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Re: FP Residency & ObstetricsFrom: Betsy Hyde (elishyde@mindspring.com)Sun Jun 12 20:47:12 2005
On Sunday, June 12, 2005, at 09:02 PM, Anna Meenan, MD wrote:
> well, I was getting bounced when y'all did the "do you remember" thread. So I feel free to join in on this one. I worked as a labor and delivery nurse in an unnamed midwestern state in the late 70's-early 80s. This was a stepping stone to midwifery school. The first year of my nursing experience was at a tertiary care medical center, and there were a lot of vaginal breeches. Late 70s, remember? Not all the breeches were successful, and some were disastrous. I had one 8 hour shift with 2 intrapartum breech demises related to delivery (entrapped heads). Then I went to a local community hospital where all MD staff left at 5pm. There was no OB, no anesthesia, no peds...0nly RNs after 5pm. I'd pretty much memorized Oxhorn and Foote by then. One night I had a primip breech in labor. The OB would not come in. "Breeches go slow." "No, she is going fast." "No, she's a primip, and won't deliver for a while." It was a sacrum posterior. I'd read enough of the book to let it deliver to the nipple line, then knew enough to rotate it and make sure the head was flexed. I also was good at resuscitation at that hospital..... This was also the same night/same hour that the woman with the previa came in bleeding......but that's another story.
-- Betsy Hyde CNM Branford, CT
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