Re: OB:Home Births in Australia

From: Kathi Wilson, BHSc, RM (wilsonk@gtn.net)
Sun Aug 30 11:40:38 1998


At Sat, 29 Aug 1998, R L Meisel wrote: >

>Kathi,
>
>Perhaps I'm being a pain but...
>
>Your description of fetal monitoring is intermittent EFM ie doppler with
>automatic rate read out. The only difference is you don't have a "strip" to
>record for you. Ascultation is listening with a fetoscope.

Hmm...my Taber's states that "Auscultation is the process of listening for sounds within the body.." It doesn't define with what one listens. In the sense that I don't have earpieces in my ears, I guess I'm not "auscultating". That being said, I do have to say that my hearing takes precedence over the readout when using a doppler. They are not always accurate (same problems as external monitors), and if I am in question, I count.

I do listen prenatally with my elegant little Allen fetoscope as a means of confirming position and presentation, but most labouring women prefer the freedom of movement that listening with the doppler gives them. I think that "true" ausculation with a fetoscope is becoming a lost art.

I think that probably the SOGC and ACOG are referring to dopplers in their use of the term auscultation, but your point is well taken.

--
Kathi Wilson BHSc RM
Thames Valley Midwives
London, Ontario, Canada
mailto:wilsonk@gtn.net




use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Mon Nov 2 05:28:35 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.