Re: [ozmidwifery] Intrapartum Foetal Surveillance Education Program inVictoria

[JoFromOz]

Dean & Jo wrote: A unit in the UK reduced their cs rate astronomically by implementing some strategies: one being continuous up skilling of CTG readout interpretations.  Perhaps the increase in cs is related to misinterpretations and this might help perhaps???   Jo   The way we are trying to reduce our foetal distress c/s rate with good apgars is to educate the new doctors better on doing foetal scalp sampling to determine actual oxygenation of the baby, rather than just going by the CTG.  It has resulted in more FBS's (obviously) but those whose traces look sinister are not just being whipped off to theatre without first identifying a real need to do so.    In an audit we did, there were a few c/s done with the woman at 7cm dilated, for foetal distress, good apgars, good cord pH's and NO foetal blood sampling done.  That's what we are trying to change. Jo (RM)