-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: Third stage, how long? From: Meenan, Anna (annam@uic.edu) Thu Jun 22 20:05:47 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Jamie: "Re: Third stage, how long?" Previous message: Babycatchers@aol.com: "taking baies away from mom at delivery" In reply to: Betsy Hyde: "Re: Third stage, how long?" Next in thread: Jamie: "Re: Third stage, how long?" Reply: Jamie: "Re: Third stage, how long?" Here in our hospital (community hospital, 180-200 births per month), I try to put the baby on mom's abdomen. Nurses will leave it there for a short time if I put it there, but patients do often want baby taken to warmer once I start checking vagina for tears and suturing anything that needs it. The nurses want to get all their paperwork/banding/footprinting/vitK/eyedrops done because the nurses in the nursery get upset if baby comes to nursery with a bunch of stuff still needing to be done. I think it's a good idea to make that stuff all the job of the nursery nurses (except for banding of course), but then I have no say in the matter, and lately there is so much turnover in the nursing staff and so many agency nurses working there, that it just doesn't pay to question anything, because everybody's incredibly cranky. Anna Meenan, MD >in my hospital (high volume, tertiary care academic center) the >default is to put the baby on the mom's abdomen and leave it there >for quite some time. Drying, initial assessment, id bands etc are >done with the babe on the mom's abdomen. The nurses have no problem >with this. This is so common that many of the residents don't know >how to handle a baby that is NOT going to mom's belly...... > >vit K, eye prophylaxis, weight, etc are not done on the labor >floor....they wait until the baby and mom have gone to the >postpartum floor. > >Betsy Hyde CNM >Branford, CT > >On Jun 22, 2006, at 6:28 PM, D. Ashley Hill wrote: > >>It's been my experience at several institutions that the rate limiting >>factor is how busy the nurses are. Nurses have a huge amount of >>paperwork and often have several patients in active labor at the same >>time, so they can become agitated when I hand the newborn to the mom for >>skin to skin contact and to begin breastfeeding. I've seen nurses >>pacing back and forth, exasperated, until they come up with an excuse to >>grab the baby and start in with the vitamin K, eye drops, footprints, >>weight, temp, etc. We have worked hard over the years to get out of >>this mindset and to a significant degree it's working. There are >>diehards, however. Next message: Jamie: "Re: Third stage, how long?" Previous message: Babycatchers@aol.com: "taking baies away from mom at delivery" In reply to: Betsy Hyde: "Re: Third stage, how long?" Next in thread: Jamie: "Re: Third stage, how long?" Reply: Jamie: "Re: Third stage, how long?"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Dec 2 05:05:28 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.