----- Original Message ----- From: "Christine Holliday" <[EMAIL PROTECTED]>
To: <ozmidwifery@acegraphics.com.au>
Sent: Friday, October 13, 2006 7:23 PM
Subject: RE: [ozmidwifery] cord blood gases


We do these only if we suspect some fetal compromise during labour or an
unexpected problem at birth, the suggestion that they are done at every
birth is a defensive issue and indeed I have found that the results often
support your actions during labour i.e. in not intervening sooner and I try
and do them if I think there may be a problem of some sort, sorry this is
vague.  If you are busy a good trick is to use two clamps on the cord to
hold the blood in the cord and if you take it within 30 mins and get it in
ice and to the labs the results are still OK to use.  Of course you cannot
do this with a physiological 3rd stage but I can't think you would need cord
gases if all was well enough for a physiological 3rd stage.

I am not a supporter of doing them at every birth as it is another
distraction from caring for the mother and baby but it is helpful to support your care and the results can influence the treatment/care of a baby making
the care more appropriate.

Christine


-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Naomi Wilkin
Sent: 13 October 2006 17:37
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] cord blood gases

Hi all,
Just wondering how common it is for cord blood gases to be done in
maternity units.  I work in a small metro. hospital with a very busy
maternity unit and our medical 'powers that be' are pushing for them
to be done at every birth.  Something we, the midwives, are very,
very reluctant to do.
I was also wondering if anyone knows of any research that may help us
to prevent this from becoming a routine thing.

Thanks
Naomi.


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