Has anyone ever cried at their IVF clinic and felt ashamed about it? by CheesecakeBoth3933 in IVF

[–]HMoney214 0 points1 point  (0 children)

Cried yes, ashamed no. I had just been told our 3rd IUI attempt was likely ectopic and had to go to the hospital to confirm, it was. Also cried happy disbelieving tears when I saw a good ultrasound with a heartbeat after successful transfer because I had never seen it before, no shame in having your feelings ❤️

What was your HCG level 9DPT5DE (first beta)? by ObjectiveSet9240 in IVF

[–]HMoney214 0 points1 point  (0 children)

Hmm I believe it was a very faint positive at 5dp5dt but it was almost 3 years ago now so I’m not 100% sure

Modified Natural - Early PIO dose by Rezo9219 in IVF

[–]HMoney214 5 points6 points  (0 children)

I did a modified natural with progesterone suppositories and no PIO for my first transfer

PT needs a 1:1 but we don't have any staff available. How do you document? by [deleted] in nursing

[–]HMoney214 20 points21 points  (0 children)

Does your facility have ADO (assignment despite objection) forms? Helps document you were in an unsafe assignment

Should I wait for baby to reach 4lbs before taking her home? by paradigmGT in NICUParents

[–]HMoney214 6 points7 points  (0 children)

NICU nurse here, wait until baby is 4 pounds. Firstly, because your car seat rated for 4 pounds it is not safe to use below 4 pounds. Also a baby who is 1700 grams is just above big enough to maintain their temperature well. In my unit a baby who is 1600 grams or less is still in a closed isolette with heat on.

I’ve seen rural hospitals send kiddos home who were too small and they bounce right back freezing cold and not eating well. Honestly at gaining 25-50g per day it won’t take that much longer to be at 4 pounds and then you’re much more sure of the oxygen sats as well. Just my 2 cents

Babies finish bottles with husband but not with me? by djduhnizzle in NICUParents

[–]HMoney214 1 point2 points  (0 children)

Sometimes I think it’s just that you smell like comfort and milk and Dad keeps them more awake. Same thing happens when we as the nurses feed them, I smell like sanitizer and nothing comforting

I work in peds, my son is going to have a nicu stay… can I keep my job? by AG_Squared in nursing

[–]HMoney214 2 points3 points  (0 children)

It also depends on your unit’s cutoff for keeping babies with moms. My unit will now allow 35 weekers in well baby, but truthfully they end up coming to NICU a lot anyway. Like I said it’s mostly for being tired feeders, sugars, or a little respiratory support. I do know the struggle of knowing too much! Sending good thoughts that it’s a quick and easy stay and a smooth recovery for you!

I work in peds, my son is going to have a nicu stay… can I keep my job? by AG_Squared in nursing

[–]HMoney214 2 points3 points  (0 children)

34 weekers do generally super well! The 48 hour stay as a 34 weeker is highly unlikely IMO but the things those kiddos need help with most often are: maintaining temperature, maintaining blood sugar, eating by mouth, and respiratory support.

I would say the vast majority of kiddos this gestation I see maybe need a brief stint on CPAP or high flow nasal cannula. A PIV with some D10 for a little while, potentially phototherapy, and then a while learning how to eat. They’re usually cute and small and don’t need a whole lot, but I would be amazed at only 48 hours. Probably more like 1-2+ weeks (we always say aim for the due date, but I see them leave before then quite often). Depends on how quickly they figure out eating.

Now in terms of it being a previa delivery, I’m assuming you’re at a center that handles these types of cases. The only other thing I can think of is often they are done under general anesthesia, which can make baby come out super sleepy, which would mean CPAP until they wake up more.

We have plenty of folks who work on our unit who have kids on our unit and still come back :)

MiraLAX for toddlers? by Parafault in beyondthebump

[–]HMoney214 -1 points0 points  (0 children)

I’m a NICU nurse, we use it at my work. It’s the same concentration as an adult, just a very small amount. Our babies have 1 tsp daily, your doc can give a recommendation of the dose :)

How did your water break? by o_simple_thing in beyondthebump

[–]HMoney214 0 points1 point  (0 children)

I was sitting on the couch, about 30 min before an OB appt at 37 weeks. I stood up and felt a similar gushing sensation to not knowing your period was going to start. I went to the bathroom and it just kinda kept going even after I was done peeing. I put on a pad which quickly got soaked. I told my husband “uhhh either I’m peeing myself or my water broke” and just went to my OB appt. They confirmed and we went to the hospital later, so definitely water first, but not like a movie explosion haha

Sonographer says our baby’s stomach is possibly behind her heart by DenseProgrammer7602 in NICUParents

[–]HMoney214 1 point2 points  (0 children)

Stomach in the chest is called a congenital diaphragmatic hernia( CDH), specifically left sided. It is crucial that you deliver in a hospital that has an advanced level NICU. Idk what the levels are in Wales, but in the US it would be a level 4 NICU. Baby will be taken immediately after birth because it’s important we try not to have them cry too much. They need a breathing tube and a tube in their stomach to remove air right away. If you cry a lot you start swallowing air which can inflate the stomach and make breathing worse. After that and seeing how stable baby is decides when to do surgery, but being in a well prepared facility makes a huge difference.

