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 every 15-30 minutes in active labour and every 5-15 minutes or 
after every contraction in second stage are the commonly accepted 
frequencies (community standard) of auscultation, with extra auscultation 
with things like ROM, change in maternal status etc. There are ethical 
problems with conducting research to see if this frequency could be reduced 
which is kind of a bummer as I do find that sometimes it is disruptive to 
the flow of labour to be bugging the mum to listen when babe has been fine 
all along....

Regards,
Meaghan Moon




At 02:33 PM 5/25/02 +1000, you wrote:
>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' recommends 
>15min to half hourly during first stage then after every contraction 
>during 2nd stage.  However, it gives no reference that I can find 'why' 
>that this time is recommended or how they came by this recommendation.
>
>I have searched Cochrane etc and of no use.
>
>I would appreciate anyone who can give me some references.
>
>With thanks,
>Anne Clarke


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