Another July Mommy! Can you believe we are so close? Look forward to sharing these last weeks of pregnancy with you!
welcome to your lodge!
<3 Dh Jason 3/22/03
Baby #4 11/24/13
Welcome to your lodge Jenny!!
I get a lodge! Wahoo! How exciting.
I will work on an introduction tomorrow, but in the meantime, I have a concern/question to throw out to you ladies.
The hospital where I'm delivering does intermittent monitoring but to them this means putting me on an EFM for 15 minutes of every hour. I have not gone through labor before, but I can only imagine that it will be very annoying to get hooked up to a monitor every 45 minutes. They will use the doppler when I am in the jacuzzi but only when I'm in the jacuzzi.
So, I have the choice, as you all know, to tell them no to the EFM and only allow the doppler. Of course, they will pitch a fit and say all sorts of things to change my mind (just wait til I tell you about the NST story from this week ) so I need to make sure I have grounds for this. The doc pointed out that the doppler only shows a moment in time while the EFM will show her heart rate in conjunction with contractions. I do find it odd that they think it is good enough when I'm in the tub though. I'm not sure where to look for a study or stats that support the thought of doing doppler only because I haven't seen anything that was against EFM for 15 minutes at a time. Any advice/help would be appreciated. Or am I imagining it will be more intrusive than it really will be? Thanks in advance.
Welcome to your lodge fellow July mama
There have been plenty of studies that have shown that continuous or even intermittent (like you describe) fetal monitoring in labor does not improve outcomes, and in many cases can lead to unnecessary interventions. Relying on a machine to monitor the well-being of mom and baby takes the human factor out of the equation, and the monitoring is only as good as the machine - in other words, machines routinely go on the fritz or do not read accurately, which can lead to interventions that may not be needed. It is believed by many (though not so much in the medical field) that periodic listening to fetal heart tones via doppler is sufficient and the least invasive form of monitoring.
Here are some articles: http://www.childbirth.org/articles/efm.html
Last edited by kris_w; 09-20-2010 at 11:38 PM.