What is really a priority?

emtb2rn, BSN, RN, EMT-B · Jul 18, 2007

Without going into OB specifics, I prioritize this way:

1) is the pt in danger of serious injury and/or death if I don't do something right NOW.

2) airway

3) breathing

4) circulation

5) everything else.

Yes, I know I tend to think emergent.

Nuieve · Jul 18, 2007

Without going into OB specifics, I prioritize this way:
1) is the pt in danger of serious injury and/or death if I don't do something right NOW.
2) airway
3) breathing
4) circulation
5) everything else.
Yes, I know I tend to think emergent.

I don't know which is more likely to happen - prolapsed cord or serious labor complications. I don't know of any statistics that would say which happens more often, that's why I'm so confused.

queenjean · Jul 21, 2007

In my opinion and experience, a cord prolapse isn't very common with a spontaneous rupture, particularly of a woman who is advanced enough in labor to warrent admission to the unit.

A baby popping out of a mother in advanced labor, though, happens dang near every time, and sometimes very precipitously!

My money's on attending to the pt in the most advanced labor first.

VickyRN, MSN, DNP, RN · Jul 21, 2007

In my opinion and experience, a cord prolapse isn't very common with a spontaneous rupture, particularly of a woman who is advanced enough in labor to warrent admission to the unit.
A baby popping out of a mother in advanced labor, though, happens dang near every time, and sometimes very precipitously!
My money's on attending to the pt in the most advanced labor first.

Most birthing facilities agree! When a woman is in advanced labor and ready to deliver, the care becomes one on one. In early labor, the care is one: two.