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IA revisited, sorry From: Geffrey H. Klein, MD (gklein@icsi.net) Sun Feb 28 13:10:24 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Betsy Hyde: "Educational Materials in Spanish" Previous message: rezabig@yahoo.com: "help me please" I found this from the SOGC 1995 recs: http://sogc.medical.org/sogc_docs/public/guidelines/fetal1c.htm INTERMITTENT AUSCULTATION OF THE FETAL HEART RATE The technique of performing intermittent auscultation (IA) has been derived from published randomized trials comparing IA to electronic fetal monitoring (EFM) and other sources. When surveillance of intrapartum fetal well-being is done by IA, an explanation of the method and its benefits and limitations must be provided to the pregnant woman. Intermittent auscultation is an effective technique of intrapartum fetal surveillance if the following criteria are met. the presence of practitioners experienced in the technique of auscultation, the palpation of contractions, and the auditory recognition of pertinent FHR changes; institutional policy and procedure addressing the technique and frequency of assessment; defined clinical interventions when non-reassuring findings are present; once the fetal heart tones are required to be heard every 15 minutes, the nurse-to-fetus ratio is one to one. -- _____________ So, they directly address the issue of ratio of nursing staff to fetus.. One to one is the minimum. (2:1 for twins, I suppose) Geffrey H. Klein, MD geffrey.klein@obgyn.net 2200 Nasa Rd 1 #200 Houston, Texas 77058 (713) 741 2273 ext 2628 Next message: Betsy Hyde: "Educational Materials in Spanish" Previous message: rezabig@yahoo.com: "help me please"

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