Download Games Pregnant Emergency Doctor

When I was pregnant with my first child, I worked full time as a physician in the emergency department. I worked mostly 9-hour shifts, but some 12-hour shifts as well. Days, evenings, nights, holidays and weekends were divided up amongst the entire group of physicians. I worked my share of those shifts as well.

Then there are all the procedures I still had to do while pregnant and working. I remember being hunched over, my growing belly in the way, while doing lumbar punctures, intubations, laceration repairs and chest tubes.

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I was also pregnant during the peak of the H1N1 influenza epidemic in 2009-2010. It was a particularly bad flu for pregnant women. Those who caught it were more likely to end up critically ill in the intensive care unit or even dead than non-pregnant adults. Patients were coming in droves concerned they had H1N1 and sometimes would cough on us while examining them.

As crazy as it was being pregnant working in the ER, there were plenty of pregnant nurses working alongside me who understood what I was going through. We would commiserate and celebrate and countdown to our due dates together.

I really appreciated all the people who were looking out for me and my baby. And despite everything I experienced and was exposed to during those months being pregnant, I had normal pregnancies and my children turned out healthy and are now 3 and 5 years old.

Second trimester is usually a better time to be pregnant in the department. By now most of us have told those at work, and we feel better. We also have a cute little baby bump and fabulous hair and skin! We can still easily work our way through a busy shift and do any necessary procedures. Work life is good.

Once you have let others in on your big news at work, you will need to start thinking about when you want to stop working. I had heard that women working in the emergency department always go into labor early. As many of you can attest, this is simply not true. My little one had no desire to come out, and I was induced at 41 weeks pregnant. Regardless, you need to pick a stop time that will work for you.

Pregnancy can be a joyful, exciting time. But it can also seem overwhelming and even frightening. Some expectant and new mothers may feel compelled to rush to the emergency department (ED) at the slightest symptom, and others hesitate, worried that they are overreacting.

The ED nursing team at UT Southwestern William P. Clements Jr. University Hospital works closely with our Ob/Gyns, certified nurse midwives, and emergency medicine doctors to quickly and appropriately manage pregnancy-related symptoms. We have developed emergency protocols for triaging patients based on type and severity of symptoms, the gestational age of the pregnancy, and whether a patient recently gave birth to achieve the best outcomes.

ED triage is based on severity. Nurses are trained to recognize emergency symptoms in patients as they arrive at the ED and route the sickest patients to the doctor first. We also understand that to you, your pregnancy, and your health are the most important thing to you.

Your midwife may recommend you transfer to a hospital if things are not going as expected or you need more expert care. The midwife might call an ambulance or agree that you can travel to hospital in a car (not driving yourself). At hospital, your midwife will stay with you as much as possible, but the hospital midwives and doctors will take over your care.

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A pelvic exam can help your doctor identify areas of pain, tenderness, or a mass in the fallopian tube or ovary. However, your doctor can't diagnose an ectopic pregnancy by examining you. You'll need blood tests and an ultrasound.

A transvaginal ultrasound allows your doctor to see the exact location of your pregnancy. For this test, a wandlike device is placed into your vagina. It uses sound waves to create images of your uterus, ovaries and fallopian tubes, and sends the pictures to a nearby monitor.

A complete blood count will be done to check for anemia or other signs of blood loss. If you're diagnosed with an ectopic pregnancy, your doctor may also order tests to check your blood type in case you need a transfusion.

Salpingostomy and salpingectomy are two laparoscopic surgeries used to treat some ectopic pregnancies. In these procedure, a small incision is made in the abdomen, near or in the navel. Next, your doctor uses a thin tube equipped with a camera lens and light (laparoscope) to view the tubal area.

If the ectopic pregnancy is causing heavy bleeding, you might need emergency surgery. This can be done laparoscopically or through an abdominal incision (laparotomy). In some cases, the fallopian tube can be saved. Typically, however, a ruptured tube must be removed.

If you've had an ectopic pregnancy, your risk of having another one is increased. If you wish to try to get pregnant again, it's very important to see your doctor regularly. Early blood tests are recommended for all women who've had an ectopic pregnancy. Blood tests and ultrasound testing can alert your doctor if another ectopic pregnancy is developing.

In addition to your prepared questions, don't hesitate to ask questions anytime you don't understand something. Ask a loved one or friend to come with you, if possible. Sometimes it can be difficult to remember all of the information provided, especially in an emergency situation.

If you don't require emergency treatment and haven't yet been diagnosed with an ectopic pregnancy, your doctor will talk to you about medical history and symptoms. You'll be asked many questions about your menstrual cycle, fertility and overall health.

Dr. Elizabeth Clayborne, Dr. Tu Carol Nguyen and Dr. Michele Callahan are expecting mothers and physicians on the front lines of the emergency department at the Prince George Hospital Center in Cheverly, Maryland. The medical facility has seen an uptick of COVID-19 patients following a surge of cases since early April.

While in general I loved being an Emergency Medicine physician, I did not enjoy being a pregnant doctor. I disliked all the discomforts of pregnancy and having to work pregnant in the uncontrolled environment of the ER. I remember being pregnant for the first time as an attending physician working in the emergency room. I had seen so many women come in having miscarriages or with complications after giving birth that I wondered if the same would happen to me.

I remember being pregnant when H1N1 influenza hit our community and many patients came into the ER with flu symptoms. I worried I would catch it and became critically ill in the ICU as this was what we were seeing amongst pregnant women who caught this particular strain of influenza. I got my flu vaccine, donned a face mask for much of my shift, and washed my hands frequently; thankfully, all my measures were successful. I managed to avoid catching influenza. Next step: giving birth to my baby boy.

After the course of 12 hours in labor, I went from being a pregnant woman to a first time mother fumbling with diapers and swaddling while trying to figure out how to breastfeed my newborn. I still remember when the labor nurse said,

Objectives: We sought to confirm retrospective studies that measured an approximately 20% reduction in emergency department (ED) length of stay (LOS) in early-gestation pregnant women who receive emergency physician-performed point-of-care ultrasound (US) examinations rather than radiology department-performed US examinations for evaluation of intrauterine pregnancy (IUP).

Methods: A randomized controlled clinical trial was performed at an urban academic safety net hospital and 2 Naval medical centers in the United States. The allocation was concealed before enrollment. Clinically stable adult pregnant women at less than 20 weeks' gestation who presented to the ED with abdominal pain or vaginal bleeding were randomized to receive a point-of-care or radiology US to assess for IUP. The primary outcome measure was the ED LOS.

Conclusions: Early-gestation pregnant ED patients requiring pelvic US were discharged earlier when point-of-care US was used rather than radiology US; however, this trial did not achieve our target of 30 minutes. Nevertheless, our data support the routine use of ED point-of-care US for IUP, saving the most time if a conclusive IUP is identified.

Emergency contraception can work well, but it's not a substitute for regular birth control. Regular birth control works better, has fewer side effects, and costs less. As the name suggests, emergency birth control is for emergencies, not something to use all the time.

Hormone-based emergency contraception pills. These contain a hormone called levonorgestrel. Levonorgestrel pills are specifically packaged as emergency contraception and do not require a prescription. They include Plan B One-Step and Preventeza, as well as the generic levonorgestrel pills My Way and Take Action.

Birth control pills. These can also be used as emergency contraception, but you have to take more than one pill at a time to keep from getting pregnant. This approach works, but it is less effective and more likely to cause nausea than levonorgestrel pills. ff782bc1db