Fetal Heart Tracing: All You'll Ever Need to Know - Flo Typically performed in the later stages of pregnancy and during labor, fetal heart tracing results can say a lot about the health of your baby. *umbilical cord compression*, which can result from cord wrapping, fetal anomalies, or knots in cord You are turning on Local Settings. By Brandi Jones, MSN-ED RN-BC Absent. SecondLook - Fetal Heart Rate Tracing - University of Michigan Electronic fetal monitoring is performed in a hospital or doctors office. Intrapartum fetal monitoring was developed in the 1960s to identify events that might result in hypoxic ischemic encephalopathy, cerebral palsy, or fetal death. Sometimes, you may not be as far along as you thought and its just too early to hear the heartbeat. What kind of decelerations and variability does this strip show? You have to lie down or sit in a reclined position for the test, which lasts about 20 minutes. I actually went over the Second Look (files) twice - once immediately after doing the lecture and lab to help reinforce what I learned, and then again before the exam as a review. https://www.mayoclinic.org/tests-procedures/nonstress-test/about/pac-20384577 Fetal Heart Tracing - Factile For example, if there is a drop in FHR, and then 30 seconds later it rises again, this is more likely a deceleration than a fetal bradycardia. Compare maternal pulse simultaneously with FHR, According to AWHONN, the normal baseline Fetal Heart Rate (FHR) is. Assessment of heart rate variability (HRV) is a sensitive indicator of autonomic nervous system function and is used in numerous fields of clinical medicine, including cardiology, neurology, and anesthesiology. OB final - Important points to know - Blueprint for final - Theory -pressure on fetal head Theyre empowered by these results to intervene and hopefully prevent an adverse outcome. What are the two most important characteristics of the FHR? Am I Having Depression During Pregnancy? The recommendations for the overall management of FHR tracings by NICHD, the International Federation of Gynecology and Obstetrics, and ACOG agree that interpretation is reproducible at the extreme ends of the fetal monitor strip spectrum.10 For example, the presence of a normal baseline rate with FHR accelerations or moderate variability predicts the absence of fetal acidemia.10,11 Bradycardia, absence of variability and accelerations, and presence of recurrent late or variable decelerations may predict current or impending fetal asphyxia.10,11 However, more than 50 percent of fetal strips fall between these two extremes, in which overall recommendations cannot be made reliably.10 In the 2008 revision of the NICHD tracing definitions, a three-category system was adopted: normal (category I), indeterminate (category II), and abnormal (category III).11 Category III tracings need intervention to resolve the abnormal tracing or to move toward expeditious delivery.11 In the ALSO course, using the DR C BRAVADO approach, the FHR tracing may be classified using the stoplight algorithm (Figure 19), which corresponds to the NICHD categories.9,11 Interventions are determined by placing the FHR tracing in the context of the specific clinical situation and corresponding NICHD category, fetal reserve, and imminence of delivery (Table 4).9,11, If the FHR tracing is normal, structured intermittent auscultation or continuous EFM techniques can be employed in a low-risk patient, although reconsideration may be necessary as labor progresses.2 If the FHR tracing is abnormal, interventions such as position changes, maternal oxygenation, and intravenous fluid administration may be used.
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