By Donald Gibb MD MRCP FRCOG MEWI, Sabaratnam Arulkumaran PhD DSc FRCS FRCOG
This name is directed basically in the direction of wellbeing and fitness care pros outdoors of the us. basic, direct and functional, this well known publication has been comprehensively up to date to hide contemporary instructions and systems. It deals a pragmatic and available method of fetal tracking, to make sure either secure supply and recognising the emotional wishes of the mum and relatives. crucial innovations are provided in an available demeanour, good illustrated with genuine case histories and heart-rate styles
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Extra resources for Fetal monitoring in practice
Sample text
In a non-hypoxic fetus there is increased variability during a deceleration on account of autonomic response. When hypoxia develops there is a tendency to reduced variability. Baseline variability and decelerations – exception to the rule A deceleration is defined when the FHR decelerates by more than 15 beats from the baseline for more than 15 s. However, this rule does not apply when the baseline variability is less than 5 beats and any deceleration even less than 15 beats from the baseline could be ominous (Fig.
Fetal sleep, influence of some drugs, infection and intracerebral haemorrhage. Hence the need for clinical correlation to the CTG findings. A deceleration is a transient episode of slowing of the fetal heart rate below the baseline level of more than 15 bpm and lasting 15 s or more. Decelerations may be greater than this but not significant when other features of the heart rate are normal. The World Health Organization/FIGO definition of duration of a deceleration is 10 s which is too short and includes many normal patterns.
This can be adjusted on most machines; however, it is also affected by using the incorrect paper for the machine. The length of the CTG strip depends on the paper speed. In the UK it is usually 1 cm/min while in the USA it is 3 cm/min. As the pattern of the trace is dramatically altered by a change in paper speed this can lead to confusion. It should, therefore, be standardized. Because there is not much to be gained by the faster paper speed with a consequent greater consumption of paper the slower speed of 1 cm/min should be selected.