Hi Mary, we seem to regularly be discussing this in our unit. The agreement
seems to be that a range should be recorded, to denote variability, and that
records should also show the auscultation to be after the contraction for a
minute, as per guidance from nice. I think it is possible to detect
accelerations if the fh is listened to for longer than a minute, and that it
is useful to listen in for longer if the hr is higher than previously, in
order to detect accelerations.
Best wishes
Deborah Caine
Mary Stewart writes:
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> Hello friends
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> 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.
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> All good wishes
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> Mary
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