Fetal Heart Rate Monitoring
Lippincott Williams & Wilkins, Sep 26, 2012 - Medical - 288 pages
Fetal heart rate monitoring affects the lives of millions of women and infants every year in the United States alone. Used by all members of the obstetric team - nurses, students, midwives, and physicians – it is the primary method to assess fetal oxygenation in both the antepartum and intrapartum setting. Improving outcomes and promoting patient safety depends upon correct use and interpretation of fetal heart rate monitoring, and is crucial to daily obstetric practice. This fourth edition provides the obstetrical team a framework within which to interpret and understand fetal heart rate tracings and their implications. The text covers key issues as the physiological basis for monitoring, a discussion of fetal hypoxemia and neonatal encephalopathy, instrumentation and pattern recognition. In addition to an in-depth review of the standardized NICHD nomenclature and three-tiered FHR Category approach, there are chapters on intrapartum and antepartum management as well as fetal central nervous system effects on monitor patterns. Since fetal monitoring is primarily a screening tool there are also discussions on the use of backup methods for evaluation of abnormal patterns. This 4th edition also brings the addition of Lisa A. Miller CNM, JD, who provides a nursing and midwifery perspective as well an enhanced legal and risk management review. This new fourth edition includes: Review of neonatal encephalopathy and recent studies on CP Currentinformation and discussion of most recent NICHD panel recommendations, both antepartum and intrapartum New chapter on Pitfalls in EFM Detailed chapter on risk management, liability & documentation New section on fetal maternal hemorrhage Update on new instrumentation Crucial information on maternal/fetal coincidence and FDA warnings All chapters include updated practice tips and clinical implications for the entire obstetric team Plus, with this edition clinicians have access to a companion website with full text and an image bank for fast & simplified clinical review.
What people are saying - Write a review
We haven't found any reviews in the usual places.
Other editions - View all
accelerations acidemia AmJ Obstet Gynecol amnioinfusion amniotic fluid antepartum fetal Apgar scores asphyxia assessment associated auscultation baby biophysical profile birth blood flow bradycardia cause cerebral palsy cesarean section clinical clinician congenital contraction stress test decreased delivery diabetes Doppler electronic fetal evaluation fetal death fetal distress fetal ECG fetal heart rate fetal hypoxia fetal monitoring fetal movement fetal scalp blood fetus fetuses FHR decelerations FHR monitoring FHR tracing Figure Freeman RK gestational age heart block heart rate FHR heart rate patterns hypoxic increase infants intervention intrapartum intrapartum fetal intrauterine IUGR labor maternal metabolic acidosis neurologic newborn nonreactive nonstress test normal nurse occur oligohydramnios outcome oxytocin panel patient perinatal placenta pregnancy preterm prolonged decelerations pulse oximetry reactivity respiratory risk rupture of membranes signal sinusoidal stimulation tachycardia test results tion trial twin ultrasound umbilical artery umbilical cord uterine activity uterine contractions vaginal variable decelerations weeks