Intrapartum Fetal Monitoring
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چکیده
A wide range of clinical techniques and investigations is available to healthcare professionals to survey the condition of a fetus in the womb. These may be deployed from early pregnancy to birth. They range from the use of traditional equipment such as a Pinard's stethoscope, which allows direct auscultation of the fetal heartbeat, to ultrasound imaging of the fetus, which gives an ever-increasing amount of morphological and functional data about the unborn child.
منابع مشابه
FIGO 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.
متن کاملInadequate fetal heart rate monitoring and poor use of partogram associated with intrapartum stillbirth: a case-referent study in Nepal
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 کاملFetal heart rate pattern notification guidelines and suggested management algorithm for intrapartum electronic fetal heart rate monitoring.
CONTEXT Numerous randomized controlled trials have demonstrated limited efficacy of intrapartum fetal heart rate monitoring in improving fetal outcome. A potential reason is the wide variability in clinical decision making seen with its use. Standardizing management of variant intrapartum fetal heart rate tracings may reduce this variability and lead to improvement in fetal outcome. OBJECTIVE...
متن کاملIntrapartum fetal surveillance.
Intrapartum hypoxia was thought to contribute to the incidence of cerebral palsy, seizures and mental retardation. Electronic fetal monitoring was expected to prevent or reduce this incidence. Electronic fetal monitoring has a high false positive rate and fetal blood sampling, which is an invasive procedure, only allows an intermittent assessment. Efforts are being made to improve fetal heart r...
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