OB Procedures

Need a refresher on "how to"?

Cook balloon placement - can do 80/80 (U/V), or 80/40. Make sure to remove speculum before inflating vaginal balloon to more than 20 ml. Can use ring forceps to hold anterior lip of cervix steady. (Dr. King's tip - can use a Bozeman forceps to grasp balloon at end to make it stronger than stylet alone.)

FSE placement - avoid fontanelle. Keep opening of tube as flat against head as possible. Need ~2 full rotations to get it in.

IUPC placement - if you get bloody flashback and are concerned you hit placenta, remove the catheter slightly and monitor baby. If doing okay, things will likely be okay.

AROM

Perineal laceration repairs - AAFP

Post placental IUD

Jada placement for postpartum hemorrhage - usually done by attending or OB. Keep on suction for 2-4 hrs postpartum, stop suction and watch for bleeding. Full tubing ~100 ml of blood if full. 

(HJK has dot phrases as reminders for some of these things, hopefully she will add them here soon!)