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Re: fetal monitoring during surgeryFrom: Susan McNiel (smcniel@multicare.com)Mon Mar 31 10:21:04 1997
During the 2nd and 3rd trimesters. A local anesthesiologist wants all pregnant women in their 2nd or 3rd trimesters monitored continuously, even before age of viability. He insisted on a 16 weeker being monitored. I had some objections to this: 1. How does one continuously EFM a 16 weeker, the small moveable soul that it is, and what is one looking for with an immature CNS, external monitor, and general anesthesia on board....just a brady? 2. What would one do surgically with a 16 weeker who "crashed" during surgery? 3. Who is reading and interpreting the monitor strip? While I understand the reasoning behind monitoring a gestationally viable fetus, it was the gestationally immature that I don't understand. In addition, even with the gestationally mature fetus, we aren't monitoring most of them continuously during surgery. What do y'all commonly do? Comments are appreciated! Thanks to Pam Van Hine @ ACOG -- I will pull that article.
At 04:22 PM 3/28/97 -0600, you wrote:
>>An issue has come up recently so I am asking for your input and protocols.
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