Question

How can electronic fetal monitoring inhibit the normal progress of labor? What can nurses do as advocates to counteract this effect?

Answer 1

The leading philosophy in labor and delivery is the therapeutic prototypical, not the midwifery prototypical of woman positioned repair. Agreement amongst specialized and administrative collections is that, founded on the indication, recurrent auscultation is harmless to usage in fit women with simple gravidities than electronic fetal monitoring (EFM). Barriers influence the struggling woman’s aptitude to give knowledgeable excellent concerning fetal nursing. Nonexistence of knowledgeable choice refutes a lady her right to be in control of her birth familiarity, and is in hostility to a woman’s correct to independence and self-determination.

Exterior unceasing cardio toco-graphic treatment (EFM) is the maximum mutual technique of measuring fetuses in the United States although in labor and it requires a lady to be steady to find precise interpretations. Two fastenings are positioned about her stomach, with one fastening comprising the Doppler ultrasound transducer to display the fetus’s heart degree and the other consuming a weight transducer to display uterine reductions EFM is related with great false confident rates and unpredictable fetal heart proportion outlining clarifications, both of which donate to an incapability to precisely forecast fetal hypoxia.

Unceasingly nursing the fetus throughout labor is related with an important upsurge in cesarean surgery, contributory vaginal births, and parental infection with no discount of cerebral palsy or neonatal death when it is associated to IA. While neonatal seizures are infrequent proceedings, the occurrence is reduced with the usage of EFM, but solitary in high-risk gravidities, not in straightforward gravidities; for each 661 females who obtain EFM throughout labor, one neonatal seizure will be prohibited.