Fetal monitoring strip examples

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Research guidelines for interpretation. Obstet Gynecol ; 4: They often include a fetal monitoring strip, a clinical scenario, or both. A message from the heart. In most normal spontaneous labors, contractions occur with a frequency of minutes, and they may last between seconds. Table 4 lists recommended emergency interventions for nonreassuring patterns.

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The effect of continuous EFM monitoring on malpractice liability has not been well established.

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Basic Pattern Recognition

Characterized by an abrupt decline defined as onset of deceleration to beginning of nadir less than 30 seconds 14 from the FHR baseline value and an equally abrupt recovery, variable decelerations display a variety of waveforms, such as V, U, W, or combinations Fig. When hemorrhage follows scalp electrode placement, placental perforation or abruptio placentae should be suspected. In the United States, an estimated infant deaths per year are associated with intrauterine hypoxia and birth asphyxia. This explains the initial increase in heart rate shoulder preceding the deceleration. Variable FHR decelerations are variable in shape as well as in timing with respect to the uterine contraction pattern. Saling E, Schneider D: The use of fetal pulse oximetry in clinical practice can not be supported at this time.

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