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Re: Two questions for the List From: art fougner, md (evsono@pipeline.com) Thu Jul 7 13:53:53 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: R. Daniel Braun: "Re: Two questions for the List" Previous message: ainsron: "Congressional GOP Support for Loosening Restrictions on Federal Funding for Embryonic Stem Cell Research" In reply to: Garry E. Siegel, M.D.: "Re: Two questions for the List" Next in thread: ainsron: "Re: Two questions for the List" In a British trial of EFM the only difference in outcomes between EFM and auscultation was neonatal seizures - and this was only in women who also received oxytocin. Additionally, the need for oxytocin should logically affect intrapartum risk assessment. art At Thu, 7 Jul 2005, Garry E. Siegel, M.D. wrote: > >If indeed ACOG doesn't "require" continuous monitoring during Pitocin >administration in an otherwise low risk pregnancy (I simply don't >remember if ACOG comments on this specifically or not), then I agree >fully that the nursing standard shouldn't trump ACOG. > >However, if Ob-Gyn nurse group (AWON or something like that)says it is >so, then the administration has a leg to stand on. Similarly, if the >legal eagles/risk manager/med mal carrier for the hospital require it, >again, so be it. They nursing administration simply needs to be >forthright in their rationale. > >Garry > >>Second, our nursing administration has asserted that whenever a patient is >>started on pitocin, they are continuously monitored period, no exceptions. >>Their justification sited is nursing association standards that mandate such >>monitoring. My understanding has been that variations on monitoring, >>including intermittent auscultation, depending upon the stage of labor, is >>all acceptable from ACOG. They say "it is being done this way everywhere". >>Maybe I am being sensitive here, but I object to a nursing standard taking >>precedence over ACOG standards. >>Lynn >> >>-- >>Lynn D. Montgomery, M.D. >>Maternal-Fetal Medicine, OB/GYN >>Rocky Mountain Women's Health >>2835 Fort Missoula Rd., Suite 304 >>Missoula, Montana, 59804 >>406-549-0978 >>fax 406-549-0987 >>e-mail: apgar10@montanadsl.net >> >-- >Garry E. Siegel, M.D. >Private Practice >Roswell, GA > -- art fougner, md "If you don't know where you are going, you will wind up somewhere else." Lawrence Peter Berra Next message: R. Daniel Braun: "Re: Two questions for the List" Previous message: ainsron: "Congressional GOP Support for Loosening Restrictions on Federal Funding for Embryonic Stem Cell Research" In reply to: Garry E. Siegel, M.D.: "Re: Two questions for the List" Next in thread: ainsron: "Re: Two questions for the List"

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