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 over the last 12 months — 5 in all, peaking in Jul 2026 with 3.

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Talking O&G - a RANZCOG Podcast · E21. Unpacking RANZCOG’s Intrapartum Fetal Surveillance Clinical Guideline (audio) · 5 Jun 2026 podcast

I think, you know, during the third trimester the group agreed, um, bef long before Labour takes place.

And then um, of course, on presentation in Labour and during Labor, um uh things can change.

I think we used to rely on childbirth education a lot to um uh inform women and it 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 um women should uh have a discussion about the advantages and disadvantages of various forms of fetal monitoring with their clinicians who'll be looking after them.

It was really important for us to consider um uh all of the risks associated.

And the the things that are of most importance to women.

Um, 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.

Um, 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 um 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 a 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.

Um and, you know, it's probably related to subtle changes in placental function and uh therefore lower tolerance for the fetus for the stress of labor.

Um and this has been known for a long time.

We've always known that there was that slight increase in stillbirth, but sort of accepted the risk.

And I think um the guideline group

you know, now decided that really we should be sticking to the evidence and having that discussion.

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