Identifying and managing decreased fetal movements
Safer Care Victoria is launching a campaign to help women report decreased fetal movements and reduce the number of potentially preventable stillbirths. They have provided a number of resources including best practice guidance and online learning along with a webinar covering current best practice in identifying and managing decreased fetal movements.
The key messages are:
‘When a woman reports decreased fetal movements, please undertake an assessment of the woman and her baby as soon as possible, preferably within two hours.
Make sure you provide your pregnant women with information about baby movements at every clinic visit.’
The resources can be accessed here.
Cervical dilatation threshold of 1 cm/hour throughout labour is unrealistic for most women, regardless of parity – Study
A study published in the international journal of Obstetrics & Gynaecology has looked at gaining a better understanding into the natural progression of labour.
The study titled ‘Cervical dilatation patterns of ‘low‐risk’ women with spontaneous labour and normal perinatal outcomes: a systematic review’ aimed to look into the available data on the cervical dilation patterns during spontaneous labour of ‘low‐risk’ women with normal perinatal outcomes.
Included were 7 observational studies covering 99 971 women finding that the median time to advance by 1cm in nulliparous women was longer than 1 hour until a dilation of 5cm was reached with similar patterns in parous women.
The study concluded:
‘An expectation of a minimum cervical dilatation threshold of 1 cm/hour throughout the first stage of labour is unrealistic for most healthy nulliparous and parous women. Our findings call into question the universal application of clinical standards that are conceptually based on an expectation of linear labour progress in all women.’
The full study can be viewed here.
ACOG Guidance: Antibiotic Prophylaxis during Labor and Delivery
ACOG have released a practice bulletin on the role of prophylactic antibiotics in labour and delivery. The OBG Project has provided a useful summary of the guidance providing key points and guidance including use in caesarean section and other obstetric procedures.
Access the summary from OBG Project here.