Dear midwives,
As you probably know the organization of the Dutch obstetric system ondergoes significant changes. Various forms of cooperation between primary and secondary care are formed.
One of the intiatives is to hand over the midrisk indication at term (meconium stained liquor, use of epidural or remifentanyl, prolonged labour, and prolonged rupture of membranes) from the obstetrician led care tot the primary care performed by midwives.
Currently the obstetrician in turn delegates the care to the clinical midwife.
We would like to know a bit more of your experience with CTG assessment by the primary care midwife.
How are midwives trained to do this, and feel save and confident in the field of fetal assessment?
If the midwife does not feel save with the CTG, who can she consult?
How does it work in situations where clinical midwives and community midwives work on the same labourward?
Please feel free to give more information.
Marianne Prins, RM, MSc
020 5124687
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