Published Jul 24, 2001
I wondered if anyone has heard of this.
Also, if this is in use where you practice, have you found it effective?
Here is an article I came across which explains what it is about.
Man, kday, does that sound familiar. I brought the article to my manager and she pooh poohed it also. What did I expect, she's married to an OB!! I feel anything new is met with skepticism here also. She said "we're reviewing it", but the tone and look on her face...I felt like she was thinking, awww...look what the new grad brought in...isn't that sweet. Maybe that's just me, but it felt that way! LOL You'd think with the studies behind it and it being more cost-effective would get their attention...guess not!
canoehead, BSN, RN
After reading the information it looks like in their study the adverse events for infants increased after using the FSpO2, the study resulted in fewer sections for poor FHR tracing, but increased adverse outcomes, and the decrease in sections for FHR was offset by an increase in sections for dystocia. Doesn't look like there is any advantage for the woman to have a FSpO2, and quite a disadvantage for the fetus.
Also, and I may just be reading this wrong, but it looks like they called for some delays in treating a nonreassuring FHR in the protocol so they could get a FSpO2, attempt to readjust the sensor, or if the FHR was nonreassuring but the FSpO2 was OK they would go ahead with the labor instead of treating the nonreassuring pattern. Does anyone else see this as unethical?
Maybe someone with more experience reading research studies would put their two cents worth in.
kday I agree on the scalp pH. I work in small hospital, we don't have the equipment, but frankly I've only had one or two times that I'd be willing to wait for the results. Usually a good scalp stim will declare fetal tolerance either way, and we're off to the races.
I have never heard of cytotec for pph, do you have an article?
Seems like it would be slower acting than IV pit, and expensive.
I'd like to hear from anyone using po misoprostol rather than vaginal. We do vaginal and the docs must come to insert it B/C of an episode where a doc was yelling at a nurse during a hyperstim episode. She accused the experienced RN of putting it IN the cervix instead of under it, in front of the pt and family. (!!) A po route would be more convienent. (Unless someone decides to tell a pt to snort the med)
Is it true that you are thinking about the ER? What are you thinking? Seems to me OB needs good nurses like you.
canoehead, thanks for pointing that out.
I didn't surf thru the links available!
We use cytotec in the teaching hospital where I work for pph which doesn't respond to pit, and yes, kday is right, it's very cheap. I don't have the articles either, but try the Green Journal or ACOG's website.
Kday, just a personal aside. Please don't stereotype teaching hospitals. The philosophy depends on that of the chairman and faculty of the department. I love where I work. I do PRN at a private hospital and like it too, but the energy at the university setting, plus the teaching opportunities make it a great experience.
Also, let me just say I hope you don't quit OB!!!
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