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Re: Prenatal RitualsFrom: Cathy Harsha MD (cgharsha@stvincent.org)Tue Dec 30 19:28:10 1997
At Tue, 30 Dec 1997, Kaycnm wrote: > >In a message dated 97-12-29 10:07:50 EST, Malcolm writes: > ><< The only reason to listen to the FH is to allow the woman > to hear it - if she needs that reassurance - in which case you need a > Doppler/Sonicaid so she can hear it to! >> > >Oh, no. I listen to FHTs with my stethescope after 20 weeks and hand the >earpiece to the woman (and her children and spouse) to listen. But I agree >with you, listening for heart tones is only an exercise in reassurance for the >mom. ( I have worked with people who carefully write down the rate! ) > >There is a certain comfort in the ritual. And touching the woman's belly, >especially when I listen with the stethescope and do Leopolds, has it's >"healing arts" value. It is part of establishing a therapeutic relationship. > >Kay Johnson, CNM >Atlanta, GA Well, as an obstetrician who admits to practicing IGBO (I Got Burned Once)medicine on occasion, I check FHR at every visit with Doptones. Mom is reassured, asks me if the rate means a girl or boy, I explain neither...encourage her to ask me about anything else her sister/auntie/grandma/neighbor is telling her, dispelling a few more wives tales. Hasn't anyone else delivered an IUFD that "moved this morning" with advanced autolysis? Hasn't anyone else found fetal tachycardia that led to diagnosis of hydrops that eventually responded to digitalis? FHR only takes a few seconds, has no known risk, and opens doors for communication, education, and a little less anxiety for moms who don't know what we do. Besides, it's fun to watch med students hunt all over the place, and then smack the dopler right on target myself:)
-- Catherine G. Harsha MD, FACOG Associate Residency Director St Vincent Hospital and Health Services Indianapolis, IN
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