Intrapartum Fetal Heart GJ.qxp
نویسنده
چکیده
This Practice Bulletin was developed by the ACOG Committee on Practice Bulletins— Obstetrics with the assistance of Suneet P. Chauhan, MD and George A. Macones, MD. The information is designed to aid practitioners in making decisions about appropriate obstetric and gynecologic care. These guidelines should not be construed as dictating an exclusive course of treatment or procedure. Variations in practice may be warranted based on the needs of the individual patient, resources, and limitations unique to the institution or type of practice. Intrapartum Fetal Heart Rate Monitoring
منابع مشابه
Inadequate 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 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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Interpretation and analysis of intrapartum fetal heart rate, enabling early detection of fetal acidosis, remains a challenging signal processing task. Recently, a variant of the wavelet-based multifractal analysis, based on p-exponents and p-leaders, which provides a rich framework for data regularity analysis, has been proposed. The present contribution aims at studying the benefits of using t...
متن کاملContinuous cardiotocography during labour: Analysis, classification and management.
The use of continuous intrapartum electronic fetal heart rate monitoring (EFM) using a cardiotocograph (CTG) was developed to enable obstetricians and midwives to analyse the changes of fetal heart rate during labour so as to institute timely intervention to avoid intrapartum hypoxic-ischaemic injury. Although CTG was initially developed as a screening tool to predict fetal hypoxia, its positiv...
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