OBGYN question
- Thread starter redbull
- Start date
Sassafras
Forum Captain
- 474
- 0
- 16
Does she have to pee orhave a bowel movement? That's the first question you need to ask. Secondly I would determine how close thecntx are has she felt the urge to push how long has she been in labor and is she contracting effectively. Alot needs to be answered before I would say yay or nay to a bathroom run.
MasterIntubator
Forum Captain
- 340
- 0
- 0
Let her go... attended. If she starts to go #4.... well, scoot of off the pot and prepare for that thang to come out. Standing in the room hearing bodily noises and smelling the air is the hardest part... the rest is a breeze.
If all she had to do is #1 or #2.... she will be happier, less evil and your compassion points go way up.
If all she had to do is #1 or #2.... she will be happier, less evil and your compassion points go way up.
abckidsmom
Dances with Patients
- 3,380
- 5
- 36
But the real life answer is that when women are in labor, they are frequently 9 months pregnant. That makes them need to go to the bathroom about every 27 seconds. Thus the conundrum.
If I thought she looked like delivery was imminent (close contractions, intense focus on the contractions/pressure, non-chatty affect, NO doubt about this) I would check to see if there was any crowning. No crowning and no opening of labia, and I'm cool with accompanying her to the bathroom.
Just in case she turns out to be one of those "I never knew I was pregnant" type people.
medic417
The Truth Provider
- 5,104
- 3
- 38
If they are contracting you check them prior to allowing them to go to the bathroom. Safest thing to do is allow them to use bed pan instead.
LucidResq
Forum Deputy Chief
- 2,031
- 3
- 0
I generally agree with this. I may be a little bit more conservative and ask a woman, for example, who has had 12 kids and is having frequent contractions to not use the toilet even without crowning... but a lot of this is situational and a "gut feeling." Of course, this gut feeling is probably not developed when one hasn't dealt with laboring women before or more than a couple of times... so better safe than sorry... but please don't be mean to your pregnant patients and deny a primigravida woman having Braxton Hicks contractions in her second tri the privilege of going potty in a toilet rather than your rig.
Hmm... I have yet to see a bed pan on an ambulance. You guys carry them? Definitely not a bad idea.
Last edited by a moderator:
Aidey
Community Leader Emeritus
- 4,800
- 11
- 38
We have bedpans and urinals on our ambulance.
I'm pretty much with everyone else, it is situational. First kid with contractions 10 minutes apart? Probably not going to be an issue. 6th kid with contractions 1 minute apart? Ehhhh, that might be a little risky. That is when you put down a bed pan or towels or a trauma dressing and let whatever happen happen. In 2 of my deliveries there has been fecal matter pushed out during the pushing phase of the whole thing.
I'm pretty much with everyone else, it is situational. First kid with contractions 10 minutes apart? Probably not going to be an issue. 6th kid with contractions 1 minute apart? Ehhhh, that might be a little risky. That is when you put down a bed pan or towels or a trauma dressing and let whatever happen happen. In 2 of my deliveries there has been fecal matter pushed out during the pushing phase of the whole thing.
abckidsmom
Dances with Patients
- 3,380
- 5
- 36
We carry bed pans, but I try really hard not to use them. I have dumped out a bottle of saline for a patient to use as a urinal before though.
medic417
The Truth Provider
- 5,104
- 3
- 38
We keep urinals and bedpans, seems all 911 ambulances in my area carry them, but we are very rural. Much less risk involved having the OB patient use the bed pan, baby pops out no biggy. But baby pops out in toilet an " Lucy, you got some 'splainin' to do!"
LucidResq
Forum Deputy Chief
- 2,031
- 3
- 0
