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Re: When to go to hospital......
From: C Twisdale RN (anonymous@obgyn.net)
Thu, 27 Apr 2000 17:53:08 -0500 (CDT)
I am going to put my 2 cents in, so here goes: If your membranes rupture
you should be evaluted by MD, that does not mean I feel like you should
be placed in bed and hooked up to monitor, etc just because membranes
are ruptured, but once membranes rupture there is increased risk of
infection or cord prolapse. There is no "gold standard" of when to go
to hospital. I have always told patients to go when you are having
regular contractions for a couple hours, OR if membranes rupture, OR if
you have bright red vaginal bleeding. This is for first time moms.
People with history of fast labors I suggest being evaluated after about
an hour or 2 of contractions. After 36+ hour labor myself with Miss
Priss #1, and having ot be in bed on monitor the whole time, with all
back labor, I highly encourage ladies to be mobile during labor as long
as possible. I can even remember one point during this labor when none
of the nurses were in there I yanked everything off the monitor and got
up and walked around the bathroom, and it felt so good to be up they had
to almost beat me back in the bed!! LOL
At Thu, 27 Apr 2000, Kim wrote:
>
>Well, LOL I can tell you one thing I would not wanna wait to long and
>end up coming to the hosptial at 5cm and NO EPIDURAL be given. I have
>had two babies (having my third) first one my water broke and I was told
>IMMEDIATLY to come to the ER,I was 2 cm dialted, I suffered for 24 hours
>but I did have the baby vaginally. Second baby was induced two days
>after my due date (thanks to my kind dr) so again, I was 2 cm dialted
>and NO section that time either(a tweleve hr birth on pitocin/first one
>on pitocin also)...With all the things that can go wrong, I personally
>feel safer in the hospital as soon as my labor starts. To many things
>can happen in a short period of time. With my second baby, her arm came
>down as I approached the 3-4 cm period her heartrate plunged and I was
>prepped for a section~ Luckily the dr got that arm back up and after a
>few minutes of laying a zillion different ways and getting some oxygen,
>the baby was OK! Who would wanna be home for that? I delivered her
>vaginal, as they were prepping me the baby's heart rate became normal
>again.
>
>At Thu, 30 Mar 2000, Harvey S. Marchbein, M.D. wrote:
>>
>>Something to think about. Do women who are admitted prior to 4 cm have
>>more sections OR are women who are destined to get sections more likely
>>to be admotted early? Which is the cause and which is the effect?
>>
>>HSM
>>
>>At Wed, 29 Mar 2000, Jennifer wrote:
>>>
>>>Just to add my 2 cents - statistically, women whom are admitted prior to
>>>4 cm are twice as likely in the US to have a c-section.
>>>
>>>Everyone is different, but I plan on staying home as *long* as possible
>>>(until the active labor phase), for my and my family's comfort, and
>>>because I believe if you go too early
>>>the clock starts ticking.
>>>
>>>--
>>>Jennifer
>>>
>>>At Mon, 27 Mar 2000, Kim wrote:
>>>>
>>>>Wow, how times have changed. When I was pg with my son (14yrs ago), the
>>>>day I went into labor, my water broke at 8:00am. Doc said not to come
>>>>to hospital unless nothing was happening 12 hrs later (when risk of
>>>>infection sets in). I ended up going in at 5 that evening, son was born
>>>>at 12:30am. I'm not sure I understand why doctors now require you go in
>>>>as soon as water breaks when it could still be several hours before any
>>>>contractions start.
>>>>
>>>>At Mon, 27 Mar 2000, valerie wrote:
>>>>>
>>>>>Hello,
>>>>>I am 39 weeks today, my pregnancy has been perfect. My doctor said for
>>>>>me not to have her paged until I have had
>>>>>two hours of contractions before which my water breaks.....That concerns
>>>>>me because this is my first baby and I dont know how fast I will
>>>>>go....Do you think that is a bit long for me to stay home after my water
>>>>>breaks if it does? What if I dialate so fast at home, I have trouble
>>>>>getting to the hospital which is a half mile from my house?
>>>>>I have requested an epidural but that wont be administered until I am at
>>>>>4 centimeters. What I am wondering is do you think two hours is a bit
>>>>>extreme for a first timer to stay home? Thank you for your time...
>>>>>Valerie
>>>>
>>>>--
>>>>Thanks, Kim
>>>>
>>--
>>Harvey S. Marchbein, M.D. FACOG, FACS
>>Great Neck, New York
>>
>>**Note: Opinions expressed here are for educational purposes only
>>and, as such, do not constitute a physician-patient relationship.
>>This information is not intended to supplant the need for you to
>>consult with your physician prior to choosing therapeutic options
>>and/or interventions.
>>
>>**Private emails cannot be entertained due to time constraints,
>>consequently no private emails will receive a response.
>>
>>**Thank you for your understanding ;-)
>>
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