How often do you get to deliver babies?

[Hard24Get]

Just wondering since Ob/gyn seems to always be prepared to receive laboring patients. Is the Ob/gyn rotation during residency just for the gyn part? 😕

---

Members don't see this ad.

 

[roja]

In our program, its for the deliveries.

We do so much gyn (including the <20weekers) that we only are set to do deliveries on our rotation. All of our faculty are credentialed in our institution for +IUP's that the only gyn consults we tend to get are early (<6weeks) vag bleeders that are r/o ectopics, PID that needs admissions, and well, I think that's about it.

 

[USCDiver]

Just wondering since Ob/gyn seems to always be prepared to receive laboring patients. Is the Ob/gyn rotation during residency just for the gyn part? 😕

The whole point of residency is to be prepared to deal with anything that gets thrown your way when you enter the private sector.

Deliveries in the ED are rare, but not unheard of. We do 2-3/year probably. Usually patients are crowning or worse in the ambulance bay and we don't have time to get them to the labor ward. Our experience on the Ob/Gyn rotation is focused on delivering babies under the supervision of the experts so that when the need arises we can do a delivery on our own.

We see enough Gyn in the ED itself that we don't need more of it on our Ob/Gyn rotation.

 

[Jeff698]

I did two deliveries just yesterday. Of course, I'm on OB this month. 🙂

We're sent upstairs for the deliveries. We also help out the OB/GYN residents by seeing some of their 'ER' patients while we're waiting to do deliveries but that's just 'cause 1) we're nice and want to help, 2) they're nice and we want to help and 3) we're otherwise bored. We also get US experience heading into our second year which is when we typically see most of our vag bleeders.

Take care,
Jeff

 

[Dr.Evil1]

The only reason we all do OB/Gyn in resdency is to get the 10 deliveries that are required on our procedure logs in order to sit for EM boards. We see enough of the Gyn in the department that sitting in clinic or seeing patients on the wards would be overkill.

 

[Hard24Get]

The only reason we all do OB/Gyn in resdency is to get the 10 deliveries that are required on our procedure logs in order to sit for EM boards. We see enough of the Gyn in the department that sitting in clinic or seeing patients on the wards would be overkill.

I like gyn much better than ob so this ratio sounds great. Thanks, guys! 😎

 

[kungfufishing]

More deliveries than I would have expected.
More GYN than anyone would ever really want. In frightening news, I dont actually mind the GYN patients anymore...

 

[southerndoc]

I hope I never have to deliver another baby. It's messy, and the little things are slippery.

 

[DropkickMurphy]

I hope I never have to deliver another baby. It's messy, and the little things are slippery.

That brings us to Bill Martin's Third Rule of EMS: "If you drop the baby, pick it up."
Of course the forth rule of EMS is "If you need to apply rule #3, faking a seizure is another valid option".

 

[Jeff698]

I hope I never have to deliver another baby. It's messy, and the little things are slippery.

That reminds me of way back when I was in paramedic school. Our textbook was Nancy Caroline's. It has this irritating way of putting things to emphasize in little boxes. One of the boxes was "Babys are very slippery".

I remember reading that and thinking, oh please, of course they're slippery. What kind of ***** wouldn't know that.

Then, immediately after my first delivery (and I do mean immediately; as in the cord still ain't cut yet) I remembered that box and thought: "Oh, you mean SLIPPERY! Good point. Might want to put that in a box or something to emphasize it."

Yes, what a fun book. It was also known for it's little cartoon characters used for neurotransmitters. Good times.

BTW, it was c-section day in L&D today. Vaginas were completely irrelevant. For that matter, so was the ER intern. Yawn. At least I had a new Treo to play with.

Take care,
Jeff

 

[Hard24Get]

That reminds me of way back when I was in paramedic school. Our textbook was Nancy Caroline's. It has this irritating way of putting things to emphasize in little boxes. One of the boxes was "Babys are very slippery".

I remember reading that and thinking, oh please, of course they're slippery. What kind of ***** wouldn't know that.

Then, immediately after my first delivery (and I do mean immediately; as in the cord still ain't cut yet) I remembered that box and thought: "Oh, you mean SLIPPERY! Good point. Might want to put that in a box or something to emphasize it."

Yes, what a fun book. It was also known for it's little cartoon characters used for neurotransmitters. Good times.

BTW, it was c-section day in L&D today. Vaginas were completely irrelevant. For that matter, so was the ER intern. Yawn. At least I had a new Treo to play with.

Take care,
Jeff

I guess it will wear off, but the first time I caught a baby I felt like I was holding the most innocent and fragile creature in the world. It seemed like a privilege to be the one to suction them.... but then again, I was the idiot who never got tired of watching the cervix pop into view during a gyn exam!

 

[docB]

I tell everyone that yes I do deliver babies but when it happens it means somewhere the system has failed horribly.

 

[Back34]

I guess it will wear off, but the first time I caught a baby I felt like I was holding the most innocent and fragile creature in the world. It seemed like a privilege to be the one to suction them....

The first time I caught a baby I almost puked.

 

[bartleby]

"Life ain't all purty"
- Taj Mahal

The first time I caught a baby I almost puked.

 

[Back34]

"Life ain't all purty"
- Taj Mahal

Especially when mommy hasn't evacuated her bowels in a while.

 

[Hard24Get]

Especially when mommy hasn't evacuated her bowels in a while.

Ah, yes, definitely the nastiest surprise in Ob! 😱 That and the vag as it stretches to the point of ripping .. c-sections are the way to go!