Meds in the Hospital during delivery

bec4t

New member
<P>Hey Everyone!  </P>
<P>I am getting closer to my due date and have a couple questions for you experienced CF mama's out there!  What all did you guys take to the hospital when you delivered medicine wise?  I am delivering about an hour away, so i wanted to be prepared....Did you take your vest?  Your nebulizer?  I know i have been warned to sneak in enzymes becuase they are never on time...but i was just curious what you did for respiratory therapy while in the delivery room.  If everything goes naturally i shouldnt be there for too long, but if i have to have a C section i may be there for multiple days...thoughts???</P>
 

bec4t

New member
<P>Hey Everyone! </P>
<P>I am getting closer to my due date and have a couple questions for you experienced CF mama's out there! What all did you guys take to the hospital when you delivered medicine wise? I am delivering about an hour away, so i wanted to be prepared....Did you take your vest? Your nebulizer? I know i have been warned to sneak in enzymes becuase they are never on time...but i was just curious what you did for respiratory therapy while in the delivery room. If everything goes naturally i shouldnt be there for too long, but if i have to have a C section i may be there for multiple days...thoughts???</P>
 

bec4t

New member
<P>Hey Everyone! </P>
<P>I am getting closer to my due date and have a couple questions for you experienced CF mama's out there! What all did you guys take to the hospital when you delivered medicine wise? I am delivering about an hour away, so i wanted to be prepared....Did you take your vest? Your nebulizer? I know i have been warned to sneak in enzymes becuase they are never on time...but i was just curious what you did for respiratory therapy while in the delivery room. If everything goes naturally i shouldnt be there for too long, but if i have to have a C section i may be there for multiple days...thoughts???<BR></P>
 

mamaScarlett

Active member
Well, there's lots of things to consider. First, you should talk to your doctor about all of this first if you haven't already. What does he/she say? What does the obgyn say?<br><br>I delivered my first baby at the same NYC hospital as my Cf center bc my OB was there. My OB was very progressive, and supportive of natural childbirth which is what I wanted. So OB was happy, Cf doc was happy, and I was happy. However it was my wish that Cf not be present or involved at my delivery unless of real emergency. I was really healthy so that wasn't an issue. I did not do chest pt during my hospital stay. But respiratory would have been there if i needed it. That was the plan. I think i brought my own enzymes.<br><br>With my 2nd baby, my OB had retired and my Cf center was in the process of moving to a new NYC hospital. So I didn't have anywhere to deliver. I found a wonderful NJ midwife practice that supported natural childbirth but also worked with high risk docs in case I needed one. Their affiliate hospital where I'd deliver also happened to have a Cf center. I knew the doctor at that center from the past and DID not care for him. So, my plan was to not involve the local Cf docs unless absolutely needed. But, knowing they were there in case of a bizarre emergency made everyone happy. With this delivery I did lots of chest pt at home before i went to the hosp. I labored at home for about 12 hours (which I highly recommend if possible), and during that time I did about 4 therapies. Heck I did a chest pt at 5 cm, and gritted my teeth all through it!! lol<br>On my Cf docs suggestion, I brought my acapella, my albuterol puffer and my pari trek for albuterol, hypertonic, and pulmicort. I did a treatment in my room the morning after I had the baby. I took percocet after I delivered and that helped me to be able to do my chest pt. Don't count on quality chest pt here, you'll be sore. Really sore, and coughing just hurts. But the pain meds help a little. <br>What I did for my 2nd birth was try to time a treatment when I knew I was pretty far along. Not an intense coughing/spitting chest pt, but albuterol mainly, and hypertonic just to open my airways. Once you are in heavy labor you won't be able to do any of that of course. But doing it as late as possible in labor will really help you to have energy to get through labor. I didn't do that with my first birth and the difference in energy was huge. <br>Don't worry about right after birth trying to do meds-your adrenaline will keep you breathing great! Once that subsides after about 8-10 hours you'll probably be ready for a good puff of albuterol.<br>Hope this helps! Let me know if you have any more questions. <br>When r u due??!<br>
 

