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Re: OR fetal monitoringFrom: CheriVH@aol.comWed May 29 13:23:11 1996
In a message dated 96-05-29 09:40:37 EDT, tjkurokawa@mcn.net (Judith Kurokawa) writes:
>A new CNM who almost always uses internal leads desires that the lead be Jude, At each of the three hospitals where I have worked (two Level III's and one Level II) a scalp electrode which was already in place before the time of the decision to operate would be left in place and hooked up to a monitor in the OR until the incision was about to be cut. Then the circulating RN would indeed "crawl under the drapes at the last minute to detach the lead." This is particularly important if the reason for the section is fetal distress. If no scalp electrode is already in place, and the baby has looked fine on the external fetal monitor previous to entering the OR, there is usually no monitoring during the surgical prep. It all depends on the reason for the C/S, of course. At my hospitals any woman being sectioned for FTP would have probably already had the full gamut of intervention anyway -- FSE, IUPC, pitocin augmentation, epidural anesthesia, etc. -- so most of them will already have the scalp lead in place. A planned section (repeat, breech, previa, etc.) or a breech discovered in early labor would be unlikely to have an electrode in place but would probably have an hour or so of external monitoring prior to entering the OR. Cheri Van Hoover, CNM Kaiser Hospital Redwood City, CA
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