Developing a tool to appraise fetal monitoring guidelines for women at low obstetric risk

Hindley, Carol; Hinsliff, Sophie; Thomson, Ann

doi:10.1111/j.1365-2648.2005.03593.x

Cited by 8 publications

(2 citation statements)

References 32 publications

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“…Most previous studies using the AGREE instrument have focused on the quality of guidelines at national level (eg, 11–13 ), and few have evaluated the quality of local guidelines using this instrument 14. Others evaluating the quality of local guidelines have used methods of documentary analysis15 or have used non-standard quality appraisal tools 1617…”

Section: Discussionmentioning

confidence: 99%

Local guidelines for the transfer of women from midwifery unit to obstetric unit during labour in England: a systematic appraisal of their quality

Rowe

2010

Quality and Safety in Health Care

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Section: Discussionmentioning

confidence: 99%

Local guidelines for the transfer of women from midwifery unit to obstetric unit during labour in England: a systematic appraisal of their quality

Rowe

2010

Quality and Safety in Health Care

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“…The full 3‐year study entailed two parts. Part one involved a quality appraisal of all regional guidelines on EFM 10 using a specifically developed tool 11 . Part two involved surveys of childbearing women and interviews with midwives.…”

Section: Introductionmentioning

confidence: 99%

English Midwives' Views and Experiences of Intrapartum Fetal Heart Rate Monitoring in Women at Low Obstetric Risk: Conflicts and Compromises

Hindley

Hinsliff²,

Thomson

2006

J Midwife Womens Health

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Over the last 20 years in the United Kingdom, midwives have implemented the routine use of intrapartum fetal monitoring regardless of the risk status of laboring women. This practice is at odds with the published research. The discrepancy between practice and best evidence merits further investigation. A qualitative study was conducted to evaluate midwives' attitudes and experiences about the use of fetal monitoring for women at low obstetric risk. Fifty-eight midwives working in two hospitals in the north of England were interviewed by using a semistructured approach. The taped interviews were transcribed and analyzed by using a general thematic approach. Issues included midwives' perceptions of low-risk status, the socialization of midwives, and the loss of woman-centered care. Midwives subscribed to the notion of woman-centered care, but because of a complexity of factors experienced in their daily working lives, they felt vulnerable when attempting to implement evidence-based fetal monitoring practices. Midwives regretted the loss of a woman-centered approach to care when technologic methods of intrapartum fetal heart rate monitoring were used indiscriminately. An appreciation of the complex factors affecting the ability of midwives to implement evidence-based practice is important when attempting to facilitate the development of appropriate fetal monitoring practices for women at low obstetric risk.

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Intermittent auscultation (IA) of fetal heart rate in labour for fetal well-being

Martis¹,

Emilia²,

Nurdiati³

2010

Cochrane Database of Systematic Reviews

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Developing a tool to appraise fetal monitoring guidelines for women at low obstetric risk

Abstract: Generically-validated guidelines may not be sufficiently discriminatory for specialized areas of practice such as intrapartum fetal monitoring.

Cited by 8 publications

References 32 publications

Local guidelines for the transfer of women from midwifery unit to obstetric unit during labour in England: a systematic appraisal of their quality

Local guidelines for the transfer of women from midwifery unit to obstetric unit during labour in England: a systematic appraisal of their quality

English Midwives' Views and Experiences of Intrapartum Fetal Heart Rate Monitoring in Women at Low Obstetric Risk: Conflicts and Compromises

Intermittent auscultation (IA) of fetal heart rate in labour for fetal well-being

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