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

From: R. Daniel Braun (rd.braun@gmail.com)
Thu May 15 06:11:14 2008


When I was still practicing, I insisted on continuing to monitor the FHR during and after spinal placement. These are the times that it may be most beneficial to monitor.

Dan

On Thu, May 15, 2008 at 6:45 AM, Charles Bloom <cdsb@bellsouth.net> wrote:

> 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
>

--
R. Daniel Braun, MD FACOG(L) ABMP CMTh
Professor Emeritus
Dept. of Obstetrics and Gynecology
Indiana U. School of Medicine

R. Daniel Braun

"Science without Religion is LAME; Religion without Science is BLIND" Einstein 1941





use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Thu Oct 2 04:59:39 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.