So how often do FHT really need to be checked during labor? Is every 30 minutes frequently enough during 1st stage if there's no indication of a problem? Obviously I want them frequently enough to be safe, but if less frequent is just as safe I would prefer not to have them any more than necessary.
part-time and through infancy. planning a
Mama to 4 girls 5/05, 12/07, 9/09, 3/11
Mama to DS (6/07) , DD (6/09) , and DD (07/12) ..
My MW just came and did it where ever I was; I don't even remember her doing it. Labor has a way of making you ignore some things!
Momma to DD (12/04) and DS (11/09) .
I survived 16 mos! Ask me about breastfeeding a baby with posterior tongue tie, high palate, and weak oral motor skills- whew!
Of course, if any hinky heart tones are observed, then more frequent listening is warranted to make sure they are resolving well-- whether or not pattern is holding steady or getting worse.
Not a fan of frequent FHT checking in most labors--though typically will listen more often during any 2nd stage (every 5-10 min, depending on baby and everything else going on--hey, with a fast 2nd stage there may ONLY be time to get gloves on, not to check FHT ). I've found that if there IS anything troubling in baby or mama signs, more frequent FHT checking helps everyone feel better...it's not just about 'safety' or the mw's comfort level, but FHT checking can help a mama stay relaxed too--or give her a signal to change what she's doing (such a solid rationale to push hard, push baby out NOW--unusual, but possible).
My personal comfort level is about every 30 min in active labor (unless you are hearing something strange that warrants more frequent listens) and every 2nd or third push with second stage. Our hospital follows ACOG guidelines and thus the nurses generally only listen every 15 min while pushing. If baby has sounded great this is ok, but sometimes I request a little more frequent listens. (I know this is the HB forum, I trained out of hospital and my "comfort level" with intermittent listening came from that training - ACOG actually has looser guides in this instance!).
Arizona backwards is still Arizona! It's a palomino!
I do distinctly remember with DD telling my poor MW to stop touching me (and not nicely). I was starting another contraction and DD was born about 5 minutes later if that gives you some idea of where I was at mentally at that moment
Original poster -- why do you ask? Just curious because you've had two (I'm assuming uneventful) home births, and I'm wondering what's causing you to think about this particular thing this time.
My MW and i agreed ahead of time that every 20-30mins would be fine, since the NICE guideline for every 15 isn't actually evidenced based. At the time i was in the bath on my side and needing to roll onto hands and knees the first time she suggested it (i declined it through my body language basically!) and the next time was literally the last contraction before i was pushing in earnest. Baby was moving after EVERY contractions and turned her head about 35degrees clockwise when it was coming through the cervix so i knew she wasn't going to arrive floppy and distressed.
It is going to depend on your midwife though. Some are comfortable taking heart tones less often, some want them more often.
|29 members and 19,079 guests|
|a-sorta-fairytale , agentofchaos , AllTomorrowsParties , bananabee , BarefootBrooke , BirthFree , Bufomander , Deborah , girlspn , happy-mama , hillymum , Kelleybug , lhargrave89 , lisak1234 , Lucee , Michele123 , moominmamma , NaturallyKait , pulcetti , RollerCoasterMama , shantimama , Shmootzi , Skippy918 , sren , TealCandy , TheChainedAngel , transpecos , zebra15|
|Most users ever online was 449,755, 06-25-2014 at 12:21 PM.|