Re: [ozmidwifery] fetal heart monitoring.
Sally Westbury wrote: What I find really interesting is that I can see lots of obstetric guidelines but no midwifery guidelines. Sally Another interesting thing about taking fetal heart tones in ANY way is that it's not an evidence based practise. It's possible that listening to fetal heart tones in any way only has the effect of increasing panic and intervention and does not ultimately save babies. Gloria Lemay
RE: [ozmidwifery] fetal heart monitoring.
Title: Message going by that recomendation, a vbac woman with 1:1 care of a midwife would therefore not be forced to have continuous monitoring and should be allowed in the birth centre. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Sally WestburySent: Tuesday, July 26, 2005 8:43 AMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] fetal heart monitoring. I’ve been looking at patterns of intermittent auscultation for midwifery practice. It seems that little is published outside the NICE guidelines but the ACOG say The American College of Obstetricians and Gynecologists (ACOG) states that with specific intervals, intermittent auscultation of the FHR is equivalent to continuous EFM in detecting fetal compromise.4 ACOG has recommended a 1:1 nurse-patient ratio if intermittent auscultation is used as the primary technique of FHR surveillance.4 The recommended intermittent auscultation protocol calls for auscultation every 30 minutes for low-risk patients in the active phase of labor and every 15 minutes in the second stage of labor.4 Continuous EFM is indicated when abnormalities occur with intermittent auscultation and for use in high-risk patients. Table 1 lists examples of the criteria that have been used to categorize patients as high risk. http://www.aafp.org/afp/990501ap/2487.html Would anyone like to share their guidelines? Sally Westbury --No virus found in this incoming message.Checked by AVG Anti-Virus.Version: 7.0.338 / Virus Database: 267.9.5/58 - Release Date: 7/25/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.338 / Virus Database: 267.9.5/58 - Release Date: 7/25/2005
RE: [ozmidwifery] fetal heart monitoring.
What I find really interesting is that I can see lots of obstetric guidelines but no midwifery guidelines. Sally
RE: [ozmidwifery] fetal heart monitoring.
Title: Message Is this linked to the lack of midwifery research -due to lack of midwifery research funding? Jo -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Sally WestburySent: Tuesday, July 26, 2005 9:51 PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] fetal heart monitoring. What I find really interesting is that I can see lots of obstetric guidelines but no midwifery guidelines. Sally --No virus found in this incoming message.Checked by AVG Anti-Virus.Version: 7.0.338 / Virus Database: 267.9.5/58 - Release Date: 7/25/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.338 / Virus Database: 267.9.5/58 - Release Date: 7/25/2005
[ozmidwifery] fetal heart monitoring.
Ive been looking at patterns of intermittent auscultation for midwifery practice. It seems that little is published outside the NICE guidelines but the ACOG say The American College of Obstetricians and Gynecologists (ACOG) states that with specific intervals, intermittent auscultation of the FHR is equivalent to continuous EFM in detecting fetal compromise.4 ACOG has recommended a 1:1 nurse-patient ratio if intermittent auscultation is used as the primary technique of FHR surveillance.4 The recommended intermittent auscultation protocol calls for auscultation every 30 minutes for low-risk patients in the active phase of labor and every 15 minutes in the second stage of labor.4 Continuous EFM is indicated when abnormalities occur with intermittent auscultation and for use in high-risk patients. Table 1 lists examples of the criteria that have been used to categorize patients as high risk. http://www.aafp.org/afp/990501ap/2487.html Would anyone like to share their guidelines? Sally Westbury
Re: [ozmidwifery] fetal heart monitoring.
We are now using the RANZCOG guidelines, which cite the NICE guidelines as one of the reference sources(just personally I find these guidelines incredibly restrictive for the labouring woman). A update on the guidelines is due out early August. Current version is available online although I cant seem to find it at the moment. Cheers Alesa Alesa KoziolClinical Midwifery EducatorMelbourne - Original Message - From: Sally Westbury To: ozmidwifery@acegraphics.com.au Sent: Tuesday, July 26, 2005 9:13 AM Subject: [ozmidwifery] fetal heart monitoring. Ive been looking at patterns of intermittent auscultation for midwifery practice. It seems that little is published outside the NICE guidelines but the ACOG say The American College of Obstetricians and Gynecologists (ACOG) states that with specific intervals, intermittent auscultation of the FHR is equivalent to continuous EFM in detecting fetal compromise.4 ACOG has recommended a 1:1 nurse-patient ratio if intermittent auscultation is used as the primary technique of FHR surveillance.4 The recommended intermittent auscultation protocol calls for auscultation every 30 minutes for low-risk patients in the active phase of labor and every 15 minutes in the second stage of labor.4 Continuous EFM is indicated when abnormalities occur with intermittent auscultation and for use in high-risk patients. Table 1 lists examples of the criteria that have been used to categorize patients as high risk. http://www.aafp.org/afp/990501ap/2487.html Would anyone like to share their guidelines? Sally Westbury