mamaScarlett

Active member
Well, there's lots of things to consider. First, you should talk to your doctor about all of this first if you haven't already. What does he/she say? What does the obgyn say?<br><br>I delivered my first baby at the same NYC hospital as my Cf center bc my OB was there. My OB was very progressive, and supportive of natural childbirth which is what I wanted. So OB was happy, Cf doc was happy, and I was happy. However it was my wish that Cf not be present or involved at my delivery unless of real emergency. I was really healthy so that wasn't an issue. I did not do chest pt during my hospital stay. But respiratory would have been there if i needed it. That was the plan. I think i brought my own enzymes.<br><br>With my 2nd baby, my OB had retired and my Cf center was in the process of moving to a new NYC hospital. So I didn't have anywhere to deliver. I found a wonderful NJ midwife practice that supported natural childbirth but also worked with high risk docs in case I needed one. Their affiliate hospital where I'd deliver also happened to have a Cf center. I knew the doctor at that center from the past and DID not care for him. So, my plan was to not involve the local Cf docs unless absolutely needed. But, knowing they were there in case of a bizarre emergency made everyone happy. With this delivery I did lots of chest pt at home before i went to the hosp. I labored at home for about 12 hours (which I highly recommend if possible), and during that time I did about 4 therapies. Heck I did a chest pt at 5 cm, and gritted my teeth all through it!! lol<br>On my Cf docs suggestion, I brought my acapella, my albuterol puffer and my pari trek for albuterol, hypertonic, and pulmicort. I did a treatment in my room the morning after I had the baby. I took percocet after I delivered and that helped me to be able to do my chest pt. Don't count on quality chest pt here, you'll be sore. Really sore, and coughing just hurts. But the pain meds help a little. <br>What I did for my 2nd birth was try to time a treatment when I knew I was pretty far along. Not an intense coughing/spitting chest pt, but albuterol mainly, and hypertonic just to open my airways. Once you are in heavy labor you won't be able to do any of that of course. But doing it as late as possible in labor will really help you to have energy to get through labor. I didn't do that with my first birth and the difference in energy was huge. <br>Don't worry about right after birth trying to do meds-your adrenaline will keep you breathing great! Once that subsides after about 8-10 hours you'll probably be ready for a good puff of albuterol.<br>Hope this helps! Let me know if you have any more questions. <br>When r u due??!<br>
 

mamaScarlett

Active member
Well, there's lots of things to consider. First, you should talk to your doctor about all of this first if you haven't already. What does he/she say? What does the obgyn say?<br><br>I delivered my first baby at the same NYC hospital as my Cf center bc my OB was there. My OB was very progressive, and supportive of natural childbirth which is what I wanted. So OB was happy, Cf doc was happy, and I was happy. However it was my wish that Cf not be present or involved at my delivery unless of real emergency. I was really healthy so that wasn't an issue. I did not do chest pt during my hospital stay. But respiratory would have been there if i needed it. That was the plan. I think i brought my own enzymes.<br><br>With my 2nd baby, my OB had retired and my Cf center was in the process of moving to a new NYC hospital. So I didn't have anywhere to deliver. I found a wonderful NJ midwife practice that supported natural childbirth but also worked with high risk docs in case I needed one. Their affiliate hospital where I'd deliver also happened to have a Cf center. I knew the doctor at that center from the past and DID not care for him. So, my plan was to not involve the local Cf docs unless absolutely needed. But, knowing they were there in case of a bizarre emergency made everyone happy. With this delivery I did lots of chest pt at home before i went to the hosp. I labored at home for about 12 hours (which I highly recommend if possible), and during that time I did about 4 therapies. Heck I did a chest pt at 5 cm, and gritted my teeth all through it!! lol<br>On my Cf docs suggestion, I brought my acapella, my albuterol puffer and my pari trek for albuterol, hypertonic, and pulmicort. I did a treatment in my room the morning after I had the baby. I took percocet after I delivered and that helped me to be able to do my chest pt. Don't count on quality chest pt here, you'll be sore. Really sore, and coughing just hurts. But the pain meds help a little. <br>What I did for my 2nd birth was try to time a treatment when I knew I was pretty far along. Not an intense coughing/spitting chest pt, but albuterol mainly, and hypertonic just to open my airways. Once you are in heavy labor you won't be able to do any of that of course. But doing it as late as possible in labor will really help you to have energy to get through labor. I didn't do that with my first birth and the difference in energy was huge. <br>Don't worry about right after birth trying to do meds-your adrenaline will keep you breathing great! Once that subsides after about 8-10 hours you'll probably be ready for a good puff of albuterol.<br>Hope this helps! Let me know if you have any more questions. <br>When r u due??!<br>
 

mamaScarlett

Active member
Also wanted to add about oxygen-don't be alarmed per se if they give it to you. They often give it to non-cf moms who have long labors, or long pushing phases, or to help supplement the babys oxygen. It can be a good thing and give you a burst of energy. <br>I had it with my first, who took 2.5 hrs to push out. It was exhausting.<br>With my 2nd my labor over all was twice as long! But, I did alot of therapy over the course of 24 hrs and the baby was pushed out in 9 minutes. Not that thats why, but it definitely helped with my energy levels.<br>So excited for you!<br>
 

