TEALE FENNING

Hopeful · Joined: 03 May 2007 Posts: 49

Thankyou for a nice and comprehensive course. You covered most of the topics and now it is up to us to keep practising and get through this exam.

Nick Raine-Fenning · Posted: Mon Apr 28, 2008 6:49 am Post subject:

Pleasure - glad you enjoyed it. I know I did!

Practice, practice, practice ..... Wink

jilly · Joined: 16 Jan 2008 Posts: 15

Yes thanks Nick for another good weekend.

I am just looking up the emergency contraception stuff we discussed - it is called Levonelle one step now (1.5mg) and is 84% effective at preventing pregnancy if taken within 72hrs compared to 99% for IUCD.

Jilly

Nick Raine-Fenning · Posted: Mon Apr 28, 2008 2:45 pm Post subject:

Thanks Jilly

Not that effective is it (Levonelle I mean and not the Course Smile

)

How effective is it if taken within 24 hours or between 72 and 120 hours?

jilly · Joined: 16 Jan 2008 Posts: 15

I am hoping the course is effective! The FFPRHC say 63% at more than 72hrs.

SallyC · Joined: 12 Jul 2007 Posts: 50 Location: Oxford

Thanks Nick, I second the previous comments, a very good weekend!
Couple of points raised which we were all uncertain about;

NICE intrapartum care guidelines
Duration and definition of delay in the second stage (see section 1.14)

Nulliparous women:
• Birth would be expected to take place within 3 hours of the start of the active second stage in most women.
• A diagnosis of delay in the active second stage should be made when it has lasted 2 hours and women should be referred to a healthcare professional trained to undertake an operative vaginal birth if birth is not imminent.

Parous women:
• Birth would be expected to take place within 2 hours of the start of the active second stage in most women.
• A diagnosis of delay in the active second stage should be made when it has lasted 1 hour and women should be referred to a healthcare professional trained to undertake an operative vaginal birth if birth is not imminent.

Birth is expected to take place within 3 hours of start of active second stage for nulliparous women and within 2 hours for parous women

The use of electronic fetal monitoring (Evidence based clinical guideline No 8 )
Table 2.1 Definitions and descriptions of individual features of fetal heart-rate (FHR) traces
- Normal Baseline FHR 110–160 bpm
– Moderate bradycardia 100–109 bpm
– Moderate tachycardia 161–180 bpm
– Abnormal bradycardia <100 bpm
– Abnormal tachycardia >180 bpm[/b]

See you on Saturday,
Sally Very Happy

Nick Raine-Fenning · Posted: Wed Apr 30, 2008 5:34 pm Post subject:

Thanks Sally - did the same thing myself and posted [url=??]this thread[/url] in the Guideline Forum.