This comprehensive text emphasizes the practical application of electronic fetal monitoring (EFM). Case scenarios link various clinical situations with data interpretation to promote critical thinking. Relevant, up-to-date research helps readers develop problem solving skills; identify optimal treatment responses; and become familiar with the disease and nondisease conditions in pregnant patients that affect fetal health. More than 170 EFM strips complement the text. This edition has more monitoring strips and a new chapter on electronic record-keeping by a well-known expert. Electronic Fetal Monitoring: Concepts and Applications, Second Edition is a must-have purchase for anyone responsible for EFM interpretation.
This book offers clinicians involved in perinatal care a detailed and in-depth perspective on electronic fetal monitoring (EFM). Topics include EFM management, antepartum and intrapartum fetal assessment and application of EFM in abnormal pregnancy, obstetrical complications, fetal acid-base balance, and fetal arrhythmias. Variant fetal heart rate patterns are presented with interpretation, diagnosis and comments from experts who have wealthy experience in high risk pregnancy intervention. It will be a valuable reference for physicians, nurses, and midwives who are responsible for initiating, performing, and interpreting EFM.
Electronic Fetal Heart Rate Monitoring: The 5-Tier System, Third Edition reviews the practice of fetal heart rate monitoring. Beginning with a description of the anatomy of fetal circulation, placental function as a respiratory organ, and acid-base balance, it also presents normal fetal cardiovascular and cerebral metabolism. In addition, the pathophysiologic mechanisms involved in progressive fetal asphyxia are examined via a review of the seminal animal and human studies conducted in this field. Also included is a brief summary of fetal heart rate monitoring technology currently used in clinical practice and standard nomenclature for fetal heart rate characteristics. Variant fetal heart rate patterns and the underlying physiologic mechanisms are presented as well.
Fetal heart rate monitoring affects the lives of millions of women and infants every year in the United States alone. Used by all members of the obstetric team - nurses, students, midwives, and physicians – it is the primary method to assess fetal oxygenation in both the antepartum and intrapartum setting. Improving outcomes and promoting patient safety depends upon correct use and interpretation of fetal heart rate monitoring, and is crucial to daily obstetric practice. This fourth edition provides the obstetrical team a framework within which to interpret and understand fetal heart rate tracings and their implications. The text covers key issues as the physiological basis for monitoring, a discussion of fetal hypoxemia and neonatal encephalopathy, instrumentation and pattern recognition. In addition to an in-depth review of the standardized NICHD nomenclature and three-tiered FHR Category approach, there are chapters on intrapartum and antepartum management as well as fetal central nervous system effects on monitor patterns. Since fetal monitoring is primarily a screening tool there are also discussions on the use of backup methods for evaluation of abnormal patterns. This 4th edition also brings the addition of Lisa A. Miller CNM, JD, who provides a nursing and midwifery perspective as well an enhanced legal and risk management review. This new fourth edition includes: Review of neonatal encephalopathy and recent studies on CP Currentinformation and discussion of most recent NICHD panel recommendations, both antepartum and intrapartum New chapter on Pitfalls in EFM Detailed chapter on risk management, liability & documentation New section on fetal maternal hemorrhage Update on new instrumentation Crucial information on maternal/fetal coincidence and FDA warnings All chapters include updated practice tips and clinical implications for the entire obstetric team Plus, with this edition clinicians have access to a companion website with full text and an image bank for fast & simplified clinical review.
Written by specialists in health care for women and infants, this comprehensive text emphasizes the practical application of electronic fetal monitoring (EFM). Case scenarios link various clinical situations with current fetal monitoring techniques and data interpretation. Relevant, up-to-date research helps readers develop problem solving skills; identify optimal treatment responses; and become familiar with the disease and nondisease conditions in pregnant patients that affect fetal health. A must have purchase for anyone responsible for EFM interpretation.
Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. The newly updated Electronic Fetal Monitoring: Concepts and Applications, 3rd Edition, is an invaluable guide for clinicians (nurses, nurse-midwives, physicians) responsible for ordering, initiating, performing, and interpreting electronic fetal monitoring (EFM). Written by OB/GYN nurses and advanced practitioners, this combination textbook/workbook offers clinicians involved in perinatal care a uniquely detailed, in-depth, and historical perspective on EFM. Topics include maternal-fetal physiology, EFM instrumentation, antepartum and intrapartum fetal assessment and pattern interpretation, and a variety of additional issues and challenges relevant to the current state of EFM practice. Applicable to both the novice and seasoned practitioner, this text is useful as a both a primer for this specialty field and also as a detailed resource to ready for the NCC Certificate of Added Qualification in EFM. Upgrade and update your EFM skills with: Examples of EFM tracings that demonstrate the points presented in the text– including 22 case studies annotated with real-time bedside interpretation, followed by expert review with commentary to support these analyses. Validation of knowledge - New! End-of-chapter study questions and answers are a perfect supplement for certification exam preparation. For the educator, methods of competence validation are discussed and presented in detail. Up-to-date EFM guidelines - explained and demonstrated in real-life, situational context Concise, easy-to-follow support for optimal acquisition and assessment of EFM data, and proper response to findings. Expert advice on handling both clinical and instrumental challenges related to EFM. Detailed explanation of the workings of EFM equipment and technology. Proven algorithms for management of antepartum testing and of EFM data, outlining specific interventions and their rationales. Coverage of crucial knowledge, including maternal-fetal physiology of fetal heart rate patterns and management of unusual EFM tracings, common problems and more. Chapter features include helpful tips (“Stork Bytes”) to highlight important points. Your book purchase includes a complimentary download of the enhanced eBook for iOSTM, AndroidTM, PC, and Mac. Take advantage of these practical features that will improve your eBook experience: The ability to download the eBook on multiple devices at one time—providing a seamless reading experience online or offline Powerful search tools and smart navigation cross-links that allow you to search within this book, or across your entire library of VitalSource eBooks Multiple viewing options that enable you to scale images and text to any size without losing page clarity, as well as responsive design The ability to highlight text and add notes with one click About the Clinical Editors Cydney Afriat Menihan, CNM, MSN, RDMS, is a Nurse Midwife and Perinatal Consultant in North Kingstown, Rhode Island. Ellen Kopel, RNC, MS, is a Nurse Educator and Perinatal Consultant in Tampa, Florida.
Find real-world, clinically useful information on all aspects of electronic fetal monitoring! Written by clinicians for clinicians, Mosby’s Pocket Guide to Fetal Monitoring: A Multidisciplinary Approach, 9th Edition provides an evidence-based, collaborative approach to fetal heart monitoring during labor and in the antepartum period. It covers the physiologic basis for FHR monitoring, methods and instrumentation, standardized terminology, pattern recognition and interpretation, and management of care. Authored by a nurse-midwife, a perinatologist, and a nurse, this compact guide prepares you for success on the EFM certification exam and for success in today’s clinical practice. Pocket-sized format makes this guide ideal to carry and use in the clinical setting, and a colorful design makes information easier to find. Coverage of fetal heart rate assessment, evaluation, interpretation, and management is supported by evidence-based practice and literature, helping you prioritize care and make clinical decisions. Patient safety and risk management strategies include case studies and legal commentary, plus guidelines for providing safe and competent care. Information on the relationship between fetal heart rate patterns and neonatal outcomes provides a guide to the correct use of fetal monitoring. Illustrations, tables, and fetal monitor tracings highlight critical information. Coverage of innovative practices supports patient safety and improved outcomes through the use of a common language for fetal heart rate patterns, a standardized approach to interpretation, a discussion of emergency preparedness, and a discussion of human factor issues such as improved communication, situational awareness, no-fault/just culture, and teamwork. Practical appendices offer a guide to FHR tracings and interpretation as well as self-assessment questions for credentialing and certification exam preparation. Expert author team provides clinical insight along with international presence. NEW information on Category II tracing management is included. NEW! Expanded section on common misconceptions and myths includes evidence supporting factual EFM characteristics. NEW! Detailed information on documentation and legal issues is added. NEW EFM tracings with interpretation are added.