mamaScarlett

Active member
Also wanted to add about oxygen-don't be alarmed per se if they give it to you. They often give it to non-cf moms who have long labors, or long pushing phases, or to help supplement the babys oxygen. It can be a good thing and give you a burst of energy. <br>I had it with my first, who took 2.5 hrs to push out. It was exhausting.<br>With my 2nd my labor over all was twice as long! But, I did alot of therapy over the course of 24 hrs and the baby was pushed out in 9 minutes. Not that thats why, but it definitely helped with my energy levels.<br>So excited for you!<br>
 

mamaScarlett

Active member
Also wanted to add about oxygen-don't be alarmed per se if they give it to you. They often give it to non-cf moms who have long labors, or long pushing phases, or to help supplement the babys oxygen. It can be a good thing and give you a burst of energy. <br>I had it with my first, who took 2.5 hrs to push out. It was exhausting.<br>With my 2nd my labor over all was twice as long! But, I did alot of therapy over the course of 24 hrs and the baby was pushed out in 9 minutes. Not that thats why, but it definitely helped with my energy levels.<br>So excited for you!<br>
 

marisalynn

New member
Hey Becca,
Congratulations! I am also in my first pregnancy (25 weeks right now), and have these questions as well. I am also a nurse though, so I can give a bit of insight from that perspective. I work in a pretty small hospital, and our pharmacy doesn't carry many of the specialty medications for CF (pulmozyme, TOBI, enzymes, or the vest). What we do when we have patients who take medications which we do not carry is to ask them to bring their own from home. If you are planning on delivering at a larger hospital though, chances are that they will have these. I would imagine that any hospital would have the ability to give you the aerosol txs, so I wouldn't think you would need to to bring your nebulizer, but possibly your vest. I would ask your OB doc, and your CF doc, if they are going to be involved in your stay. If they can't give you a definitive answer, you could possibly call the hospital and maybe speak with one of the head nurses or the pharmacist.
I hope this helps a bit. Good luck with the rest of your pregnancy and your delivery!

Marisa RN, 23w/CF, 25 weeks pregnant with our first precious baby girl!
 

marisalynn

New member
Hey Becca,
Congratulations! I am also in my first pregnancy (25 weeks right now), and have these questions as well. I am also a nurse though, so I can give a bit of insight from that perspective. I work in a pretty small hospital, and our pharmacy doesn't carry many of the specialty medications for CF (pulmozyme, TOBI, enzymes, or the vest). What we do when we have patients who take medications which we do not carry is to ask them to bring their own from home. If you are planning on delivering at a larger hospital though, chances are that they will have these. I would imagine that any hospital would have the ability to give you the aerosol txs, so I wouldn't think you would need to to bring your nebulizer, but possibly your vest. I would ask your OB doc, and your CF doc, if they are going to be involved in your stay. If they can't give you a definitive answer, you could possibly call the hospital and maybe speak with one of the head nurses or the pharmacist.
I hope this helps a bit. Good luck with the rest of your pregnancy and your delivery!

Marisa RN, 23w/CF, 25 weeks pregnant with our first precious baby girl!
 

marisalynn

New member
Hey Becca,
<br />Congratulations! I am also in my first pregnancy (25 weeks right now), and have these questions as well. I am also a nurse though, so I can give a bit of insight from that perspective. I work in a pretty small hospital, and our pharmacy doesn't carry many of the specialty medications for CF (pulmozyme, TOBI, enzymes, or the vest). What we do when we have patients who take medications which we do not carry is to ask them to bring their own from home. If you are planning on delivering at a larger hospital though, chances are that they will have these. I would imagine that any hospital would have the ability to give you the aerosol txs, so I wouldn't think you would need to to bring your nebulizer, but possibly your vest. I would ask your OB doc, and your CF doc, if they are going to be involved in your stay. If they can't give you a definitive answer, you could possibly call the hospital and maybe speak with one of the head nurses or the pharmacist.
<br />I hope this helps a bit. Good luck with the rest of your pregnancy and your delivery!
<br />
<br />Marisa RN, 23w/CF, 25 weeks pregnant with our first precious baby girl!
 

