Re: Computerised Labour Monitoring system

From: Jamie (ajfields@pine-net.com)
Mon Jul 3 20:33:09 2006


Why was it discontinued?

My worries would be a false sense of security (forgetting that machines can malfunction), yet more watching of machines instead of actual assessment, and ignoring of more "subjective" data if they disagree with the machine. Labor is not precise, and when we try to make it fit into some precise matrix, we end up mucking around with it unnecessarily. Even the currently available CFM is misused. How many professionals who are supposed to know how to work the silly things rely on external toco as a measure of the strength of contractions? How many preterm labor patients are sent home still complaining of cramps b/c "the monitor didn't pick anything up?" How many times is pitocin increased in women who are progressing rapidly, just b/c the monitor doesn't show enough contractions?

At Tue, 4 Jul 2006, Raymond Stephen wrote: >
>The Cardiff Infusion pump was produced in the 70's and used in many
>units for some time in the UK. It was a closed system with an
>intra-uterine pressure catheter using the frequency and strength of
>contractions to control the Oxytocin infusion rate.
>
>I liked it, and it didn't remove the "birth attendants" from their job.
>
>Steve
>
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
>Meenan, Anna
>Sent: Tuesday, 4 July 2006 12:29 AM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: Computerised Labour Monitoring system
>
>Yikes! I was once caring for a woman whose husband was an engineer.
>As he watched the nurse turn up the pitocin, he said "You know, I could
>devise a system that integrates the area under those contraction curves
>and calculates and sets that dose automatically."
>
>Anna Meenan, MD
>
>>http://www.barnev.co.il/
>>
>>Well, blow me.
>>
>>Gail

--
JFields, RN, BSN




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