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Re: CNM CasesFrom: Cheri Van Hoover (cherivh@xdcr.com)Mon Nov 29 16:05:53 2004
Braun, R. Daniel wrote:
> I'm not sure that an advertisement sets the standard for spelling. I've always seen it spelled fetoscope, but wasn't sure where, so I went and did a quick search of my library. All editions of Varney's Midwifery (the American midwifery "bible") spell it fetoscope. Midwifery: Community Based Care Durning the Childbearing Year by Linda Walsh also spells it fetoscope. When I go back to my vintage and antique books, references to even bothering to listen to FHTs become more rare. Mayes Handbook of Midwifery (1967) recommends the use of a binaural or Pinard stethoscope. Playfair's System of Midwifery (1889) makes reference to the use of a stethoscope and cites the work of one individual who claimed to be able to hear FHTs prior to 11 weeks gestation by doing "vaginal stethoscopy." They say that is rarely done for obvious reasons. Bedford's Principles and Practice of Obstetrics from 1861 mentions the use of a stethoscope. I looked briefly in some obstetrical books dating to 1905-1940 and was unable to find any mention of a device other than a stethoscope, though a specially modified stethoscope with fitted headpiece was identified in DeLee and named after a couple of people. I didn't write down their names. So it may be that fetoscope is a word more commonly employed in the midwifery community. I don't know why it's spelled with an "o". I used to use one routinely until I wore out the tubing of mine and never got around to replacing it. I did find it very useful, especially as a less experienced practitioner, for helping in the exact localization of the fetal heart (giving more information about lie and position). I found that it helped improve my skill at Leopold's to have that additional information.
-- Cheri Van Hoover, CNM, MS Faculty Midwifery Institute at Philadelphia University
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