OB experience

[TeddyRucpin]

Wrapping up my last rotation and luckily have a substantial amount of L+D time. For those folks at community and rural hospitals, how often are you relying on OB (and GYN) skills in your EDs? I imagine more of the latter; however, I'd like to see the frequency of vaginal births and the like. TIA.

[ventana]

goes back years but

 

GYN care is a big part of ER

need to be comfortable with pelvic exams and normal versus abnormal findings

preg - bleeding is the issue - and you have to be able to medically manage - ie when to give rhogam but we always called OB for final dispo 

[ohiovolffemtp]

Pretty much the same:

• vaginal bleeding during pregnancy
• pelvic pain
• STD's
• I wind up doing several pelvic exams/month

I'm fortunate to have either OB/Gyn or family practice that delivers babies at most of my sites.

[sk732]

Where I work now, a lot of PID, PV bleeding both in pregnancy and inter/post menstrual/post-menopausal.  Have had the odd person showing up in active labour - if not overly dilated, we'll try to fly out, especially if no prenatal care (a more and more common thing in that community these days).  We try to get the expectant mothers out around 36 ish weeks to avoid delivering somewhere where we can't deal with things going wrong...I haven't delivered since school in 2007, and would prefer that I don't have to do it again while in a remote place with no on site OB/OR.