I pondered this question when I did a small research study on
how midwives use the partograph. In all my searching I found a lot of articles
recommending intermittent FHs over continuous CTG but no evidence as to where
they found better outcomes with intermittent FHs. It made me think that we
really don't believe that labour is normal as we are always "just checking" that
everything is okay. We may not measure maternal vital signs as vigourously as we
once did or use the CTG indiscrimately but we just have to check. And as we know
that once you start screening for things you start to get false positives
etc.
I concluded that 5-15 minutes must be the time that the
authors of the recommendations, policies, protocols etc think midwives
and doctors can keep away from the belly.
Just my thoughts
Jackie
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