Hi Robyn,
That sounds like an exciting area for midwifery practice development.
I wonder whether Denis Walsh's notion of 'Matrescence' might be of interest to you. Granted it diverges away from your primary concern with surveillance and the measurement of vital signs but I'm thinking it should be pertinent to the issue you raise RE the level of care to provide.
Ref Walsh DJ. (2006) 'Nesting' and 'Matrescence' as distinctive features of a free-standing birth centre in the UK Midwifery;22(3):228-39
Wishing you success in your task.
Mandie Scamell
________________________________________
From: A forum for discussion on midwifery and reproductive health research. [[log in to unmask]] On Behalf Of Robyn Maude [CCDHB] [[log in to unmask]]
Sent: 12 May 2011 01:31
To: [log in to unmask]
Subject: Mangement and Care of Latent Labour
Hi All
I am trying to develop a guideline for the care and management of women during latent labour and seek input from anyone who has a current guideline of knows of any research/literature around this issue.
I am coming at this from the perspective of women booked to birth in hospital and who may or may not have a known, named midwife providing continuity of care
There are a couple of aspects I am particularly interested in:
* Women who are in latent labour who come into hospital for an assessment and are then sent home to await established labour
* Women who are in latent labour who come in for an assessment, are found to be in 'latent labour' i.e. no cervical change, but choose to stay in hospital even though they are advised to go home
For both of these groups of women, what type of fetal and maternal observations are required/recommended/actually practised?
For the women who choose to stay in hospital (for whatever reason), what level of care or fetal/maternal observation do you provide? i.e. do they get a midwife allocated to them, do they have observations at a set time, do they have fetal heart monitoring - if so, what and when, do they go to another ward/area in the maternity unit, if so, what observation and midwifery care do they receive.
I have seen the NICE IPC guideline, but would be interested to see other guidelines, especially from maternity units.
Please feel free to pass this request onto other lists as appropriate
cheers,
Robyn Maude
Associate Director of Midwifery - Mondays, Tuesdays and alternate Wednesdays
Capital and Coast DHB, Private Bag 7902, Wellington South, New Zealand
Office - Level 4 - Clinical Services Block
(04) 3855999 ext. 5298
0274793826
Lecturer - Alternate Wednesdays, every Thursday and Friday
Graduate School of Nursing, Midwifery and Health, Victoria University of Wellington, P O Box 7625, Newtown, Wellington 6242
Office - Level 7, Clinical Services Block, Wellington Regional Hospital
04 463 6137; [log in to unmask]<mailto:[log in to unmask]>
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