Thursday, December 6, 2012

What should a woman know before entering the delivery room?

Q. I am doing a project about Labor and Delivery Nurses and Birthing plans. I had a couple questions for some labor and delivery nurse or ob/gyns:
1. What are the responsibilities of a labor and delivery nurse?
2. What should a woman know/expect before entering the delivery room?
3. What are some common trends seen in the delivery room?
4. Do you recommend a birthing plan? If so, what should be included in it?
5. What is your favorite thing about being a labor and delivery nurse?

A. 1. L&D nurses will help coach you as to what to do during labor and they also monitor the baby's heart rate.
2. Just stay cool and follow the instructions by your doctor...that will ensure you the safest possible delivery
3. ?
4. I am an ob/gyn and do not recommend a birthing plan. Let you doctor help you make the important decisions. We've gone through lots of training to try to minimize complications during labor.
5. I'm not a L&D nurse


What do I absolutely HAVE to have for when my baby arrives?
Q. This was an unexpected pregnancy, and my boyfriend and I just don't have the money (or the space) for lots of baby stuff. Even though I would LOVE to buy everything, we just can't afford things we don't need. So I just want to know what the bare essentials are. I am planning to breastfeed and we are planning to use cloth diapers. Any advice would be appreciated! Thanks! :-)

A. You definately need a crib for the baby, and I say crib not bassinet, because if you can't afford much this will last you longer, cuz the bassinet is for the first 3 mo. and thats it. Wal-mart has good prices on everything. U will also need....
1. Baby shampoo, soap, lotion
2. Lots of diapers, lots!
3. Plain white onsies, u will change a lot cuz of spit up!
4. Burp rags, although i use receiving blankets, there bigger and can be used longer.
5. Bottles/bottle brush even if your breast feeding, just incase you need a babysitter.
6. Q-tips/rubbing alchohol for umbelical cord!
7. Swaddling blanket
8. Car Seat
9. Let the baby sleep in your room, then you don't need a baby monitor
10. Breast Pump, since your not married, your insurance company that you have may give you a breast pump for free, mine did before i got married, so check into that, ask the hospital, the lactation consultants they have gave me that advice! This will save you a ton of money!
11. Also a thermometor is helpful, you will use this a lot!
12. Also im adding, when r u due, and what r u having, because I have a son, and soon to be daughter in a couple days, so either way if i can help you out by giving you anything that you can't afford, let me know, my e-mail is joeyn_777@yahoo.com and I have no problem mailing you anything that I wont be needing anymore. Hope this helps a little. Good Luck


What to do during a dog's seizure and what is the cost of medication?
Q. My 3 year old lab had two seizures in March of this year (really weak, not diagnosed). Yesterday my wife and I noticed he was having one. I rubbed him down and talked to him during the seizure until it went away (3-5 minutes). What else can I do? I know I have to take him to the vet and most likely get him medicated. How much money are we looking at?

A. my dog had seizures and all i could do for her is sit and pat her and let her know i was there.

Its very sad to watch it happen to them

I the end the seizures did kill her

I just found this info if its any good

During the Seizure:

- Some dogs are light or sound sensitive during seizure episodes. Try dimming the lights and keeping phones at a distance from the dog.

- Keep old towels or baby diapers handy to catch urine if your dog urinates during seizures.

- Some human epileptics say they have an easier time if the seizure is allowed to run its course. Calling the dog's name to bring them out of the seizure may not be the best thing for your dog. Try it each way and see which is more comfortable for your particular dog's seizure.

- A fan blowing on the dog, or rubbing the feet and belly with cool water may help cool the dog down. Of course, in any case should the dog seem to be overheating due to repeated seizures or not coming out of a seizure -IMMEDIATELY bring the dog to/or contact a vet since overheating can be very dangerous.

- Many dogs are confused and even blind right after a seizure. Keep the dog in a safe area where they cannot fall down stairs or hurt themselves.

- Keep a careful journal of the seizures. As soon as possible write down the exact time the dog started to seizure and the time the seizure ended. A stop watch or watch with a second hand can be helpful. After the seizure is over and you have time - write down all circumstances surrounding the seizure, such as unusual food eaten, activities that happened during the previous day, medications or vaccinations recently given. A detailed journal can be helpful when bringing your dog to a new vet or neurologist.

