Just wondering where you work Lisa?
You sound incredibly sarcastic and dismissive of what is a working fact for
me.
Sadie
----- Original Message -----
From: "Lisa Barrett" <[EMAIL PROTECTED]>
To: <ozmidwifery@acegraphics.com.au>
Sent: Friday, October 13, 2006 8:41 PM
Subject: Re: [ozmidwifery] cord blood gases
Unfortunately Lisa, it is our hospital policy. Believe me, it is a pretty
serious issue for any midwife that does not obtain cord gases.
I'm sure that makes it ok then Sadie. Hospital policies are of course
the ultmate deterant against making people think for themselves. Quite
honestly if you don't do it and can back up why there is nothing to be
afraid of. You can't be struck off for good practice.
On the point of putting it in ice. Just to make sure I wasn't talking
through my arse I have spent the evening reading up on blood gases. They
do not change significantly within the first hour and the reading is still
accurate at room temperature.
Lisa Barrett
.
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.
It is a defensive issue to do them at all. It is only ever to cover
yourself even if it's to back up not intervening.
Why would you suspect fetal compromise in labour that wasn't proven by
fetal compromise at birth and then what would a gas achieve. Either you
were right or wrong.
If you are busy a good trick is to get someone else to care for the
other women at the time of birth so you don't have to put the cord blood
on ice. Better still don't do one.
If all doesn't go well and you have a baby needing resus, all the
research tells us not to cut the cord, the way that a compromised baby
still is getting oxygen.
To do a procedure you should have evidence to back up it's necessity.
There is none for blood gas. Just as there is none for continuous
monitoring. It's practice in fear and no good to anybody.
Lisa Barrett
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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