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Re: PrepsFrom: Elrod Darryl G MAJ 48 MDOS/SGOBO (Darryl.elrod@LAKENHEATH.AF.MIL)Tue Apr 5 02:46:09 2005
I don't do any preps now and haven't for the last 3 years. The biggest reason I stopped was that the nursing staff wanted me to do the prep. It just never made any sense to gown up for delivery and then do the prep. Seemed to make me "less sterile." Since I've stopped I haven't seen any discernable rise in postpartum endometritis. Glen -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Dr. Ainsworth Sent: Tuesday, April 05, 2005 6:40 AM To: Multiple recipients of list OB-GYN-L Subject: Preps 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??
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