We use a copper, but teach the Midwives to watch the second hand on the clock and listen yo the rate and rhythm of the FH. They count the rate for a minimum of 60 seconds, and document a single figure, while commenting on any accelerations or decelerations heard. Of course, decels are SB indication for commencing CEFM. We had a couple of pt safety incidents where a range was documented and in fact they were hearing decelerations with recovery to the baseline. We teach that they shouldn't look at any numbers on any machine they're using!
Best wishes,
Belinda
Sent from Belinda's HTC
-----Original Message-----
From: Deborah Caine <[log in to unmask]>
Sent: 20 September 2010 23:44
To: [log in to unmask]
Subject: Re: Intermittent auscultation query
I would be interested to know what tool is being used in IA which epitomises
the listening and counting. Where I work we are used to hand held dopplers
which certainly don't show a constant rate, and therefore many (but not
all) would record a range (e.g. 147-159). I would have thought that such a
range would indicate the presence or absence of variability.
Deborah
Belinda Cox writes:
> Dear Robyn,
>
> Thank you so much for this! I was feeling really uncomfortable about the
> variability, Dr C Bravado and sticky labels issue around IA, but hadn't
> actually managed to think through why. You've done it for me, and actually
> this is what I teach on our fetal monitoring sessions. I can't wait to read
> more from you :-)
>
> Best wishes,
>
> Belinda
>
> Belinda
> -----Original Message-----
> From: A forum for discussion on midwifery and reproductive health research.
> [mailto:[log in to unmask]] On Behalf Of Robyn Maude [CCDHB]
> Sent: Monday, September 20, 2010 7:26 AM
> To: [log in to unmask]
> Subject: Re: Intermittent auscultation query
>
> Hi All
>
> I am a midwifery PhD candidate in New Zealand . I am doing my research
> on midwives' practices of fetal monitoring for low risk women, in
> particular intermittent auscultation. We have had some very interesting
> discussions on IA over the last couple of years and it seems there is
> still plenty to discuss. I started a thread on this back in 2007 which I
> have collated for my thesis work - it is very interesting looking at
> feedback from around the globe.
>
> I am doing a multi methods quasi experimental design using pre and post
> intervention assessment of practice - getting a snapshot of practice by
> reading notes and talking to midwives and then delivering an education
> package (the intervention) which incudes history, physiology, research
> and introducing midwives to a model I have developed for the conduct,
> interpretation of IA, this is followed by a
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