly a high risk category (although it is listed on the cdc website under other at-risk category). I’m just wondering what other nurses are doing?? To be clear: I WANT to work. But since administration “can’t” redeploy me, I’m trying to find other options.
  10. I clutched the phone. "I don't know nothin' 'bout birthin' no babies, Kels". "Please, Kylee," she begged. "We want you there". I couldn't say no after that. My sister in law accepted me with no hesitation when she started dating my brother. She wasn't like the others who put me into the "I'll be stuck with her as a sister in law" category. I woke up early and made the 3-hour drive home. I hesitantly made my way to Maternity. Each step gave me yet another bout of insecurity and what ifs. What if I puked all over the delivery room? What if I fainted and hit my head-- or worse yet, broke a valuable piece of equipment. When I got to the room, I gave my sister in law the gifts I had picked out for her and the baby. She gave me the update. 5 cm dilated, everything is fine. "I don't know nothin' 'bout birthin' no babies" I wailed after every time she asked me if I was going into delivery with her. I think my brother told me to shut up about 4 times. We sat and waited... and waited.. and waited... and waited... for 9 hours. We munched food from the vending machine, watched the Yankees win a baseball game. I drove Dad home. I walked the dog. I stopped at the store and got my brother some dinner. I got back to the hospital and waited some more. I paced. I crocheted the baby afghan I was working on. The doctor ordered Pitocin. My Mom called from her business trip, wanting to know the progress of things. I no sooner got "Nothing is happening" out of my mouth before my sister in law let out this horrible scream. I remember saying "Mom I gotta go, NOW. We're having a baby here" and hanging up the phone. In comes, the doctor, yanking on a pair of gloves and telling me to hold my sister in law's foot. He didn't have his gloves on yet, and there's the baby's head. "Dark hair," I told my sister in law. I knew this was the time I had to turn my head and not look because the next step would either make me puke or I'd wind up on the floor. It was like the bad car wreck. You don't want to look, but you can't help yourself. I saw this beautiful little face appear with the next push. Then I saw the doctor suctioning the nose and mouth. One more push and I heard "It's a girl", while the doctor was triumphantly holding her by the ankles. I smiled to myself. One of my earlier duties was filling out the birth certificate. My sister in law told me to leave the name part blank till she knew the gender. I had filled in Alexa Richelle about two hours before. Everyone else assumed she was having a boy, but I had a feeling. I followed the nurse over to the radiant warmer. I looked down and took a good long look at this beautiful little human. I counted fingers, toes, eyes, nose, mouth. "Would you like to weigh and measure her?" The nurse asked. I gave her the deer in the headlight look. "I don't know nothin' 'bout birthin' no babies," I said. The nurse laughed. "You did a pretty good job over there for not knowing what you were doing." I gulped. All I did was hold the foot. "I just held the foot", I mumbled. Then I realized, I didn't get sick. I didn't faint. I didn't damage any expensive equipment. I made it through. "Where's the scale?"
  11. "Open wide Mrs. Smith, I need to check your teeth. I don't see any pus but two of your teeth need to be pulled. We can arrange that later. Today we will be doing a blood test called the Wassermann test(a test for syphilis that could also detect TB or lupus). Now that you are pregnant, you may not wear a corset or binder because it causes low birth weight in newborns. I know many young women who have tried to hide their pregnancy by wearing a corset but it is detrimental to the newborn. It needs room to grow. Now I want you to start bathing regularly and try to walk every day. The fresh air and exercise will be good for you and the baby. Um, any history of epilepsy, alcoholism or rheumatism? No? Well, then my nurse will be in directly to take the blood and answer any questions." This may have been what a prenatal visit would have sounded like in the 1920s. The Health Care of the Baby by Louis Fischer M.D. seventeenth edition published in 1929 reveals some captivating facts about prenatal care in the early 1900s. Fischer talks about the importance of looking at the teeth of pregnant women for pus. In our world, oral hygiene is a part of everyday life (or should be). To think that brushing teeth did not become important until post World War II, about 1945, is hard to imagine. The soldiers brought the practice of routine teeth brushing home after the war. I'm so glad they did! Prenatal care did not become common practice until the early 1900s so preventative care was a lone venture. Hygiene and hereditary disease were just beginning to make their appearance on the questionnaire for newly pregnant mothers. In the twenty years preceding, nursing was just beginning to gain the professionalism it deserved with the formation of the ANA (American Nurses Association) in 1911. Among the professionals was Mary D. Osborne, known for promoting maternal and prenatal care in this era which paved the way for the medical field to increase standards for pregnant women. With the focus on prenatal care evolving and the increased involvement of nurses, the expectant mother received better health care and therefore decreased infant mortality. Prenatal care can start before a woman is pregnant nowadays. She may begin taking prenatal vitamins, stop smoking, begin exercising, or change her diet to make sure she is in the best shape possible for her baby. She can take a test at home and find out very early that she is indeed pregnant. Maternity clothes have changed from loose pleated blouses/dresses to form fitting shirts that proudly display the blossoming belly. Societal views of pregnancy have changed over the last hundred years; unwed mothers are as common as nude pregnancy photos. Looking back on historical medical practices gives us insight into what patients went through and allows us to reflect on how far we have come. This is the beginning of a series of "An Era Gone By." Future articles will educate and entertain with the following topics: care of infants, treatment of medical conditions and diseases, public and personal health. These articles will come directly from books of the past meant to educate nurses of that time. Series Update: (added Jan 23, 2015) "I Know How to Wash My Hands": An Era Gone By The Smell of Death: An Era Gone By References Fischer, Louis, M.D. The Health-Care Of the Baby. 17th ed. Funk & Wagnalls Company: New York, 1929. Print. Judd, Deborah M. Nursing in the United States From 1900s to the Early 1920s. Web. 30 Dec. 2014.
  12. Elvish

