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L&D practicesFrom: H.C.Holmes, MD (chp1hch@chp10.med.navy.mil)Tue Dec 31 14:05:05 1996
Greetings, my name is Har Holmes and I am an OB/GYN at Navy Hospital, Cherry Point. My practices are almost identical to the original posting. Exceptions, I usually don't admit until 4-5cm dilation and I admit all PROM. Tests ordered are the CBC, UA (for protein mainly) and T&S. Everyone gets external fetal monitoring, internals used on a case by case basis. I have read lots on intermitent monitoring but doesn't this require 1:1 nursing (read expensive)? Everyone gets an IV but allt he rooms have bathrooms in them so being tied to an IV isn't that difficult. I try to have the patients void by themselves and not use bedpans/catheters. Our delivery pack is quite simple and I only use a buttocks drape (keeps the bed a little cleaner). No episiotomies so no suture is automatically pulled (wasted) unless needed. Post partum stays are usually 24 hours only and 48 hours for c/s. This is a smaller community size hospital with about 500 deliveries a year.
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