Guest guest Posted March 26, 1999 Report Share Posted March 26, 1999 Lynn, Not everyone works at a hospital that has residents. Where I work there are no residents and you usually can't find another doc when you need them. Like Cherub, the ER docs don't want to come do the delivery. The last time I insisted that an ER doc come to L & D to do a delivery, he just stood there and watched me deliver the baby. He said he hadn't delivered a baby since medical school and this guy was old! He said that I had probably delivered more babies than he had. I guess that's why I'm on my way to becoming a midwife. Sylvia Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 26, 1999 Report Share Posted March 26, 1999 Cherub, sorry if I sounded so defensive. I enjoy reading your letters. I just don't feel comfortable with what you feel comfortable with. Besides, it sounds like you work at a much smaller hosp and I am sure there are a lot of times the docs aren't there and you all have a greater amount of responsibility than we do. Lynn Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 26, 1999 Report Share Posted March 26, 1999 Jan, 98% epi rate here! What do we do? Have you ever tried to get an epi pt on all 4s!? It is awful. At our hosp we just don't have the chance to give the care that an op pt needs. Our pts come in and want their epis an dthey get them! I have had many epi pts on all 4s and they give up! Lynn Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 26, 1999 Report Share Posted March 26, 1999 Jan, What is Pulsatilla??? Kathy H. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 26, 1999 Report Share Posted March 26, 1999 Hi Cherub, Cord round neck? Loop it over head if possible if too tight clamp using 2 clamps and cut between, unwind cord then deliver with next push. Sometimes babies with cord round neck deliver too quickly to sort it out first but I have never seen it cause a problem if it does. I may be old fashioned but I would never twist the babies head...what if the cord was round, tightly 2 or 3 times as it sometimes is? Love Diane [OBnurses] Re: Pain and OP babies >From: CherubJoen@... > >Lynn, > > It only happened to me once and the doc that was supposed to deliver the baby >came in just at that moment and told me to turn the baby. I turned the baby >to the right and it spun around and then delivered. This sounds stupid, but I >suppose if you tried to turn it the other way, the baby wouldn't turn, as the >cord was too tight to slip over the head . I was in labor and delivery for >almost 30 years and that was the only time I had this happen. Usually you >are in the del room and the doc just reaches up, clamps the cord in two >places, cuts it and gets the baby out fast. This little Mexican girl came in >at 9 cm and proceeded to deliver in the bed, so there wasn't time to get any >instruments. I was lucky to get gloves on. I did put the light on to get the >floor nurse to come. (We only had one L & D nurse and one floor nurse and one >nursery nurse. I told you it was and is still, a very small hospital.) > > Cherub > >------------------------------------------------------------------------ >Ideas on how we can improve ONElist? >http://www.onelist.com >Check out the Suggestion Box feature on our new web site >------------------------------------------------------------------------ >Welcome to the OBnurses List at www.onelist.com > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 26, 1999 Report Share Posted March 26, 1999 This is just been from my experience in watching Cherub and assisting in school, and if the cord is around the neck I have seen midwives loop it over the head, if it's too tight however, I have seen them clamp the cord in two places and cut in between. I haven't seen any twisting of any babies heads however. Everything happens so fast, that it's sometimes hard to really catch what is going on until we debrief about it later. I think that would be dangerous, especially if the cord was wrapped 2 times around a neck, which I have seen? Again, I am just a student, and I am amongst so much knowledge, so I really don't know, just sharing what I have experienced. Marna Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 27, 1999 Report Share Posted March 27, 1999 In a message dated 3/26/99 6:13:02 PM Eastern Standard Time, Khill605@... writes: << What is Pulsatilla??? >> It is a homeopathic herbal. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 31, 1999 Report Share Posted March 31, 1999 In a message dated 3/26/99 3:59:14 PM Eastern Standard Time, Lynetrn@... writes: << Jan, 98% epi rate here! What do we do? >> Since I don't practice with that many epidural patients, I would have to defer to those who " specialize " in their care. Any suggestions from those of you who use them alot for repositioning? The epidurals we have are able to change positions pretty easily. And the docs are reluctant to give epidurals to those whose babies are malpositioned. They use intrathecal MS for pain mgmt until baby turns. Jan Quote Link to comment Share on other sites More sharing options...
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