[JenTheRN]

A co-worker of mine pointed out this website: http://www.neoventa.com/US/Articles/...s/default.html

I guess it's a type of monitoring they do in Sweden (my co-worker is from Sweden).

It is really interesting, especially looking at the strips: http://www.stancases.com/online_case_browser.htm

Some of these strips literally give me heart palpitations! My co-worker says that we (the US) do waaaay more interventions than is necessary. This monitoring system operates under the theory that hypoxia can be predicted by certain ST events, and that should be the basis of determining fetal compromise.

Anyway, take a look at the site. You need to have internet explorer to make it work.

[CEG]

That does look interesting. Seems like it would definitely decrease the number of unnecessary interventions here. I would love to read the evidence behind the standards they have created. As far as I can tell the standard behind EFM are based on the opinions of some doctors in the late sixties. It would be interesting to study outcomes of babes who would traditionally be sectioned for patterns that are not considered harmful with this system.

Of course if it's evidence-based it will never catch on

[crissrn27]

That is interesting, some of those strips gave me an MI, then the kid would have 9-10 apgars! Then the strips that didn't look all that bad, they sectioned and the baby had 2-4-6 apgars!

[RNLaborNurse4U]

Very very interesting, thank you for sharing!

[RainDreamer]

Interesting. I know nothing about how to read those strips, as I'm in the NICU, not L&D, but I find it all very interesting.

Can you guys point out with strips that almost gave you a heart attack? And which ones surprised you, in that they didn't look bad, but ended up having low apgars?

Edited to add: Ok I've been messing around with that site, looking at the different ones ..... and I see STAN 96, under Feb. '07 looks like a pretty scary one, yet apgars ended up being 9/10/10. Wow. I'm not understanding all the ST events and whatnot, but very interesting stuff!