I feel I need to clarify some points here, after Parker posted her concerns. (which are valid)......
We let moms w/internal monitors free reign of movement as much as physically possible. They can sit up in chairs, walk about or change positions in bed. So sorry your experience was that bad, but believe me, it is not the norm in my care. I definately support and promote comfort for moms in labor and do all I can to make it better for THEM, not convenient for ME. I sometimes HATE that we have to use monitors at ALL and rejoice when I can be intermittent and NON invasive for labor care. And like I said, I use internal monitoring judiciously, weighing the benefits to mom and baby versus the risks. I am MORE than well aware of infection risks--- but hyperstim w/pit and previous existing maternal risks (such as pre-eclampsia labor induction) risks outweigh even this. I use EXTERNAL monitoring a vast majority of the time, working hard to allow free movement and comfort for the mom, not just paying attention to the monitor.
I try to be the LEAST invasive POSSIBLE while ensuring safety and comfort for moms and babies. If I had it my way, I would prefer ALL moms to be up walking, showering, bathing, sitting on birth balls, whatever they choose. Epidural and drug use would be the exception, not the rule. I hold the strong belief: The more natural, the better.
It's just in some cases, intermittent and casual monitoring are NOT warranted while constant and close, careful monitoring IS ----so I have to take myriad factors into account when caring for laboring women. Risks and benefits must be continually weighed to ensure the safest and best experience for our laboring moms. And, naturally, informed consent is a must when using *any* type of fetal monitoring. The moms and their families play an important role in their care planning and decision-making processes in my care. Hope I made myself clear here.