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PERCEPTION IS NOT REALITY
It is often stated that perception is reality. If the mind is not analytical and an individual acts upon subjective information formed from impression rather than fact then one's perception leads to actions which to that individual is reality but may not be based on fact. Perception is “apprehending by means of the senses or the mind”, while reality is “a real thing or fact”. Therefore by lexicographical definition perception is not reality!

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Discoveries In IUP Monitoring
Studies indicate that intrauterine pressure catheters are frequently and inadvertently placed outside the amniotic membranes between the chorion and decidua (extraovular).
Studies indicate that intrauterine pressure catheters are frequently and inadvertently placed outside the amniotic membranes between the chorion and decidua (extraovular). This placement is unreliable and unsafe with risk of abruption and fetal distress especially during amnioinfusion.

 

  

 
If we let our actions be governed by fact rather than by perception, we will be safer in our practice. For example, studies have shown that IUP catheters can be inadvertently placed outside the amniotic membranes, or vacuum cups can be placed away from the flexion point. Actions of these types can result in untoward effects.

At Clinical Innovations, we try hard to base the design of products on scientific facts rather than subjective perceptions. Our training and educational programs are also aimed to aid the clinician in learning and using sound principles which lead to safer and better practice of medicine.		 .
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Flexion Point
Correct technique with a vacuum cup should enhance the normal processes of labor and should not depend on traction alone to effect delivery of the baby. The key is to locate the flexion point and place the vacuum cup properly over it. The flexion point is situated on the sagittal suture 3 cm in front of the posterior fontanel.

When a vacuum cup is attached to the head and traction is applied, the cup becomes the leading part. The center of the cup should correspond to the flexion point so that traction in the line of the pelvic axis will result in the most favorable presenting diameters of the head leading through the birth canal.

 Correct technique with a vacuum cup should enhance the normal processes of labor and should not depend on traction alone to effect delivery of the baby. .
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This Month's Winners
Winner receives Essentials in Clinical Monitoring
Sally L. Avenson, Seattle, WA
Carol A. Burke, Chicago, IL
Cheryl Stauffenecker, Warren, MN
Prize: Essentials Of Fetal Monitoring by Michelle Murry

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