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Oct. 27th, 2012

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Our first week of clinical for the new rotation!  I started in Labor and Delivery (I go to Mental Health next week).  It was an unusually quiet week on the L&D floor, but some of us did get to attend births.  (More on this at the end of the semester when it won't be date-stamped.)  This hospital has an L&D floor with private rooms where the families can go through labor and then deliver the baby.  There's a separate high-risk wing (I haven't been down there yet) and 3 operating suites for C-sections (haven't been there yet either).  A few hours after the delivery, the mothers & babies move to a different floor where they spend a day or 2 in the hospital before going home.  We'll go to that floor 1 of the days next week, but I haven't seen it yet, either.  It seems to me like it would be a little awkward to change floors, but I guess this hospital is usually so busy with deliveries that they really can't afford to have some of the rooms taken up by postpartum families.  Also, I think it allows the nurses to be more specialized--the nurses on the L&D floor help with the birth and assessment of the baby, and of course with the labor, but they don't really do a lot of baby care or post-partum care. 

In lectures this week, we continued learning about antepartal discomforts and just started learning about complications.  We'll do more on that next week--everything from preeclampsia (hypertension during pregnancy) to diabetes (whether it develops during the pregnancy or the mother already had it) to blood incompatibilities (an Rh - mother carrying an Rh+ baby needs to get treated so her blood won't become sensitized to the '+' in the baby's blood)....and also things like drug/alcohol use during pregnancy.

In Mental Health, we had our first exam on Thursday and then learned about anxiety and obsessive-compulsive disorders on Friday.  It was a beautifully warm day here, and she let us out early!  (Today, Saturday, is gray again.  But I don't think we're going to get much of the Frankenstorm, so I can't complain.)

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