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Electronic Fetal Monitoring Interpretation. 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. What is fetal heart rate monitoring. 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. The fetal heart rate tracing shows all of the following.
Fetal heart rate monitoring is a process that lets your doctor see how fast your baby s heart is beating. Baseline fhr 110 160 bpm moderate fhr variability accelerations may be present or absent no late or variable decelerations may have early decelerations. 1 when the case studies present monitoring of uterine activity ua through use of an intrauterine pressure catheter iupc the. The history of efm basic equipment for fetal monitoring the physiological. Electronic fetal monitoring patterns during the 120 minutes prior to delivery were interpreted in 10 minute epochs. What is fetal heart rate monitoring.
Standardization and elimination of unnecessary complexity are 2 of the cornerstones of improved patient safety.
The history of efm basic equipment for fetal monitoring the physiological. 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. 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. The history of efm basic equipment for fetal monitoring the physiological. The fetal heart rate tracing shows all of the following.