Health Book Citation

This article describes a standardized simplified approach to the definition interpretation and management of electronic fetal heart rate monitoring that is evidence based and reflects consensus in the literature. Fetal heart rate patterns and uterine activity would be determined through interpretation of tracings of good quality.

Electronic Fetal Heart Rate Monitoring Ipad Medical App Review

The history of efm basic equipment for fetal monitoring the physiological.

Electronic fetal monitoring interpretation. 1 when the case studies present monitoring of uterine activity ua through use of an intrauterine pressure catheter iupc the. Three tier fetal heart rate interpretation system 41 category i. The fetal heart rate tracing shows all of the following.

The impact of electronic fetal monitoring on ob stetric safety has become a high priority with documenta tion being essential to evaluating care quality. Interpretation included the category system and individual electronic fetal monitoring patterns per the eunice kennedy shriver national institute of child health and human development criteria as well as novel patterns. In this section you can learn more about the history of electronic fetal monitoring its physiologic basis and contextual details about reading fetal tracings.

Don t forget to take some quizzes. Electronic fetal monitoring patterns during the 120 minutes prior to delivery were interpreted in 10 minute epochs. Although detection of fetal compromise is one benefit of fetal.

Over several decades electronic fetal monitoring documentation has reached a higher level of precision because paper is being replaced with health information technology that incor. Standardization and elimination of unnecessary complexity are 2 of the cornerstones of improved patient safety. Electronic fetal heart rate monitoring is commonly used to assess fetal well being during labor.

For the purposes of clarity and consistency the guide to interpretation at the end of this chapter utilizes the terminology suggested by the 2008 national institute of child health and human development workshop report on electronic fetal monitoring see chapter 3. For electronic fetal monitoring the fetal heart rate traces on the top of the strip and the contractions read continuously at the bottom of the strip. Fetal heart rate monitoring is a process that lets your doctor see how fast your baby s heart is beating.

What is fetal heart rate monitoring. Baseline fhr 110 160 bpm moderate fhr variability accelerations may be present or absent no late or variable decelerations may have early decelerations. Electronic fetal monitoring efm or cardiotocography ctg was introduced in 1957 and has been in common use to determine fetal well being during the intrapartum period since the 1970s 1 2 the fetal brain is responsible for modulating the fetal heart rate fhr through sympathetic and parasympathetic pathways the resulting change is reflected in changes in the fhr and the.

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