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Re: Intermittent auscultation message for DanFrom: D.Ingham (ray.ingham@virgin.net)Thu Feb 18 13:02:43 1999
At Thu, 18 Feb 1999, Braun, R. Daniel wrote: > >"I am a proponent of EFM but only if the person interpreting the fetal >monitor strip understands fetal physiology and pathophysiology and is >experienced in the interpretation of patterns." > >If the above criterion is met, there should not be an increase in the >cesarean rate. IMHO. > >R. Daniel Braun, MD FACOG >Clinical Professor >Department of Obstetrics and Gynecology >Indiana U. School of Medicine >Indianapolis, IN > > -----Original Message----- > From: sanchez@umc8.umc.ufl.edu [SMTP:sanchez@umc8.umc.ufl.edu] > Sent: Thursday, February 18, 1999 10:34 AM > To: Multiple recipients of list > Subject: Re: Intermittent auscultation > > A nurse (without supernatural powers) should be able to take care > simultaneously of two laboring patients undergoing intermittent > auscultation. This occurs in many parts of the world. There is no > doubt that EFM is more practical, but much more expensive >(especially > when the cost for the increased number of operative deliveries is > included). > > LSR > > At Thu, 18 Feb 1999, Braun, R. Daniel wrote: > > > >If the nurse spends 30 seconds listening to the FHT's every 15-30 >minutes in > >the first stage depending on which protocol is used and every 5-15 >min. in > >the second stage as well as doing everything else that is required >for a > >laboring patient, then they either have one on one nursing, or they >have > >cloned SUPERnurse. Oh yeah and they also have to document all that >too. > > > >R. Daniel Braun, MD FACOG > >Clinical Professor > >Department of Obstetrics and Gynecology > >Indiana U. School of Medicine > >Indianapolis, IN > > > > -----Original Message----- > > From: Robert J. Woolley [SMTP:wooll005@tc.umn.edu] > > Sent: Thursday, February 18, 1999 9:46 AM > > To: Multiple recipients of list > > Subject: Re: Intermittent auscultation > > > > In message > ><9D916278299FD111A7E100805FA7C2BA06145FD7@cheetah.uits.iupui.edu> > > writes: > > > Ask your people "What are the credentials of this guy from >Green > >Bay?" > > > > I wasn't aware that credentials were the correct criterion >for > >deciding whether > > a claim is true or not. I thought it had a little something >to do > >with evidence. > > > > > Does your hospital realize that this will mean one on one >nursing > >for every > > > patient in labor without fail and that Nurses cost more >than > >monitors? > > > Dan > > > > Having spent a month on the OB wards of the two hospitals in >Green > >Bay where > > this protocol is used, I can tell you quite bluntly, Dan, >that you > >don't know > > what the hell you're talking about. It does not require 1-1 >nursing. > > > >-- >Dan, whilst I agree re interpretation of EFM, what about womens choices? Who would like to spend their entire labour strapped to a machine with a nurse calling in from time to time to look at the machine. I agree continuous efm in high risk cases and when oxytocics are used, but do not women deserve one to one care, the right to labour how they want to? Low risk women all over the world labour and deliver at home with IA and have excellant outcomes. Debbie >>--------------------------------------------------------------------------- > > >>--------------------------------------------------------------------------- > > Bob Woolley >>--------------------------------------------------------------------------- > > St. Paul, Minnesota > > > > "Giving money and power to government is like > > giving whiskey and car keys to teenage boys." > > > > -- PJ O'Rourke > >
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