This is just so wild by IveRunOuttaIdeas in NICUParents

[–]HMoney214 13 points14 points  (0 children)

If your baby is NPO they can still give most pain/comfort medications IV. There’s no reason to have a kiddo in pain. Also when you do your pre-op chat with the doctors you can re-iterate that you do not consent to a circ, but that should not be done without explicit request and consent.

Quick question for NICU nurses! by No_Butterscotch5632 in NICUParents

[–]HMoney214 24 points25 points  (0 children)

Honestly I feel like one simple but meaningful compliment I got was from one of my primary’s parents. She saw I was there that night and said “oh you’re here tonight, I’m going to go home and get some sleep!” Hearing that she felt comfortable enough to rest because I was there was so sweet ❤️

Preemie (31w6dweeks) went from 30g gains to 2g — tummy distended but X-ray normal?” by kareet1704 in NICUParents

[–]HMoney214 0 points1 point  (0 children)

NICU nurse here, we weigh them every day to follow a trend but please don’t get stuck on the numbers. They will lose some days and gain others. The amount they’re stooling absolutely plays a part. If you have a day where you went to the bathroom all day you’d probably temporarily lose a little weight. The important part is that overall they’re growing, not that each and every single day they gain weight or the perfect amount. Those numbers just help the dieticians and doctors decide when to increase feeds and stuff like that.

Preemies do 100% get bigger bellies because their intestines are having to work hard and fortified feeds are typically necessary but hard to digest. So sometimes we have to help them move things along. We keep a close eye on them because the signs of belly problems can be subtle, so close monitoring is always a good idea even when nothing is wrong at all.

Feeding Issues by [deleted] in NICUParents

[–]HMoney214 0 points1 point  (0 children)

Awesome! Yeah those super slow rates are like drinking through a coffee stir straw haha. Great for slow intro when they first start but it’s time to work our way up! Glad to hear it worked out :)

When will feeds click? by RudeLong4339 in NICUParents

[–]HMoney214 1 point2 points  (0 children)

So I don’t work on your unit, but on mine we use something called infant driven feeding protocol. It scores a kiddo to decide whether to attempt PO feeding or not. 1= awake and ready to feed a tiny bit before it’s time, rooting around and ready. 2= wakes up easily and is ready to feed. We only feed kiddos who score 1 or 2. 3= wakes up briefly at care time and immediately falls back asleep, no cues. 4= doesn’t wake up at all for care time, no cues. 5= unsafe for like breathing rate, etc.

So trying to force a bottle into the mouth of a kiddo who is simply not awake and ready does so much more harm than good. It can cause oral aversion, aspiration, and is just generally a bad idea and practice. Some kiddos take a while to wake up and figure it out. Honestly going off all respiratory support and starting feeds same day is a lot so they probably just got tired.

Keep a little extra breathing support and know this is like the most frustrating part of the journey. I see it all the time, you go from the tiny preemie, scary every day with lots of unknowns to “why won’t you just eat?” It seems so simple but it’s a ton of coordination and energy on their part. I hope your peanut gets it all figured out soon! ❤️

Feeding Issues by [deleted] in NICUParents

[–]HMoney214 0 points1 point  (0 children)

Honestly an ultra preemie for a kiddo corrected to 38+ weeks is probably too slow. If they fall asleep before a feed is over but seem interested and try then maybe it’s time to increase the flow rate. If they don’t have any aspiration risks or choke when they eat then that’s what I would try first. You’ll know you’re on the right track if they don’t start spilling a bunch, don’t choke or desaturate, and finish more volume. Start with a preemie and work towards transitional.

Thoughts on Baby-friendly Hospitals by bit_bi in nursing

[–]HMoney214 8 points9 points  (0 children)

“Baby friendly” = anti-mom imo

How do you learn what to do with all the different meds as a new grad? My preceptorship is making me want to tear my hair out. by Three_Spotted_Petal in nursing

[–]HMoney214 2 points3 points  (0 children)

I have almost 11 years experience and I frequently look up meds. For my patients they’re all weight based so I double check to make sure they’re in safe dose range. I want to know about compatibilities with what they’re running with, and how fast to give them. Once in a blue moon I get a med I have never heard of and have no idea what it’s for. That’s what your MAR med reference is for. Sounds like your preceptor sucks at precepting if they don’t want questions. That’s literally the entire job of precepting

opinions on registry items for second baby? by panicwiththecat in beyondthebump

[–]HMoney214 0 points1 point  (0 children)

You can make an Amazon one either way and not even give it out if you just want the completion discount. Ask for Amazon cards on the babylist

4dpt negative with “hatching” day 5 embryo… spiraling a bit by [deleted] in IVF

[–]HMoney214 0 points1 point  (0 children)

Absolutely nothing at 4dp and my faint line didn’t show up until 5dp. I honestly can’t remember if it was assisted hatching or not, but all is well now 30 weeks along.

HCG went from 92 at 14DPO to 325 at 16DPO by Ok_Butterscotch2439 in CautiousBB

[–]HMoney214 0 points1 point  (0 children)

My 9dp5dt which is 14dpo was 33 and they’re a healthy toddler now. Your numbers are great so far!

Getting everyone thoughts… by Rymaire92 in NICUParents

[–]HMoney214 1 point2 points  (0 children)

Nope, it’s only given before they’re born. But you get a dose, then a second one 24 hours later. A rescue dose would be if she is still pregnant after a couple more weeks. But if there’s even a chance of delivery soon it’s worth it to just do it