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Re: Prenatal Rituals From: John G. M. Robertson (jgmr@unixg.ubc.ca) Wed Dec 31 09:41:58 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: anil: "Re: GEN: laptop" Previous message: DoctorJoe: "Re: OB Cesarean Rates in South Florida" Maybe in reply to: Kaycnm: "Prenatal Rituals" Next in thread: DRoss38040: "Re: Prenatal Rituals" I do listen to foetal hearts - mostly as Malcolm says to let the woman hear it. As to the argument about the macerated foetus if you had listened a day earlier and not found a foetal heart, nothing would have changed. WRT the tachycardia and hydrops, no that has never happend to me (maybe it just hasn't been my turn yet), but I can't see it being an often enough occurrence to be statistically siginificant, and were there no other signs that would have made you check the foetus out? To be the devils advocate If a woman come in on the 23rd of December and you can't find a heart (and she delivers a dead foetus shortly after) haven't you just ruined her Christmas? If you hadn't listened and she came in on the 27th and delivered she would have atleast got to enjoy her Christmas, and the outcome remains unchanged. John J.G.M.Robertson MD, 109-9181 Main St. Chilliwack, B.C. V2P 4M9 (604) 793-9988 e-mail jgmr@unixg.ubc.ca The best we can do for one another is to exchange our thoughts freely; and that, after all, is about all. James A. Froude (1818-1894) -----Original Message----- From: Cathy Harsha MD <cgharsha@stvincent.org> To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net> Date: Tuesday, December 30, 1997 6:29 PM Subject: Re: Prenatal Rituals >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 Next message: anil: "Re: GEN: laptop" Previous message: DoctorJoe: "Re: OB Cesarean Rates in South Florida" Maybe in reply to: Kaycnm: "Prenatal Rituals" Next in thread: DRoss38040: "Re: Prenatal Rituals"

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