Fetal Pulse Oximetery

From: ainsron@msn.com
Mon Jul 23 15:39:50 2001

We all know the criticism of how rapidly the technology of fetal monitoring took off and how later evidence has been not so supportive of its general use. On the other hand we also know how useful pulse oximetry has been in evaluation of patients undergoing general anesthesia or IV sedation, and that is negligent to not use it in those settings. Our ob unit manager wants input on the proposed purchase of a fetal pulse oximetry unit. It requires the committment to use/purchase at least six electrodes monthly at ~$150 apiece. They will allow us to have two months to try it out and see if we want to continue the contract. What is the consensus regarding this new modality of fetal monitoring? 1) simply a new toy without significant benefit 2) Useful for preventing cesarean sections for non-reassuring FHR tracings: in a community hospital? in a university hospital? 3) absolutely necessary for the modern obstetrical unit. 4) Research tool without enough direct evidence of benefit. 5) Needs more study before common use. 6) Are you currently using one or planning to acquire one?

thanks for your input 

--
Ronald E. Ainsworth, MD



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