Dear All
It sounds to me there is a thin line between fear and trust here?
Trust in the total picture the woman baby and process?
I know it is easier for me to say this because I have been with women I have known through their pregnancy!
But also the question arises for me as the discussion  sounds like talking about what is required by research protocols, our fear of loosing a baby etc (can we really save all babies and whilst we are trying to do that what else are we doing??
Rather than what is needed  for this baby and woman to feel safe and be able to let go and birth!
Adrenaline is contagious it does affect the birth , the woman and the babies!
For me it is this that is most often what I as a midwife feel neds to be cleared out of the way of the births I have attended both at home and in Hospital!
Denise  
----- Original Message -----
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at Seattle Midwifery School did her Senior paper on this topic, however I don't have her paper with me and it is unpublished. I generally have listened to FHt's every 30 minutes (before, during and after a ctx) in active labor, and then every 5 minutes during second stage/ after every contraction.  Obviously we are listening for decels and it is contentious as to if we can differentiate late, early, or variable decels with a doppler (probably not with a pinard/fetascope). I think there is great  practitioner variability with the use of intermitent auscultation. I am interested to here what others do at home and at birth centers/ hospital.
marilyn

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