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Intrapartum fetal monitoring

 
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mn



Joined: 21 Jan 2008
Posts: 2

PostPosted: Wed Feb 20, 2008 5:41 am    Post subject: Intrapartum fetal monitoring Reply with quote

Discuss the medicolegal issues involved?

I am a bit lost on this.can manage only a few points. Any help would be greatly appreciated.
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salihabduallah



Joined: 04 Sep 2007
Posts: 94

PostPosted: Wed Feb 20, 2008 9:41 am    Post subject: Reply with quote

# document intevention, time, medication
# Fill incident form if something wrong occurs
# explain the situation to family, patient or to partner
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rpwalavalkar
Teale Fenning Administrator


Joined: 20 Jul 2006
Posts: 918

PostPosted: Thu Feb 21, 2008 4:24 pm    Post subject: Reply with quote

hi,

i'm moving this topic to essays as it's not an emq.

r
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Nick Raine-Fenning
Course Director


Joined: 27 May 2006
Posts: 1742
Location: Nottingham

PostPosted: Thu Feb 21, 2008 6:30 pm    Post subject: Re: Intrapartum fetal monitoring Reply with quote

mn wrote:
I am a bit lost on this.can manage only a few points. Any help would be greatly appreciated.


Try the NICE Guidelines - I am sure I read a few things about cerebral palsy and there were comments about the medico-legal aspects of CEFM.

Where does your question come from anyway? Not sure this will feature in the MRCOG Part 2 (written or oral).
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Xerxes I
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Joined: 01 Mar 2007
Posts: 219
Location: Winchester

PostPosted: Fri Feb 22, 2008 10:31 am    Post subject: Reply with quote

Yes' it is a strange question but I would try things like:

-Document patient's name, date and time clearly on the CTG.
-The person interpretting the CTG should have recieved proper training on the subject and have demonstrated that this trainign has been updated and maintained.
-findings should be explained to the patient clearly and documented in the notes thoroughly (which is a pain)
-CTG signed when reviewed, events recorded on CTG
-adverse outcomes and near misses should trigger incident reports and should be discussed within the department, highlighting possible issues,
-If adverse outcome, copies of the notes and CTGs should be made and kept etc, consutant responsible for the care informed
-only one in ten CPs are direct result of intrapartum events.
-has to be kept in mind that not having CTG is safer than having one and interpreting it wrongly, again, the training issue.
-senior advice in case of doubt or disagreement
And many many other things
everything comes under medicolegal need to choose more catchy ones I think.
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