    It's your turn now, nurse!

    I am an OB nurse; I do mother/baby, newborn nursery, and high-risk antepartum nursing. I'm used to being the one in control. I'm used to doing the teaching, reading the monitor strips, and reassuring the fears of many an anxious mama (pregnant or delivered). That's where I'm 'in the zone'. Give me a 35-weeker feeder/grower, give me an antepartum mama in preterm labor, give me someone who needs that kind of help, and I am good to go. What I am not used to, however, is when the tables are turned and it's me in the hot seat! 'Roundabout late September, that all changed. Just under a month after miscarrying, in the aftermath of a rollover MVA (thankfully no serious injuries), I found out I was pregnant again. Having a pregnancy so quickly on the heels of a loss, it was a bit nerve-wracking and considering the seriousness of the wreck, I sat around for a few weeks and essentially waited to miscarry. It was still a bit surreal, even after seeing cardiac activity at the 6-week ultrasound done to confirm that this was a new pregnancy and not a surviving twin or retained products from the miscarriage. Since then, this pregnancy has (at least for me) been one bit of drama after another. I lost about 20 pounds in the first 20 weeks because of a near-complete aversion to food. At 12 weeks the doctor couldn't find a heartbeat with the doppler, so we did yet another ultrasound that revealed a baby too busy to be still for the doc to listen to her. I've done two O'Sullivans, resulting in two 3-hour glucose tolerance tests. While both were technically normal, I've still been checking my blood sugars and tweaking my diet a little given my family's propensity to grow macrosomic babies (no one was very impressed with my 8lb 1oz critter last time around). Blood pressures have been up and down the entire pregnancy and I've been obsessed with whether I'm spilling protein or not. At the anatomy ultrasound, they diagnosed her as complete breech; she has since flipped and her head and bum are right where they need to be. Even as late as the last doctor appointment, however, it took my doctor (he is usually the go-to guy for hard-to-find fetal heart tones) forever to find her because she just can't be still in there! (As my 6yo would say: "She's a busy little girl! I bet she's making lots of parties in there.") Right now I'm at 37+ weeks and all systems are go; just waiting to go into labor. Other than wanting the usual discomforts of late pregnancy to be over, I'm in no real rush. Given this one's clear propensity to do things her own way, however, I'm not sure what to expect. It will be completely like her to either a) send me into labor at work and have me haul backside to get home in time (I work 50mi from home); or b) go to 41+ weeks and eventually need to be induced one way or another because she's just. not. coming. out. (Heck, a flipped truck at 75mph didn't do it...) Neither scenario would surprise me. For someone like me, who likes to know what the scoop is, this is hard! When I had my first, I wasn't an OB nurse and didn't have the knowledge I have now. This time around, I've had the entire pregnancy to worry about my blood sugar, blood pressure, fetal presentation, and just about everything else OB nurses see on a daily basis that can throw a wrench in things. The biggest concern now is labor. I know what bad things can happen in labor and delivery; I also know the odds are very good on my side that those bad things won't happen. The control-freak nurse in me is trying really hard to relinquish that control and trust the process. I'm always telling other women that their bodies know what to do, and finding it much harder to tell myself the very same thing! I've got a great primary OB, great labor support lined up, and it should be easier this time around. Physically, it probably will be. Mentally, it might be a challenge. I know myself and know that once she's born and I feel semi-human again, I will want to analyze her labor and birth from the OB-nurse perspective. For now, though, all the prayers, lit candles, and good thoughts anyone wants to send this way will be most appreciated. PS - For those of you who are superstitious about these things: My birth plan is about five sentences long.
  13. proudnurseRN

