late d-cels, but good variability - page 2

I wanted to see your opinions on this matter. I had a pt last night that was a G1P0 at 41 wks being induced for oligo, the order was prostin gel x2 then pitocin in the AM, well right off the bat,... Read More

  1. by   sbic56
    Sure it's true we never know of the outcome, but if that baby has any problems down the road and the strip with all the persistant lates gets in court , the lawyers will have a field day. Consistant lates mean placental insufficiency, mec shows stress, as we all know, and they would play that to death in court. It's about CYA and it sounds like you did it well, but most docs would have sectioned her in the night to do the same.
  2. by   rdhdnrs
    All this just goes to verify what ACOG has said about EFM not improving outcomes, apgars, etc. Sometimes I wish I practiced in the days before monitors....on second thought NOT!! but we do have to recognize the limitations of EFM.
  3. by   mark_LD_RN
    Originally posted by rdhdnrs
    All this just goes to verify what ACOG has said about EFM not improving outcomes, apgars, etc. Sometimes I wish I practiced in the days before monitors....on second thought NOT!! but we do have to recognize the limitations of EFM.

    I feel the same way! efm is good but has limits, the bad thing is it records everything and if the strip looks bad and the baby ends up bad because we decided to give it a try. the lawers could careless of the reason
  4. by   HazeK
    the cervical exam of the patient makes a BIG difference to me when I see those kind of FHR patterns!


    2/50/-3.....that is gonna be one tired fetus by the time it delivers vaginally!
    8/90/-1.....OK, I'll watch it for a while and stay on my toes, and worry...and educate pt about what will happen if suddenly a c/s is called...so we don't scare the begeebers out of her! LOL!

    Haze
  5. by   luv l&d
    we use fetal pulse ox about 30% of all ? strips. seems to make people a little more tolerant of iffy strips. if the babe is below 30 and stays there for over 10 minutes it usually is time to move. forceps, c/s, mitvac, kiwi, what ever. abg's also have shown us that the pulse ox also is pretty good at corolating what is really happening with that kid. we only use it on term kiddos, 36 wks and up. have tried with preterms but the senor is not designed for those smaller heads.

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