Re: Auscultation of the FH between spinal and incision in elective C/S

From: Charles Bloom (cdsb@bellsouth.net)
Thu May 15 05:43:36 2008


We monitor the FHR only if there is going to be a delay. If you proceed immediately with Cesarean, any attempt to monitor the FHR delays delivery. Write your policy accordingly.

Charles

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of John Robertson Sent: Wednesday, May 14, 2008 10:11 PM To: Multiple recipients of list OB-GYN-L Subject: Auscultation of the FH between spinal and incision in elective C/S

There is an effort by non-physicians in our hospital to introduce a nursing practice guidline requiring the auscultation of the fetal heart after administration of the spinal anaesthetic and prior to the skin incision in all elective cesarean sections. I have questioned the logic of this for several reasons, but rather than biasing the thread further, I would be interested in what others think. I would be especially interested in any science for or against this. John.

--
J.G.M.Robertson MD, 109-9181 Main St. Chilliwack, B.C. V2P 4M9
(604) 793-9988 e-mail john.robertson@obgyn.net
Who is wise and understanding among you?  Let him show it by his good life,
by deeds done in the humility that comes from wisdom.  James 3 vs 13, NIV




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