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
Anne
The NCT has produced an evidence-based briefing on Continuos EFM in labour. I have a copy of the document in Word.
The "Key Points" of the briefing say:
"Routine continuous electronic fetal monitoring in labour was introduced into practice before its efficacy and safety could be
Deb
I think Ann was asking about non electronic monitoring ie doppler/ fetascope/pinard during labor. Do you have any research on that? One of my classmates at Seattle Midwifery School did her Senior paper on this topic, however I don't have her paper with me and it is unpublished. I generally
Marilyn
Some of the references I mentioned in my earlier posting discuss EFM vs intermittent auscultation e.g. using Doppler.
Debbie
Anne,
Regarding frequency of auscultation of FH:
I have read (I think in the in the AWHONN (Association of Women's Health,
Obstetrical and Neonatal Nursing guidelines)) that the optimal frequency of
auscultation during labour has not been established by research. In normal
labour, once
]
To: [EMAIL PROTECTED] ; [EMAIL PROTECTED]
Sent: Saturday, May 25, 2002 9:03
PM
Subject: Re: FHM
Deb I think Ann was
asking about non electronic monitoring ie doppler/ fetascope/pinard during
labor. Do you have any research on that? One of my classmates at Seattle
Midwifery School
?
jan
- Original Message -
From:
S.J.F.ELECTRICAL.
To: [EMAIL PROTECTED] ; [EMAIL PROTECTED] ; [EMAIL PROTECTED]
Sent: Sunday, May 26, 2002 8:42 AM
Subject: Re: FHM
Dear All
It sounds to me there is a thin line between fear
and trust here?Trust in the total picture
Dear Deb and all,
Thank you for this information, but I was actually looking
for why we monitor either by doppler or pinnards - the interval during labour to
listen to the fetal heart not the electronic version of listening to the fetal
heart.
Why do we listen at all to the fetal hearte.g.
frequently
in earlier labour or more frequently if there is some concern and continuous
monitoring is not possible.
Carole
- Original Message -
From:
Anne Clarke
To: OZMIDWIFERY ; [EMAIL PROTECTED]
Sent: Sunday, May 26, 2002 12:15 PM
Subject: Re: FHM
Dear Deb
Dear All,
Two things,
1. does anyone have the homepage address for Michel
Odent?
and
2. I cannot find any references for fetal heart
monitoring (non electronic) and the frequency i.e. how often one should listen
to the fetal heart. The WHO 'Care in Normal Birth: a practical guide'
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