Dear sue,
In the Netherlands an VE is often used without a Partogramme, to measure progress in labour. Most of the primary care midwives use a partogramm only with nulliparous and only when they are in active labour. In the learning environmont of students however, we advice to use a partogramm in every labour.
When a partogram is used, all the elements included are usually used on whether to intervene including the capacity/ability of the women herself.
With best wishes,
Trudy Klomp
Verloskunde Academie Amsterdam
Louwesweg 6, 1066EC Amsterdam
T0031-20-5124231
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Van: A forum for discussion on midwifery and reproductive health research. [[log in to unmask]] namens Soo Downe [[log in to unmask]]
Verzonden: dinsdag 2 augustus 2011 9:34
Aan: [log in to unmask]
Onderwerp: query about the use of vaginal examination in labour and/or the use of the partogramme
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
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