-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: Auscultation of the FH between spinal and incision in elective C/S From: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca) Fri May 23 06:10:03 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: vbac on demand" Previous message: jayacy jayankar: "Re: anybody want to spend some time working in Tahoe" In reply to: John Robertson: "Auscultation of the FH between spinal and incision in elective C/S" At Wed, 14 May 2008, John Robertson wrote: > >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 > I can see the arguement for monitoring after epidural, as it can take 15-20 mintues to be effective. In most elective c-sections the abdomen is preped within 5 mintues of a spinal. If the spinal is not effective than you are looking at repeat attempt spinal/epidural in which case listening to the fetal heart is reasonable, or a G.A. in which case that last thing I would want to do is make an aneasthist feel even more pressured durring the intubation because of a low fetal heart, remember mother always comes first. The standard is still 30 minutes for fetal distress, ruptured uterus, abruption, cord prolapse etc. That being said I still do midline verticals for cord prolapses, aburptia, uterine rupture. -- Take care, John Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: vbac on demand" Previous message: jayacy jayankar: "Re: anybody want to spend some time working in Tahoe" In reply to: John Robertson: "Auscultation of the FH between spinal and incision in elective C/S"

Return to

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: Wed Jul 2 04:49:27 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.