LouLou

New member
I brought all my stuff with me. Meds, vest, neb cups, air compressor and cleaning gear for nebs. I'd involve the hospital in your respiratory care as little as possible since you will be on an OB floor not with nurses who work with respiratory patients..especially cf and all our cross contamination issues. It would be ideal if you could have your hubby be all about your and your doula and or mom be supporting him/ you as well as be a stickler for your safety. My water broke at 2am I avoided going in to the hospital until noon the next day as I hoped to have as natural of a birth as possible. 36 hours after water breaking I delivered vaginally a happy healthy 7lb 10oz boy. I enjoyed and felt empowered (and in control) by being the dictator about when I would do treatments. I definitely used it as a stale technique (advised by my doula) to keep the staff away or at bay. Even with all of this I contracted MRSA while in patient. If you haven't searched "birth plans" on here yet you may want to. I fyou can't find it let me know and I will bump it for you.
 

LouLou

New member
I brought all my stuff with me. Meds, vest, neb cups, air compressor and cleaning gear for nebs. I'd involve the hospital in your respiratory care as little as possible since you will be on an OB floor not with nurses who work with respiratory patients..especially cf and all our cross contamination issues. It would be ideal if you could have your hubby be all about your and your doula and or mom be supporting him/ you as well as be a stickler for your safety. My water broke at 2am I avoided going in to the hospital until noon the next day as I hoped to have as natural of a birth as possible. 36 hours after water breaking I delivered vaginally a happy healthy 7lb 10oz boy. I enjoyed and felt empowered (and in control) by being the dictator about when I would do treatments. I definitely used it as a stale technique (advised by my doula) to keep the staff away or at bay. Even with all of this I contracted MRSA while in patient. If you haven't searched "birth plans" on here yet you may want to. I fyou can't find it let me know and I will bump it for you.
 

LouLou

New member
I brought all my stuff with me. Meds, vest, neb cups, air compressor and cleaning gear for nebs. I'd involve the hospital in your respiratory care as little as possible since you will be on an OB floor not with nurses who work with respiratory patients..especially cf and all our cross contamination issues. It would be ideal if you could have your hubby be all about your and your doula and or mom be supporting him/ you as well as be a stickler for your safety. My water broke at 2am I avoided going in to the hospital until noon the next day as I hoped to have as natural of a birth as possible. 36 hours after water breaking I delivered vaginally a happy healthy 7lb 10oz boy. I enjoyed and felt empowered (and in control) by being the dictator about when I would do treatments. I definitely used it as a stale technique (advised by my doula) to keep the staff away or at bay. Even with all of this I contracted MRSA while in patient. If you haven't searched "birth plans" on here yet you may want to. I fyou can't find it let me know and I will bump it for you.
<br />
 

LouLou

New member
by being a stickler for your safety I mean asking that every person wash hands upon entry. wiping down all equipment with wipes. And all devices like cathetors (leading transmitor of MRSA) are unwrapped right next to you in a very sterile process. Can you tell I'm nervous about hospitals?!
 

LouLou

New member
by being a stickler for your safety I mean asking that every person wash hands upon entry. wiping down all equipment with wipes. And all devices like cathetors (leading transmitor of MRSA) are unwrapped right next to you in a very sterile process. Can you tell I'm nervous about hospitals?!
 

LouLou

New member
by being a stickler for your safety I mean asking that every person wash hands upon entry. wiping down all equipment with wipes. And all devices like cathetors (leading transmitor of MRSA) are unwrapped right next to you in a very sterile process. Can you tell I'm nervous about hospitals?!
<br />
 
K

Keepercjr

Guest
My 1st birth was in a local small community hospital. I brought my stuff with me. Well I only brought my inhaler and had orders from my OB to keep it bedside. I never used it. Since you are going an hour away I'd say just bring everything you are using/doing even if you never use it or do it.

My 2nd birth was a home birth so everything was right here <img src="i/expressions/face-icon-small-smile.gif" border="0">

I did have to spend a night at another local small specialty hospital last summer when I had my gall bladder/ blocked duct emergency. The surgeon ordered respiratory to visit me every so often. I wasn't really prepared for it and didn't bring anything since I was so sick but everything worked out fine. They even had a manual breast pump delivered by courier from another hospital since I wasn't able to nurse my daughter. (they don't do OB there).
 
K

Keepercjr

Guest
My 1st birth was in a local small community hospital. I brought my stuff with me. Well I only brought my inhaler and had orders from my OB to keep it bedside. I never used it. Since you are going an hour away I'd say just bring everything you are using/doing even if you never use it or do it.

My 2nd birth was a home birth so everything was right here <img src="i/expressions/face-icon-small-smile.gif" border="0">

I did have to spend a night at another local small specialty hospital last summer when I had my gall bladder/ blocked duct emergency. The surgeon ordered respiratory to visit me every so often. I wasn't really prepared for it and didn't bring anything since I was so sick but everything worked out fine. They even had a manual breast pump delivered by courier from another hospital since I wasn't able to nurse my daughter. (they don't do OB there).
 
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