Intermittent Auscultation of the Fetal Heart Rate During Labor: An Opportunity for Shared Decision Making

被引:10
作者
Hersh, Sally [1 ,2 ]
Megregian, Michele [1 ]
Emeis, Cathy [1 ,3 ]
机构
[1] Oregon Hlth & Sci Univ, Sch Nursing, Nurse Midwifery Acad Program, Portland, OR 97239 USA
[2] OHSU, Portland, OR USA
[3] Nurse Midwifery Program, Portland, OR USA
关键词
cesarean birth; electronic fetal monitoring; ethics; intermittent auscultation; intrapartum care; physiologic birth; shared decision making; CESAREAN-SECTIONS; CLINICAL-EVIDENCE; DELIVERY; TRIAL; VIEWS;
D O I
10.1111/jmwh.12178
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Electronic fetal heart rate monitoring is the most common form of intrapartal fetal assessment in the United States. Intermittent auscultation of the fetal heart rate is an acceptable option for low-risk laboring women, yet it is underutilized in the hospital setting. Several expert organizations have proposed the use of intermittent auscultation as a means of promoting physiologic childbirth. Within a shared decision-making model, the low-risk pregnant woman should be presented with current evidence about options for fetal heart rate assessment during labor. (C) 2014 by the American College of Nurse-Midwives.
引用
收藏
页码:344 / 349
页数:6
相关论文
共 36 条
[1]   Continuous cardiotocography (CTG) as a form of electronic fetal monitoring (EFM) for fetal assessment during labour [J].
Alfirevic, Zarko ;
Devane, Declan ;
Gyte, Gillian M. L. .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2013, (05)
[2]   Practices and views on fetal heart monitoring: a structured observation and interview study [J].
Altaf, S ;
Oppenheimer, C ;
Shaw, R ;
Waugh, J ;
Dixon-Woods, M .
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2006, 113 (04) :409-418
[5]  
[Anonymous], 2009, PRINCIPLES BIOMEDICA
[6]  
Association of Women's Health Obstetric and Neonatal Nurses (AWHONN), 2010, GUID PROF NURS STAFF
[7]   Indications Contributing to the Increasing Cesarean Delivery Rate [J].
Barber, Emma L. ;
Lundsberg, Lisbet S. ;
Belanger, Kathleen ;
Pettker, Christian M. ;
Funai, Edmund F. ;
Illuzzi, Jessica L. .
OBSTETRICS AND GYNECOLOGY, 2011, 118 (01) :29-38
[8]   Shared Decision Making - The Pinnacle of Patient-Centered Care [J].
Barry, Michael J. ;
Edgman-Levitan, Susan .
NEW ENGLAND JOURNAL OF MEDICINE, 2012, 366 (09) :780-781
[9]   Supporting Shared Decision Making When Clinical Evidence Is Low [J].
Braddock, Clarence H., III .
MEDICAL CARE RESEARCH AND REVIEW, 2013, 70 :129S-140S
[10]  
Cahill AG, 2009, OBSTET GYNECOL, V114, P124, DOI [10.1097/AOG.0b013e3181a99def, 10.1097/AOG.0b013e3181aef106]