Re: Source needed for research on why scalp stimulation is bad during a deceleration

[Guest guest]

I was just recently at an AWOONN Conference for Advanced Fetal

Monitoring and this is something that was discussed, maybe they would

have something on their website

>

> I am not thinking straight due to the fires here in So. Calif. and

can't

> find an online resource that shows that fetal scalp stimulation is

no longer

> done during a deceleration because it can make the deceleration

worse. This is

> being taught in basic and advanced fetal monitoring courses for

quite a number

> of years now.

>

> Can anyone come up with a link for me? I need something to show to

some

> midwives.

>

>

> Gail Neuman RNC CPHW

> student midwife and student nurse practitioner

> certified high risk OB

> Perinatal Nurse Associates

> 801 N. Tustin Ave., Suite 305

> Santa Ana, CA 92705

>

> fax

>

>

>

> ************************************** See what's new at

http://www.aol.com

>

[Guest guest]

Hi Gail,

We have all heard in EFM classes and now know scalp stim during a bradycardia does not help and as it is a vagal stimulus can worsen or at least delay recovery of the bradycardia. Interesting point though... AWHONN Fetal Heart Monitoring Principles & Practices 3rd. ed. on page 164 under Interventions for Bradycardia, "Perform fetal scalp stimulation" is listed. I have access to ACOGs website, nothing about stim during decel came up in a search.

I was at a Risk Management seminar in Peoria this summer, the physician/attorney Dr Jeffery Phalen, giving the lecture showed a strip with "Scalp Stim" written on it during a prolonged decel and simply said "tsk, tsk, tsk".

If you find a good article, please post the link.

Thanks!

RNC

-------------- Original message -------------- From: gin11153@...

I am not thinking straight due to the fires here in So. Calif. and can't find an online resource that shows that fetal scalp stimulation is no longer done during a deceleration because it can make the deceleration worse. This is being taught in basic and advanced fetal monitoring courses for quite a number of years now.

Can anyone come up with a link for me? I need something to show to some midwives.

Gail Neuman RNC CPHWstudent midwife and student nurse practitionercertified high risk OBPerinatal Nurse Associates801 N. Tustin Ave., Suite 305Santa Ana, CA 92705 fax

See what's new at AOL.com and Make AOL Your Homepage.

[Guest guest]

Hi Gail et al,

I have heard the same in EFM classes repeatedly. Our OBs stand by doing it based on the AWHONN guidelines, though, as others have mentioned. We had an EFM class last year and the verdict was that scalp stim would remain policy based on said guidelines. We've all seen the impact on the baby from further stress in an already possibly compromised situation (hello, stat C-Section?)--it's hard to believe it's still recommended!

I cannot find any sources (besides countless RNs who see the effects) to state that it is contraindicated!Larissa RN

Re: [OBnurses] Source needed for research on why scalp stimulation is bad during a deceleration

Hi Gail,

We have all heard in EFM classes and now know scalp stim during a bradycardia does not help and as it is a vagal stimulus can worsen or at least delay recovery of the bradycardia. Interesting point though... AWHONN Fetal Heart Monitoring Principles & Practices 3rd. ed. on page 164 under Interventions for Bradycardia, "Perform fetal scalp stimulation" is listed. I have access to ACOGs website, nothing about stim during decel came up in a search.

I was at a Risk Management seminar in Peoria this summer, the physician/attorney Dr Jeffery Phalen, giving the lecture showed a strip with "Scalp Stim" written on it during a prolonged decel and simply said "tsk, tsk, tsk".

If you find a good article, please post the link.

Thanks!

RNC

-------------- Original message -------------- From: gin11153aol

I am not thinking straight due to the fires here in So. Calif. and can't find an online resource that shows that fetal scalp stimulation is no longer done during a deceleration because it can make the deceleration worse. This is being taught in basic and advanced fetal monitoring courses for quite a number of years now.

Can anyone come up with a link for me? I need something to show to some midwives.

Gail Neuman RNC CPHWstudent midwife and student nurse practitionercertified high risk OBPerinatal Nurse Associates801 N. Tustin Ave., Suite 305Santa Ana, CA 92705 fax

See what's new at AOL.com and Make AOL Your Homepage.

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