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Re: IUPC and VBACFrom: ATFSOCCER@aol.comThu Oct 2 21:36:14 1997
In a message dated 97-10-02 20:02:13 EDT, you write:
<< >Would you consider it below standard of care not to use one in this
situation?
> I never used one. Infact I've only once seen one. I've worked in dozens of units who've gotten by fine without them. You need an IUPC to spot a scar dehiscence like yo need a microscope to spot an elephant in your wardrobe ! Malcolm Griffiths >> Geff I prefer to use an IUPC in all of our VBAC pts. if for no other reason than insure that we are not overstimulating the uterus with pitocin. I am not sure if this is the standard of care or not, but at one time I though the ACOG Committee Opinion of VBAC was to have an IV in place, Type and Screen and IUPC. Will have to double check on it. Malcomb, If you do not use IUPC's then who sits by the bedside to document quality of contractions before a section is done on a patient for non progression of her labor. You or the nurse??? Andy Folley md facog
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