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Re: Preps-shaving From: Efrain Ramirez (eramirezt@coqui.net) Wed Apr 13 17:28:04 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: VBAC" Previous message: Efrain Ramirez: "Re: VBAC" In reply to: Dr. Ainsworth: "Preps" I do clean the area with whatever soap is available - BTW - many years ago in a galaxy far away shaving was routine - no longer of course - but - by now the overwhelming majority of the vulvar and perineal areas are already shaved - same out there? >At Tue, 5 Apr 2005, Dr. Ainsworth wrote: > >How many of you are still doing perineal preps with betadine or other >soaps? It is one of the few rituals left from residency that I still try >to get nursing staff to do routinely. Long gone are the enemas,shaves >and routine IVs, but if I'm going to do a vaginal delivery W or W/O an >episiotomy, W or W/O vacuum or forceps, I still feel better if the >perineum is stained with betadine with a sterile drape under the >buttocks. I realize that vaginal deliveries are far from the sterile >procedures done in the OR, but it is hard to give it up. It is also >hard to get the nursing staff to "remember" to do it without asking >every time. Part of that difficulty is because the CNMs don't require a >prep and I think some of the physicians don't either. One certainly >wouldn't do a circumcision w/o a betadine prep or even start an IV, how >did they fall out of vogue for vaginal deliveries?? -- I think I will do nothing for a long time but listen, And accrue what I hear into myself...and let sounds contribute toward me. ~walt whitman~ Next message: Efrain Ramirez: "Re: VBAC" Previous message: Efrain Ramirez: "Re: VBAC" In reply to: Dr. Ainsworth: "Preps"

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