OB Common Procedures

Progestin-only implants

This is one of the most popular birth control methods postpartum on the OB Unit. It is an insertable 3-year capsule and can only be inserted by a specially trained (and certified) provider. This can usually be arranged for the patient within a 24 hour (or sooner) period. If you are an inpatient provider and have not completed training, go to Immediate Postpartum LARC for Clinicians Doing Deliveries|ACOG Webinars for didactic training, then call Dr. Dave Compton to complete the hands on training.

The IUDs are now in the OB Pyxis for immediate postpartum insertion.

There is a consent form for this process located on OB. Most important, non-beneficiary patients may get a bill for $300 or more for the device if not preauthorized.

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Nexplanon Insertion Supply List for In-Patient and OB

• Consent form with patient sticker applied
• Skin Marker
• Measuring Tape
• Skin Prep
  • Chlorhexidine preferred
  • Betadine by provider preference
• 5 mL syringe
• 18 g needle
• 27 g needle
• Alcohol pad
• Package of 10, sterile 4x4
• 2 inch Coban roll
• Band-Aid
• Blank progress note
• From Pyxis
  • Nexplanon
  • Lidocaine 1% with or without epinephrine at provider preference

Induction

See Induction Policy in the NWing Doc’s Office in the “Induction Book" or the Induction of Labor YKHC Clinical Guideline.

Episiotomy

See the same topic under “OB Deliveries”

Vacuum assist/extraction

See the same topic under “OB Deliveries”

Repair of Vaginal Delivery Lacerations

1st and some 2nd degree lacerations may not need repair if hemostasis evident and anatomy is intact (e.g. peri-urethral, vaginal wall).

3rd and 4th degree lacerations repairs usually require HROB presence.

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