osition
T he Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) asserts that the availability of registered nurses (RNs) and other health care professionals who are skilled in fetal heart monitoring (FHM) techniques, including auscultation and electronic fetal monitoring (EFM), is essential to maternal and fetal well-being dur- ing antepartum care, labor, and birth. Fetal heart monitoring requires advanced assessment and clinical judgment skills and should not be dele- gated to unlicensed assistive personnel or oth- ers who do not possess the appropriate licensure, education, and skills validation. A woman’s pref- erences and clinical presentation should guide selection of FHM techniques with consideration given to use of the least invasive methods. In gen- eral, the least invasive method of monitoring is preferred in order to promote physiologic labor and birth. Labor is dynamic; therefore, considera- tion of maternal preferences and identification of risk factors should occur upon admission to the birth setting and should be ongoing throughout
labor.
ositionT he Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) asserts that the availability of registered nurses (RNs) and other health care professionals who are skilled in fetal heart monitoring (FHM) techniques, including auscultation and electronic fetal monitoring (EFM), is essential to maternal and fetal well-being dur- ing antepartum care, labor, and birth. Fetal heart monitoring requires advanced assessment and clinical judgment skills and should not be dele- gated to unlicensed assistive personnel or oth- ers who do not possess the appropriate licensure, education, and skills validation. A woman’s pref- erences and clinical presentation should guide selection of FHM techniques with consideration given to use of the least invasive methods. In gen- eral, the least invasive method of monitoring is preferred in order to promote physiologic labor and birth. Labor is dynamic; therefore, considera- tion of maternal preferences and identification of risk factors should occur upon admission to the birth setting and should be ongoing throughoutlabor.
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