Document Detail

Should women be given a choice about fetal assessment in labor?
MedLine Citation:
PMID:  14501630     Owner:  NLM     Status:  MEDLINE    
Continuous electronic fetal monitoring (EFM) in labor is one of the most commonly used interventions during intrapartum care. However, randomized controlled trials, observational studies, and meta-analyses about the use of continuous EFM on low-risk intrapartum patients have found no significant differences in infant outcomes between infants whose mothers had EFM or intermittent auscultation (IA) of the fetal heart rate. In addition, research shows a higher incidence of cesarean birth when EFM is used. Although evidence-based practice is supposed to be our goal, the evidence about the lack of efficacy of EFM has not been used in practice. In fact, EFM has become the standard of practice in this country. Considering these facts, should EFM continue to be the standard of practice for low-risk laboring women? Is informed consent indicated, giving women the choice between EFM and IA? Should IA be offered to all low-risk laboring women? Ethical decision-making models are used to examine those questions and to help nurses better delineate their advocacy role.
Sylvia H Wood
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  MCN. The American journal of maternal child nursing     Volume:  28     ISSN:  0361-929X     ISO Abbreviation:  MCN Am J Matern Child Nurs     Publication Date:    2003 Sep-Oct
Date Detail:
Created Date:  2003-09-22     Completed Date:  2003-11-21     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7605941     Medline TA:  MCN Am J Matern Child Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  292-8; quiz 299-300     Citation Subset:  E; IM; N    
School of Nursing, Pacific Lutheran University, Tacoma, WA 98447-0003, USA.
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MeSH Terms
Choice Behavior*
Decision Support Techniques
Evidence-Based Medicine
Fetal Monitoring / ethics*,  nursing,  psychology*,  standards
Informed Consent / ethics*,  psychology*
Models, Nursing
Nurse's Role
Obstetrical Nursing / ethics,  standards
Patient Advocacy / ethics
Patient Participation / psychology*
Patient Selection
Practice Guidelines as Topic
Pregnancy Outcome
Principle-Based Ethics
Comment In:
MCN Am J Matern Child Nurs. 2004 Mar-Apr;29(2):131   [PMID:  15028928 ]
MCN Am J Matern Child Nurs. 2003 Sep-Oct;28(5):286   [PMID:  14501627 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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