Post by lscheidenhelm on Jul 13, 2020 17:24:01 GMT -5
Paula Greer, CNM/Lead Midwife at University of Maryland, Community Medical Group, shared the following resources to help her virtual pregnancy group participants take their vitals at home, including fundal heights. The Blood Pressure cuffs were approved by Medicaid, patients and support people taught how to take the fundal heights. Patients reported their vitals in a private chat to the MA in the virtual group when they entered the group.
Thank you for sharing these resources. I am wondering if fetal heart rates are also obtained by patients? Also, has Ms. Greer considered the implications of a missed FHT check or improper fundal height?
Post by lscheidenhelm on Jul 29, 2020 12:36:52 GMT -5
Hi Helen - all good questions! Patients and their support person are taught how to take the fundal heights with standard measuring tape given by the provider who also teaches them to use the doptone. At that visit they have a baseline of vitals they can track to see what the variations are when patients report them at the virtual visits. They have an amended schedule where they have designated in-person visits at certain weeks gestation in between the virtual group visits, some sites stated they are doing 28, 36 and then 40 week in-person visits. Standard practice would be that if there is any vital sign for Mom or fetus that seems off, they would either have the patient retake it and/or bring the patient into the clinic for an in-person visit. Hope this is helpful.