Re: nsd pathway

From: DocCal@aol.com
Tue Dec 31 17:06:31 1996


Pre-admit observation:("OB-exam") if intact membranes, cephalic

Home: if no active labor by ext mon, clinical assess of cervix, normal fhts Admit: if rom, active labor,abnoormal presentation,abnormal fhts Admission tests: baseline ext mon; no labs Labor: no shave, no enema; IV onlly as indicated:non-reassuring fhts,epidural,dehydration, encourage up and eat, jacuzzi. Analgesia: stadol, combined or contnuous epidural, paracervical. Delivery: standard del pack(no suture material, no forceps or vacuum) bulb syringe only. Disposable under-butt drape and bag(great!) Epis as needed, local or pudendal.

Post-partum: ice pack (rare), ibuprofen, Darvocet, ty 3 (no stool softeners) , Hgb @ 12-24 hours. Homein 24-48 hours.





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