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Re: Continuous External Fetal Monitoring

From: Rita (anonymous@obgyn.net)
Thu, 23 Sep 1999 14:01:34 -0500 (CDT)


At Thu, 28 Jan 1999, Mary wrote: >
>>3. Is there a way to keep my doctor but sign some type of waiver
>>against continuous monitoring. I must say, though, that I am not the
>>type of person who "goes against the grain", and I do not want to be
>>seen as a problem patient.
>>
>>4. Should I just find a new doctor if I can't get past this?
>
>Hi Christy,
>
>Tough call. I had a similar decision with my last pregnancy. My doc wanted
>continuous EFM and I wanted freedom to labor: walk around, shower, change
>positions without having to call a nurse to disconnect the monitor and then
>reconnect. But I was attempting a VBAC, so he was a bit more strict than
>usual. Naturally, like you, I would not do anything to jeopardize my baby's
>health. The doc was on staff at two hospitals; one 5 minutes from my front
>door and the other 20 minutes away. He also had privileges at a larger
>hospital 35 minutes away. I was due in the Minnesota winter time and the
>thought of driving any further than necessary was not appealing. However, I
>did a little research and found out that the hospital furthest away had
>something the other two closer hospitals did not - telemetry units. These
>are portable monitoring units. You can move about with them and they
>transmit the signal to the nurses station.
>
>Luckily (?) I was not monitored at all. I arrived in the hospital at
>4:30pm, changed into the lovely gown, headed straight for the bathroom and
>came out when it was time to push, a little over an hour later. There is
>something to be said about laboring on the toilet - it works!!
>
>Anyway, back to your situation. Why not check with the hospitals and see if
>they have telemetry units available? Also, be sure to ask if they are in
>working order and someone there knows how to use them. I bet they are not
>used often.
>
>Good luck and keep us posted!
>
>--
>Mary Shoup
>Pregnancy & Birth Coordinator
>mary.shoup@obgyn.net
>
>P.S. Personally, if you didn't have any complications during either your
>last pregnancy/delivery/postpartum and this pregnancy, then *I* would be
>leery of this requirement. But that is only *my* opinion and I'd question
>the logic and find the real reason behind this...or find a new doctor - or
>midwife.
>



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