Fellow wonders of the nursing profession,
What experiences have you had with acoustic stimulation? Are you using it often? What are your criteria for use?
Feb 5, '02
We use acoustic stim during NST's. Policy says 2 stims at least 1 minute apart. Also used occassionally during labor to induce an acceleration if unsure of sleepy baby vs. nonreassuring strip.
Feb 10, '02
I don't use it often. I'll use it only if I've tried everything else to "wake" the baby. Usually I'm successful with the other ways. Once, I used AS and sent a nonreassuring baby to late decels. Not pretty to explain to the doc. I don't remember exactly what the outcome was but it was nerve racking. I'm sure the baby did well b/c I'll still use it if I need to.
Feb 13, '02
Our docs say this doesn't work, but in my experience it does: if I've got a nonreactive nst, I'll give mom some juice first. Lots of time the sugar wakes that baby right up.
Mar 31, '02
I agree with Jemma--it's a very useful tool to validate fetal well-being. If you get a deceleration with acoustic stim then you have identified a true problem and early, appropriate treatment will not be delayed.
Apr 6, '02
We have one doc who uses it, and I have seen it work well with NSTs.....Not sure if we are supposed to be doing it independently but am currently checking that one out....
Apr 9, '02
Most of us try the juice thing first. Less disruptive to the fetus. If that doesn't work and the baby's been "asleep" for 30 mins., we use the AS.
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