- Be prepared to transport a dog that cannot stand up and walk, or is even in the middle of a seizure. Hard plastic children's sleds can be used to carry or drag the dog to the car. A heavy blanket folded can also act as a stretcher. If you are alone with a very heavy/large seizing dog, call the vets office for instructions. Depending on where you live you may want to try calling the police for help in getting the dog into the car if no one else is available.



Safety:

- Seizure proofing your home is important since most of us cannot be there to watch our dogs at all times. Seizures may occur when the dog is home alone. Many people crate their dogs while they are not there. An airline type crate (Vari-Kennel or Furrari) minimizes the chances of the feet getting caught up in the wires.

- While crating, or even when leaving the dog home alone, make sure the dog is not wearing a collar (especially with tags) that could get caught while the dog is thrashing. Choking can result.

- Some people make a special room for the epileptic dog, clearing out any objects/furniture that may injure the dog during a seizure. Crating or making a 'doggy room' may be the best idea should you have a 'catapulting dog', that is one that throws itself across the room during seizures.

- Never leave an epileptic dog alone near any water deep enough to drown in. If you need to, investigate getting a doggy lifevest for your dog.

- If you are concerned about your dog seizing while swimming, doggie life vests are available.

- Protection or separation may need to be considered in multiple dog households. A seizing dog can trigger the 'pack' instinct in which an injured animal on the ground is attacked. Monitor your dogs until you know their reactions to the seizing dog.

- Baby gates can be invaluable to block off stairways or confine the dog to a certain room.

- Be careful of leaving windows open should you have a dog that spends time near one. Screen windows can easily fall out of the framing as well as your dog.

- Prop a large piece of styrofoam insulation against a sliding glass door if you are afraid of your dog hitting against it.

- Buy a new or used baby alert monitor to 'hear' your dog if he sleeps in a different part of the home. Just put the receiver part in your bedroom -this may help you sleep better if you are constantly trying to 'listen' to hear if the dog is all right.

- If you really want to know what happens when you are not home, buy a voice activated tape recorder. It only records when significantly loud noise is heard. This will not only let you know if your dog has seized, but if he has been barking all day. Some also videotape their dog during the time they are gone. They then fast forward thru the tape to see if anything unusual has happened during the day.

- Keep phone numbers to your vet and all emergency vet hospitals near all phones. 2:00 a.m. in the morning is not he time to decide if your dog is in status and then figure out what to do. Drive by the emergency vet so you know exactly where it is. When traveling, get emergency numbers in advance or immediately find the hospital nearest you when you arrive. Keep the number handy at all times.

- An ID tag on a lost epileptic dog is very important. It's scary enough to think of a lost dog, but a lost dog without medications is even worse. Medical alert tags are available at most pharmacies, pet supply catalogs or from your vet. It can even be engraved and worn with your dog's regular tags.

- Train all your dogs for basic obedience. You may need it someday if you are walking multiple dogs and your epileptic seizures. The situation would be much easier if the other dogs will obey a sit or down stay.


How can I get over my paranoia about letting my kids sleep in their own room?
Q. They're 5 and 4. Ever since we had a fire 3 years ago, I've had them sleeping in the same room as me. I'm afraid something might happen in the night, and I won't be right next to them, if I had to save them. I'm paranoid about some weirdo coming through their window at night and abducting them. I know this is irrational, but I can't get over it. Their beds are in my room. I can't relax unless I'm in the same room with them sleeping.
What can I do?
Thanks.

A. It is not irrational. It really sounds like your children are your world, and you want to protect them the best you can. They are at an age where it would be healthy for them to learn a little independence for their own mental health.

I suggest buying a few things - baby monitor, so you can roll over and hear anything in their rooms. If you are worried about security, you can go to Home Depot and buy inexpensive window alarms that you clip or glue onto the window, and if it is broken, it will squeal like a banshee waking everyone in the house. You can also sleep with the doors open, so if they do wander or let out an idle "Moooooooooommmmy!" in the middle of the night, and the baby monitor does not catch it, you will still hear them. :)

With these items in place, you can gradually become more comfortable - perhaps put them both in one room, and sleep in a sleeping bag on the floor for the first few nights, then practice staying until they are asleep and moving into your own room after that? When you are comfortable with not being in their room, move the other child into its own room - you can also put in night lights in the hall and their rooms to make it safer and easier to get to them if you do feel a panicked need to check on them.

*hugs* Best wishes, and do not think you are too crazy. It really just sounds like you love your children very much and wish the best for them. I hope this helped.





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