The Townsville hospital does a routine 20 min trace on admission.

----- Original Message ----- 
From: "mh" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Friday, September 17, 2004 9:22 PM
Subject: [ozmidwifery] admission ctg


> I work in a high risk 'Delivery Suite' in a tertiary hospital where we
have
> frequent antenatal transfers for reasons of our own level 3 nursery. Also,
> because of our proximity to the state's primary Children's hospital we
have
> antenatal transfers of care so women whose babies have particularly bad
> abnormalities which can be treated surgically can have their babies as
close
> to this facility as possible. So our clientele is heavily skewed towards
> high risk pregnancies and extremely anxious mothers and partners. The
> decision was made, however, many years ago, to forgo routine admission
> traces in the Delivery Suite. There has to be a particular reason for
doing
> a ctg trace on admission and they are audited frequently. I hold no brief
> for our long time director of Delivery Suite (now replaced) but one thing
he
> consistently did was to try to limit the use of *routine* ctgs and also to
> push (very aggressively) VBAC in our hospital, so that we have a 70%
success
> rate. It was sold to the other O&G's that admission traces, per se,
> increased the likelihood of a C/S by I forget the rate, ?40%. We are so
> conservative in other areas of practice I had thought this must be the
norm
> everywhere- is it not? How many places do routine admission traces? I
would
> be very interested to see a cross section
> Monica
>
>
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