The problem with guidelines is not that they exist nor that they play a role in structuring good practice. The problem is when guidelines over-reach their purpose.
Electronic fetal monitoring
Myself and my co-authors have a new paper, freshly published with Women and Birth (available here). One of the questions I asked while generating data from my doctoral research was – who made the decision about the approach to fetal heart rate monitoring that any individual woman would use during her labour? At first glance, the answer seemed to be that no one was actively making decisions. I didn’t interview […]
CTG monitoring is in use during a woman’s labour. The fetal heart rate pattern is now abnormal. As her maternity professional, you know that the positive predictive value of the CTG is low, and want to avoid caesarean section unless it is going to improve the fetal outcome. And you don’t want to misidentify when caesarean section is a great idea and as a result have an avoidable poor outcome […]
What happens when you introduce a central fetal monitoring system into a maternity service who are struggling to provide adequate staffing to maintain safety?
We expect that evidence based guidelines are written by people who can critically review and use evidence. Sometimes that’s not what happens though. Here’s an example….
How are we doing when it comes to talking to women about fetal monitoring options and respecting their decisions? #InformedChoice #SharedDecisionMaking #MidwiferyContinuityOfCare #RespectfulMaternityCare