Intrapartum Fetal Monitoring: Pathophysiology and Evolution of Various Techniques
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چکیده
منابع مشابه
Use 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...
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BACKGROUND Newborns are at the greatest risk for dying during the intrapartum period, including labor and delivery, and the first day of life. Fetal heart rate monitoring (FHRM) and partogram use to track labor progress are evidence-based techniques that can help to identify maternal and fetal risk factors so that these can be addressed early. The objective of this study was to assess health wo...
متن کاملFIGO consensus guidelines on intrapartum fetal monitoring: Intermittent auscultation.
Intermittent auscultation is the technique used to listen to the fetal heart rate (FHR) for short periods of time without a display of the resulting pattern. Whether it is used for intrapartum fetal monitoring in low-risk women or for all cases in settings where there are no available alternatives, all healthcare professionals attending labor and delivery need to be skilled at performing interm...
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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...
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Electronic fetal monitoring (EFM) involves the use of cardiotocograph (CTG) to asses fetal wellbeing during labour in order to detect intrapartum fetal hypoxia early so as to institute timely and appropriate action. Indeed, when CTG was introduced into obstetric practice in the 1960s, it was expected to prevent perinatal brain injury and reduce the incidence of short term (neonatal admissions, ...
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