Intrapartum fetal monitoring : overview , controversies and pitfalls
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منابع مشابه
Fetal Heart Rate Interpretation in the Second Stage of Labour: Pearls and Pitfalls
It is vital to determine whether a fetus is showing a normal physiological response to the stress of labour or if the fetus is exposed to intrapartum hypoxia to ensure timely and appropriate management. Failure to interpret fetal heart rate correctly during second stage of labour may lead to increased maternal and neonatal morbidity due to an unnecessary caesarean section or an instrumental vag...
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Effective intrapartum fetal heart rate (FHR) monitoring requires ongoing collaboration among health care providers. Nurses, midwives, and physicians must have a shared understanding of 1) how FHR tracings are interpreted, 2) which FHR patterns are associated with actual or impending fetal acidemia, 3) when and within what time frame the physician or the midwife should be notified of variant FHR...
متن کاملFIGO consensus guidelines on intrapartum fetal monitoring: Physiology of fetal oxygenation and the main goals of intrapartum fetal monitoring.
This article focuses on themajor aspects of the physiology of oxygen supply to the fetus and the main goals of intrapartum fetal monitoring: (1) timely identification of fetuses that are being inadequately oxygenated, to enable appropriate action before the occurrence of injury; and (2) reassurance on adequate fetal oxygenation to avoid unnecessary obstetric interventions. It should be emphasiz...
متن کاملUse of fetal electrocardiogram for intrapartum monitoring.
INTRODUCTION Intrapartum fetal monitoring is essential for the identification of fetal hypoxia to reduce perinatal morbidity and mortality. Cardiotocography is associated with low specificity for fetal acidosis and poor perinatal outcome leading to unnecessary operative deliveries. ST waveform analysis of the fetal electrocardiogram has been shown to be a promising adjunctive intrapartum assess...
متن کاملIntrapartum fetal heart rate monitoring: a standardized approach to management.
Recent advances in standardized fetal monitoring nomenclature and interpretation make it possible to construct a standardized approach to intrapartum fetal heart rate management that is evidence-based and reflects consensus in the literature.
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