Shoulder dystocia is somewhat more random than that. About half of all cases are large babies (and not all large babies are macrosomic; there have to be inappropriate proportions that I don't know the specifics of for that). So half of shoulder dystocias are babies about 8 lbs and under. And true dystocia is probably rarer than the stats would indicate. Many cases that get chalked up to it are probably just "sticky shoulders", not stuck long or hard enough to be dystocia.
If you do end up with the scalp electrode, it is possible to move around. Possibly moreso than the belly band. They should tape it to your thigh. A support person can hold and guide the wires while you change positions, walk around even. Some doulas have reported that some patients have had better mobility when switched to internal monitoring.
Of course, intermittent monitoring is the gold standard. But I know that you might end up wanting to pick your battles and that might not be one.
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timeasmymeasure
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Date: 2008-11-20 03:38 pm (UTC)If you do end up with the scalp electrode, it is possible to move around. Possibly moreso than the belly band. They should tape it to your thigh. A support person can hold and guide the wires while you change positions, walk around even. Some doulas have reported that some patients have had better mobility when switched to internal monitoring.
Of course, intermittent monitoring is the gold standard. But I know that you might end up wanting to pick your battles and that might not be one.