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Re: Auscultation of the FH between spinal and incision in elective C/S From: Raymond Stephen (Stephen.Raymond@dhhs.tas.gov.au) Thu May 15 21:56:42 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: noorazni aziz: "dont send mails to me" Previous message: Efrain Ramirez: "Re: procardia and magnesium" In reply to: R. Daniel Braun: "Re: Auscultation of the FH between spinal and incision in elective C/S" Next in thread: Efrain Ramirez: "Re: Auscultation of the FH between spinal and incision in elective C/S" Reply: Efrain Ramirez: "Re: Auscultation of the FH between spinal and incision in elective C/S" I would be interested to hear of an example of a case where the monitoring led to your doing something different from what had been planned. Steve From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of R. Daniel Braun Sent: Thursday, 15 May 2008 9:14 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Auscultation of the FH between spinal and incision in elective C/S When I was still practicing, I insisted on continuing to monitor the FHR during and after spinal placement. These are the times that it may be most beneficial to monitor. Dan On Thu, May 15, 2008 at 6:45 AM, Charles Bloom <cdsb@bellsouth.net> wrote: We monitor the FHR only if there is going to be a delay. If you proceed immediately with Cesarean, any attempt to monitor the FHR delays delivery. Write your policy accordingly. Charles -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of John Robertson Sent: Wednesday, May 14, 2008 10:11 PM To: Multiple recipients of list OB-GYN-L Subject: Auscultation of the FH between spinal and incision in elective C/S 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 -- R. Daniel Braun, MD FACOG(L) ABMP CMTh Professor Emeritus Dept. of Obstetrics and Gynecology Indiana U. School of Medicine R. Daniel Braun "Science without Religion is LAME; Religion without Science is BLIND" Einstein 1941 CONFIDENTIALITY NOTICE AND DISCLAIMER The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission. If the transmission contains advice, the advice is based on instructions in relation to, and is provided to the addressee in connection with, the matter mentioned above. Responsibility is not accepted for reliance upon it by any other person or for any other purpose. Next message: noorazni aziz: "dont send mails to me" Previous message: Efrain Ramirez: "Re: procardia and magnesium" In reply to: R. Daniel Braun: "Re: Auscultation of the FH between spinal and incision in elective C/S" Next in thread: Efrain Ramirez: "Re: Auscultation of the FH between spinal and incision in elective C/S" Reply: Efrain Ramirez: "Re: Auscultation of the FH between spinal and incision in elective C/S"

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