Dr Penny Sheehan
speaker
716 appearances
5 recordings
1 series
first heard Jun 2026
last heard 20 Jul
Dr Penny Sheehan’s voice in public audio — every appearance, attributed to the second.
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recordings per month · last 12 monthsRecordings per month over the last 12 months — 5 in all, peaking in Jul 2026 with 3.
Appearances
It's very difficult to conduct trials on fetal monitoring in a rigorous way.
A lot of the evidence has still got quite a lot of uncertainty at the moment.
Usually the group made strong recommendations where on the basis of moderate evidence and conditional recommendations where the evidence was low or very low.
And of course, then we have our good practice recommendations, which cover, they make suggestions where the evidence is lacking.
So, you know, fellows of the college and colleagues will be really familiar with this as an emerging area of importance in our field.
And people will be familiar with the principles of shared decision making and also respectful maternity care.
And Safe Care has just published a new framework for respectful maternity care, which might be of interest.
Look, it's really important that this discussion occurs between the clinician and the patient at multiple stages.
I think, you know, during the third trimester, the group agreed long before labour takes place.
And then, of course, on presentation in labour and during labour, things can change.
I think we used to rely on childbirth education a lot to inform women and that was kind of local to services and it included things about practice at the service.
But now women are getting their information from so many different sources.
I think it's really important to have the conversation.
I think the group decided that women should have a discussion about the advantages and disadvantages of various forms of fetal monitoring with their clinicians who will be looking after them.
It was really important for us to consider all of the risks associated.
And the things that are of most importance to women, you know, in these sort of conversations you might find that for women the most important thing is to be able to be in water, whereas for me the most important thing might be to monitor this baby that I suspect of being small.
So it's good to have that discussion between the two.
For a start, we've got a table outlining antenatal and intrapartum risk factors, and it's divided into the strong and conditional evidence bases with an emphasis on it's divided into those groups on the basis of the evidence.
It suggests continuous CTG monitoring be offered where risk factors have been identified.
The evidence is clear that the perinatal outcomes are worse after 41 weeks.
Showing 501–520 of 716 · page 26 of 36
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