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Re: fetal monitoring during surgeryFrom: DoctorJoe@aol.comMon Mar 31 14:09:43 1997
<<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?>> Well, I could make up one rationale. Knowing that various fluid shifts and vascular reactivity could affect the uterine arteries at some point during the surgery, and assuming that this might not always be associated with any worrisome BP fluctuations in the patient, it might be beneficial to have a fix on the FHR, so as to adjust things if it looked like you were getting any fetal manifestations of decreased uterine blood flow. I KNOW, I KNOW, no RCT's done on this! But I'm just answering the question theoretically. ************************************************* doctorjoe@aol.com "All things are connected. Joseph Pastorek, MD Some things are just more Department of OB-GYN connected than others." LSU Medical Center - Dirk Gently New Orleans, LA ("The Big Easy") U.S.A. co-editor: Medscape Women's Health http://www.medscape.com Louisiana state representative: ObGyn.Net http://www.obgyn.net *************************************************
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