Dear Mary ,
About 5 years ago I was asked to review this skill locally with midwives and held a series of workshops and used a interactive work book to help develop understanding of the physiology hence why it was important to listen for accelerations listen for a length of time and generally be more thoughtful and thinking about this skill . This was received very well and the tool was short listed for a RCM excellence in midwifery education award . It does need updating (one of these jobs I never seem to have time to do!!!!) but I am happy to share both presentation and workbook off list if you would like to contact me. We found locally that heightening awareness made a difference .Good luck!
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From: A forum for discussion on midwifery and reproductive health research. on behalf of Mary Stewart
Sent: Thu 16/09/2010 18:38
To: [log in to unmask]
Subject: Intermittent auscultation query
I've recently started a new job and one of the tasks I have been asked to oversee is a review of the way in which midwives record intermittent auscultation (IA) in the women's notes. Midwives are brilliant at recording the heart rate (e.g. FH 142) but don't add any other information - for example, when they auscultated in relation to the contraction; how long they listened in for; whether they heard any accelerations etc. Does anyone have a tool/strategy/tips they have used and would be willing to share? Any thoughts or comments would be very, very welcome.
All good wishes