Fetal heart rate monitoring: a practical guide
Oxford University Press, Aug 26, 1993 - Medical - 326 pages
The benefit of fetal heart rate monitoring during labor is the subject of fierce debate. This practical guide is an updated edition of the original work by the Ingemarssons, and has been adapted for an international audience by John Spencer. The book is written in the belief that correct use and interpretation of the technique is of vital importance in establishing its value in surveillance. The authors first discuss the physiological mechanisms influencing fetal heart rate and the general principles of monitoring. They then describe the patterns found in a range of clinical situations, using numerous illustrations of traces to aid recognition and interpretation. Throughout, the book draws upon up-to-date research findings as well as the authors' personal experience to encourage rational use of the technique. This is an ideal introductory text to the practice of fetal heart rate monitoring which will be of value to obstetricians, midwives, and all staff on the maternity unit.
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Technical aspects of fetal heart rate monitoring
Maternal and fetal acidbase balance
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absent variability acidaemia Admission Test American Journal amplitude antepartum CTG Apgar scores asphyxia assessment associated with fetal auscultation basal tone baseline FHR baseline rate baseline variability bradycardia Caesarean section caption opposite cardiotocography cent cervix clinical combined decelerations continuous FHR monitoring cord compression CTG records delivery duration epidural external fetal acidosis fetal activity fetal blood sampling fetal distress fetal heart rate fetal hypoxia fetal movements fetal scalp blood fetal well-being fetus FHR changes FHR pattern FHR record frequency gestation indicate Ingemarsson intrauterine pressure record Journal of Obstetrics late decelerations long-term variability loss of variability low variability maternal mmHg neonatal non-stress test normal FHR normal variability Obstetrics and Gynecology occur oligohydramnios oxytocin infusion placental abruption pregnancy primipara prolonged deceleration pronounced variable decelerations reactive risk scalp blood pH scalp electrode second stage short-term variability spontaneous labour stage of labour tachycardia terbutaline ultrasound umbilical artery umbilical cord uterine contractions vaginal variable decelerations weeks