    Pregnant in Nursing School....

    On our third clinical day I went to watch a nurse do a dressing change. Wound care, how exciting! I was absorbing information like a sponge. Then, suddenly it all hit me. The nausea, the exhaution, the weakness all came at once. I excused myself, walked out of the room into the hall, slid down a wall, and passed out. I remember a nurse coming up to me and asking if I was okay, and my clinical instructor being called over the intercom. "Great," I thought. Here I am, in a facility where I should be helping, and learning, and I'm being surrounded by staff. I came back to, alert and oriented, Vitals WNL, BS a little low but not critical. Then, my clinical instructor asked the golden question... "Could you be pregnant" Well, I could. I'm married, and along with that comes the, ummm... "act" that causes pregancy. But I couldn't be. The doctors said so. It would take "medical intervention" and we had been unsafe for 5 years. "I'm not pregnant, there's no way." To which my clinical instructor said "call your husband, have him pick you up, and stop by the store and pick up a pregnancy test." Well, okay. I still thought there was no way I was pregnant, but what could I do? She would ask the next day about the results, and I didn't want to lie. So, off to the store we went. My husband took a friend to the clinical site to pick up my car and took the test. I follow the instructions, wait the period of time and look at the test. Whew.... two lines...that means...wait a minute, I look at the directions again. I look at the test. The directions. The test. I'm pregnant. When my husband comes home I have him verify there are indeed two lines. I'm scared. I gave up a decent job to go to nursing school. My husbands work was erratic. We didn't have health insurance. Most of the time we didn't even have an extra five dollars. What will we do? My mind goes on a brain storm? Quit nursing school and find a job. Work part-time and go to nursing school. What can we sale? What will we have to buy? Fast forward four years.... today. My son was born during the summer, but I slowed down nursing school and worked any job I could find that would fit within daycare hours. Americorps, tutoring, at the daycare itself. It took five years to complete my four year degree, but it was completed. We had to used Medicaid for my pregnancy and son, but we have health insurance now. We were on food stamps for awhile, but can afford our own food now. So many people didn't know how I could "do it"- go to nursing school and have a baby. I didn't know how those who worked full-time or spent hours partying or in their sorieties could do it. Things just came together. Sure, there were days and nights I was exhausted. Days I left the daycare in tears because I didn't want to leave my baby. Days I counted out change for milk. However, no matter what the challenge that arose I chalked it up to being a bad day and pressed forward. I graduated last May. I had a job before graduation because I worked in the hospital as a student nurse and did my practicum on the floor I wanted. I also graduated with a 3.94. Inducted into Sigma Theta Tau. Passed NCLEX in 75 question and 30 minutes. Today, my son doesn't have to go to daycare anymore. Between my husband's schedule, my schedule, and his preschool schedule, there isn't the need. I don't have to count change for milk anymore. I don't have to pray that my gas tank makes it one more day. In fact, we are taking our first family vacation to Disney in a couple of months. Don't let anyone tell you that having a baby during nursing school is impossible. It's hard and tiring. Some days it seemed like the end would never come- but it did. And it was well worth the wait. I wouldn't change a thing.

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