Dear Soo,
interesting
point!
1. VE are usually
documented in a partogramme. This is practised nearly everywhere in
Germany.
2. Hospital policies
may differ when to intervene. Partogramme action lines are not in use in
German maternity units.
Kind
regards,
Mechthild
PD Dr. Mechthild M. Gross, Hebamme
Head of Midwifery Research and Education
Unit
Department of Obstetrics, Gynaecology &
Reproductive Medicine
Hannover Medical School
D - 30625 Hannover
Tel: ++49 511 532 6116, Fax: ++49 511 532
6191
Dear all
We are completing a protocol for a review on the value of the vaginal
examination as a measure of progress in labour. We have been advised that the VE
is never used without the partogramme (and without attention to all the elements
on the partogramme). From our clinical experience, we are not sure that this is
the case - we have practical experience of the VE being used as a measure of
progress in labour without reference to the partogramme (even where it
is part of the routine recording process) but our experience may well
be very limited. We would be very interested in your experience in the following
areas:
1. In your experience, is vaginal examination ever used on its own, without
using a partogramme?
2. Where the partogramme is used as a record, are all the elements of it
usually used in a decision on whether to intervene?
Many thanks for your advice
All the best
Soo