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Putting intelligent structured intermittent auscultation (ISIA) into practice.
Robyn M Maude1, Joan P Skinner1, Maralyn J Foureur2
1Graduate School of Nursing, Midwifery and Health Victoria University of Wellington, New Zealand P O Box 7625, Newtown, Wellington 6242, New Zealand.
Women and Birth : Journal of the Australian College of Midwives
|December 30, 2015
Summary
Intelligent structured intermittent auscultation (ISIA) supports fetal monitoring for low-risk births. This framework translates evidence into practice, enhancing clinical decision-making for midwives and obstetricians.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Evidence-Based Practice
Background:
- Current fetal monitoring guidelines for low-risk labor recommend intermittent auscultation.
- Practice deviates, with continuous cardiotocography becoming routine, potentially eroding intermittent auscultation skills.
- The Intelligent Structured Intermittent Auscultation (ISIA) framework was developed to address this gap.
Purpose of the Study:
- To describe the practical application of the ISIA framework.
- To support clinical decision-making regarding fetal heart monitoring during labor.
Main Methods:
- Development of a knowledge translation tool based on physiological principles.
- Framework designed to support evidence-based practice for intermittent auscultation.
Main Results:
- The ISIA framework facilitates the implementation of evidence into clinical practice.
- It aids in the appropriate use of intermittent auscultation for fetal heart monitoring in low-risk labor.
Conclusions:
- ISIA is a valuable tool for knowledge translation in fetal monitoring.
- It empowers midwives with enhanced critical thinking and clinical reasoning skills.
- The framework supports the understanding and practice of normal physiological birth.
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