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Point-of-Care Assessment in Pregnancy and Women’s Health: by Cydney Afriat Menihan CNM MSN RDMS C-EFM, Ellen Kopel MS

24 February 2017 adminWomens Health

By Cydney Afriat Menihan CNM MSN RDMS C-EFM, Ellen Kopel MS RNC-OB C-EFM

Point-of-Care review in being pregnant and Women's well-being: digital Fetal tracking and Sonography can provide an excellent origin in digital fetal tracking (EFM) and sonography –techniques basic to the evaluate of the fetus and feminine patient.

Brought to you through the authors of digital Fetal tracking: options and Applications, this e-book is written of their signature functional and available kind and is the 1st to target medical software of either EFM and sonography less than one hide. This ebook is aimed at nurses, midwives, doctor assistants, citizens, practising physicians, and different women’s wellbeing and fitness prone who make the most of those applied sciences and their information in sufferer management.

Heavily illustrated with case stories, examples, figures, and pictures, this modern ebook grants the instruments to:
• Sharpen your point-of-care review talents and review of fetal well-being
• perform interpretation of EFM tracings via self-assessment
• enhance your figuring out of either EFM and ultrasound equipment
• Optimize information and picture acquisition
• extend your comprehension of EFM patterns
• Be on the vanguard of incorporating point-of-care sonography into medical practice.

The first element of the ebook, digital Fetal tracking, provides in-depth information regarding body structure, instrumentation, antepartum and intrapartum fetal overview and development interpretation, info expertise, and medical competence. the following part, Sonography, presents an creation to picture acquisition in addition to imaging parameters for all elements of point-of-care obstetric and gynecologic sonography, together with assisted copy. It additionally highlights the medical interdependence of point-of-care sonography as a complementary expertise together with EFM.

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Additional info for Point-of-Care Assessment in Pregnancy and Women’s Health: Electronic Fetal Monitoring and Sonography

Sample text

You can only assess it at times when my baseline can be assessed— and that’s not during accelerations, decelerations, or contractions! 1,2 The presence of moderate variability indicates that the autonomic and central nervous systems of the fetus are well developed and well oxygenated. Moderate variability is also a reassuring indication that the fetus is maintaining a measure of tolerance to the changes in blood flow that occur during labor. 2,5 Attention to and accurate assessment of variability are essential components in the practice of EFM because moderate variability is one of the most important and predictive aspects of the FHR tracing.

Am J Obstet Gynecol. 1976;126(6):699–706. American College of Obstetricians and Gynecologists. Intrapartum Fetal Heart Rate Monitoring: Nomenclature, Interpretation, and General Management Principles. ACOG Practice Bulletin 106. Washington, DC: Author; 2009. Association of Women’s Health, Obstetric and Neonatal Nurses. Nursing Care and Management of the Second Stage of Labor. 2nd ed. Washington, DC: Author; 2008. Simpson KR, James DC. Effects of immediate versus delayed pushing during second-stage labor on fetal well-being: A randomized clinical trial.

Comp Biochem Physiol A Mol Integr Physiol. 1998;119(3):711– 716. Pomerance J. Interpreting Umbilical Cord Blood Gases. 2nd ed. Glendora, CA: BNMG; 2012. Low JA, Victory R, Derrick EJ. Predictive value of electronic fetal monitoring for intrapartum fetal asphyxia with metabolic acidosis. Obstet Gynecol. 1999;93:285– 291. Macones G, Depp R. Fetal monitoring. In: H Wildschut, C Weiner, T Peters, eds. When to Screen in Obstetrics (c) 2015 Wolters Kluwer Health. All Rights Reserved. CHAPTER 1 Maternal–Fetal Physiology of Fetal Heart Rate Patterns and Gynecology.

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