Amy Cairns
New Member
Posts: 4 
I work at a: Healthcare Facility
My job role is: Staff
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Post by Amy Cairns on Dec 9, 2015 11:15:34 GMT -5
Hello all,
I am hoping to get some help from those out there that are already doing Centering Pregnancy, but I am open to everyone's input.
Can anyone share with me a policy or process you have implemented for those circumstances during the centering visit when you are unable to obtain FHT?
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Cynthia CE Wade
Active Member
Posts: 69
I work at a: Professional Organization
My job role is: Healthcare Provider
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Post by Cynthia CE Wade on Dec 9, 2015 16:57:58 GMT -5
It is usually not a problem when it is early in pregnancy 12-15 weeks or so. Especially if the person is obese. I just usually say that it is difficult to get fetal heart tones at this point and we will recheck after group and if unable to get them, will get at ultrasound. We have an ultrasound machine upstairs.
If it is later in pregnancy, then I would call the CNM upstairs and ask her to check for FHT's with ultrasound upstairs. Then she would have to take care of patient. Of course, after group, I would be checking on what happened. But because I have a group of other women, I can't take care of this situation at that moment.
If you don't have the resources above, then would send the woman wherever need to verify what is going on.
And of course, you always ask the woman if and what she wants you to share with the group/
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Cynthia CE Wade
Active Member
Posts: 69
I work at a: Professional Organization
My job role is: Healthcare Provider
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Post by Cynthia CE Wade on Dec 10, 2015 10:06:20 GMT -5
One more thought. This is something that needs to be worked out in your Steering Committee meetings, so you have documented process in your site. Of course, the clinic provider/midwife is busy and the last thing she wants to deal with is a fetal demise situation. But if she/he does Centering, then she will understand that you as the Provider Facilitator cannot deal with this when you have 10 other women in the group.
If you don't have the ability to take care of the situation at your site and the woman needs to be sent somewhere, then you can have a plan for one of the nursing staff to take over. It shouldn't be your co-facilitator because she/he also has a lot going on in the group.
Fortunately, this happens very rarely in late gestational ages range. I hope I don't jinx it, but it hasn't happened to me or anyone else in my site in 10 years of Centering. But it something we all worry about. So it is good to establish a plan at your site, if it does happen.
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ljurkiewicz
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Posts: 14
I work at a: Healthcare Facility
My job role is: Healthcare Provider
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Post by ljurkiewicz on Dec 10, 2015 11:15:56 GMT -5
We at SFGH San Francisco General Hospital have never had a "process" per se. Our groups are off-site, so if someone was of an advanced gestation, I would have my colluder accompany her to the hospital. I would call the on-call midwife to greet them.
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