Fetal monitoring strip examples

Exercises in Electronic Fetal Monitoring The exercises presented in this chapter are meant to facilitate the integration of the didactic information contained within the text of this book into the processes of critical thinking necessary for practicing the skill of electronic fetal monitoring EFM. When gaps in the data occur, the passage of time is denoted at the start of the subsequent portion of the fetal strip chart. It is necessary to recognize that the information presented within the case studies has been preserved for the purpose of being as accurately reflective of actual circumstances as is possible without breaching confidentiality. Therefore, the interpretations and interventions presented within each case study are not necessarily reflective of the best practices or current standard of care. Comparison with the Guide to Interpretation located in the second half of this chapter and with current, evidence-based practice is essential in promoting appropriate clinical decision making. The Guide to Interpretation is based upon the reasoning and parameters for evaluating EFM data as have been explained throughout the preceding chapters.

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Basic Pattern Recognition

Interpretation of the Electronic Fetal Heart Rate During Labor - American Family Physician

Cardiotocography CTG is a technical means of recording the fetal heartbeat and the uterine contractions during pregnancy. The machine used to perform the monitoring is called a cardiotocograph , more commonly known as an electronic fetal monitor EFM. A refined antepartal, non-invasive, beat-to-beat version cardiotocograph was later developed for Hewlett Packard by Konrad Hammacher. CTG monitoring is widely used to assess fetal wellbeing. More up-to-date research is needed to provide more information around this practice. CTG monitoring can sometimes lead to medical interventions which are not necessarily needed. External Cardiotocography can be used for continuous or intermittent monitoring.
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Fetal Heart Monitoring: What’s Normal, What’s Not?

Both of these are very serious problems. If medical professionals fail to use fetal heart rate monitors as indicated, use monitors incorrectly, improperly interpret monitor readouts, or fail to intervene when necessary, the consequences could be serious. If the baby is harmed by negligent actions related to fetal heart rate monitoring, this constitutes medical malpractice.
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Related Editorial. Electronic fetal heart rate monitoring is commonly used to assess fetal well-being during labor. Although detection of fetal compromise is one benefit of fetal monitoring, there are also risks, including false-positive tests that may result in unnecessary surgical intervention. Since variable and inconsistent interpretation of fetal heart rate tracings may affect management, a systematic approach to interpreting the patterns is important. The fetal heart rate undergoes constant and minute adjustments in response to the fetal environment and stimuli.
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