Do you wear full PPE while doing vaginal deliveries?

[paradoxofchoice]

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At my school, we wear the full get up from booties up to face shield mask and hat, and of course, sterile gown/gloves. I was surprised to learn on my aways that such is not the case at other places. Why in the world not? Chance of stuff getting on you is huge!

 

[Biology101]

Always wear a face mask. Most don't and that is stupid.

 

[Global Disrobal]

In general you should exercise universal precautions and put on appropriate gear. However, from a real life standpoint (and having trained at a busy inner-city program), sometimes you are put in emergent scenarios in which case as Biology 101 mentioned, gloves and mask are all you get to put on before that baby is about to hit the floor!

Good luck!

 

[paradoxofchoice]

In general you should exercise universal precautions and put on appropriate gear. However, from a real life standpoint (and having trained at a busy inner-city program), sometimes you are put in emergent scenarios in which case as Biology 101 mentioned, gloves and mask are all you get to put on before that baby is about to hit the floor!

Good luck!

I understand emergent. The gown, sure, you can change out of scrubs and shower. But I'm talking about not wearing mask or eye protection. Residents told me they dislike wearing masks because it takes the human element away from the relationship between mother and doctor if she can't see your face during labor😕

They've got the nurses and their family to look at!

What if you're short?

At my school, I have seen stuff (meconium, blood, amniotic fluid, etc.) being directly projected at the OB's faces, fortunately they were wearing the face shields.

I don't think the exposure risk/grossness is worth the "full bond" (even if you know their test results)

 

[ECkayak]

I really only wear the full get-up if patient is Hep C or HIV positive. Always wear the glasses though

 

[ThoracicGuy]

I really only wear the full get-up if patient is Hep C or HIV positive. Always wear the glasses though

You won't always know if a patient has HepC or HIV. Not everyone is tested and its better to not get a surprise later.

 

[anonperson]

You gotta be an idiot to perform a delivery without eye protection and gloves at minimum.

Especially as a resident. Service patients on average are a mess and Hep C is rampant and severely undertested. Not to mention HIV, but testing for that is generally more consistent.

ideally you wear the full get up. No one sane patient thinks they have less of a connection if your physician practices some common sense.