Fetal Heart Rate Monitoring

Fetal Heart Rate Monitoring

Author: Roger K. Freeman

Publisher: Lippincott Williams & Wilkins

Published: 2012-09-26

Total Pages: 281

ISBN-13: 1451171706

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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.


Essentials of Fetal Monitoring

Essentials of Fetal Monitoring

Author: Michelle Murray, PhD, RNC

Publisher: Springer Publishing Company

Published: 2011-04-15

Total Pages: 363

ISBN-13: 0826106382

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This comprehensive guide to fetal monitoring, now in its fourth edition, provides an exhaustive compilation of up-to-date knowledge on the signs of fetal well-being and compromise obtained from FHR monitoring. Newly revised and updated, it features two new chapters on monitoring maternal heart rate patterns and legal issues involved in care, new fetal monitor "strips," and updated visual materials, references and resources. This book is an invaluable companion for labor and delivery nurses, nurse midwives, and maternal-child and family nurses. Key Features Covers systematic assessment of the pregnant patient Addresses external and internal fetal and maternal monitoring Includes a step-by-step guide to fetal monitoring equipment and procedures Contains detailed reproductions of actual fetal monitor tracings Clarifies differences between maternal and fetal heart rate patterns Includes NICHD definitions as alternative terminology for documentation Identifies ineffective actions that can delay timely interventions Sets forth legal issues Provides skill-testing exercises This hands-on workbook, designed for long-term and frequent use, is of value for any nurse currently working in a labor and delivery setting as well as those entering the field.


Mosby's Pocket Guide to Fetal Monitoring

Mosby's Pocket Guide to Fetal Monitoring

Author: Lisa A. Miller

Publisher: Elsevier Health Sciences

Published: 2012-02-23

Total Pages: 355

ISBN-13: 0323083528

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Rev. ed. of: Mosby's pocket guide to fetal monitoring / Susan Martin Tucker, Lisa A. Miller, David A. Miller.


Handbook of Clinical Obstetrics

Handbook of Clinical Obstetrics

Author: E. Albert Reece, MD, PhD, MBA

Publisher: John Wiley & Sons

Published: 2008-04-15

Total Pages: 600

ISBN-13: 1405171847

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The second edition of this quick reference handbook for obstetricians and gynecologists and primary care physicians is designed to complement the parent textbook Clinical Obstetrics: The Fetus & Mother The third edition of Clinical Obstetrics: The Fetus & Mother is unique in that it gives in-depth attention to the two patients – fetus and mother, with special coverage of each patient. Clinical Obstetrics thoroughly reviews the biology, pathology, and clinical management of disorders affecting both the fetus and the mother. Clinical Obstetrics: The Fetus & Mother - Handbook provides the practising physician with succinct, clinically focused information in an easily retrievable format that facilitates diagnosis, evaluation, and treatment. When you need fast answers to specific questions, you can turn with confidence to this streamlined, updated reference.


CTG Made Easy E-Book

CTG Made Easy E-Book

Author: Susan Gauge

Publisher: Elsevier Health Sciences

Published: 2011-11-10

Total Pages: 176

ISBN-13: 0702046779

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This title is now available under ISBN 9780702052149. CTG Made Easy 4th edition continues the successful format of previous editions, offering a practical guide to all health professionals involved in monitoring the fetal heart rate during labour, and specifically in the interpretation of CTG traces. The workbook approach remains, with many new and updated case histories and CTGs, all using current terminology and a recommended proforma for interpretation. The book will aid health professionals to acquire competence and confidence in all aspects of fetal heart rate monitoring during labour, improving the care offered to women and babies. - In-depth debate on choice of intermittent or continuous electronic fetal heart rate monitoring enables correct identification of the appropriate method - Updated references and recommendations from latest national guidelines ensure readers have access to current research-based evidence and expert opinion - Clear explanation of the physiology of baseline and periodic abnormalities provides vital information for interpretation and assessment of fetal compromise - CTG features are described following up-to-date recommendations from NICE - Charts describe the classification of CTGs and illustrations describe variable decelerations to aid understanding - Discussion of current adjuncts to electronic fetal heart rate monitoring give the reader insight into current developments and possible future practice - RCOG and NICE proforma and classifications aid consistency in interpretation and use of terminology - Recent cases of litigation are used to demonstrate the difficulties encountered with monitoring techniques and interpretation of the data, giving the reader an insight into cases that proceed to litigation - Evidence relating to fetal monitoring in labour updated to current national guidance - Expanded section debating the issues surrounding intermittent auscultation versus continuous electronic fetal heart rate monitoring - Expanded section on the physiological control of the fetal heart rate, fetal blood sampling and acid base balance. - Risk management updated, including risks and benefits of current methods of fetal heart rate monitoring, future developments, and legal issues - References comprehensively reviewed, including NICE and RCOG clinical guidelines New online resources 20 additional CTGs and case histories are available online


Electronic Fetal Heart Rate Monitoring

Electronic Fetal Heart Rate Monitoring

Author: Julian T. Parer

Publisher: Jones & Bartlett Learning

Published: 2017-05-01

Total Pages: 350

ISBN-13: 1284146235

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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.


Analgesia, Anaesthesia and Pregnancy

Analgesia, Anaesthesia and Pregnancy

Author: Steve Yentis

Publisher: Cambridge University Press

Published: 2012-11-15

Total Pages: 425

ISBN-13: 1139789910

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Analgesia, Anaesthesia and Pregnancy focuses on pre-empting problems and maximising quality of care. Every chapter of this well-established practical guide has been completely updated and revised. All aspects of obstetric medicine relevant to the anaesthetist are covered, from pre-pregnancy management to conception, throughout pregnancy, to postnatal care. The authors have identified over 150 potential complications, each covered in two parts: 'problems/special considerations' and 'management options', with key points prominently displayed for quick reference. A section on organisational aspects such as record keeping, training protocols and guidelines makes this an important resource for any labour ward or hospital dealing with pregnant women. Presented in a clear, structured format, this practical summary will be invaluable to any anaesthetist encountering obstetric patients, whether they are a practiced consultant or still in training. It will also be useful for obstetricians, neonatologists, midwives, nurses and operating department practitioners wishing to extend or update their knowledge.


High Risk Pregnancy E-Book

High Risk Pregnancy E-Book

Author: David K. James

Publisher: Elsevier Health Sciences

Published: 2010-12-03

Total Pages: 1798

ISBN-13: 1455700002

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High Risk Pregnancy examines the full range of challenges in general obstetrics, medical complications of pregnancy, prenatal diagnosis, fetal disease, and management of labor and delivery. Drs. David James, Philip J. Steer, Carl P. Weiner, Bernard Gonik, Caroline Crowther, and Stephen Robson present an evidence-based approach to the available management options, equipping you with the most appropriate strategy for each patient. This comprehensive reference features the fully searchable text online at www.expertconsult.com, as well as more than 100 videos of imaging and monitoring. giving you easy access to the resources you need to manage high risk pregnancies. Prepare for clinical challenges and save time in addressing them thanks to expert advice on treatment options from international contributors. Find and apply the information you need quickly and easily through a consistent organization and at-a-glance summary boxes that discuss evidence-based management options. Access the fully searchable text online at www.expertconsult.com, along with links to Medline. View over 140 videos of detailed fetal imaging and monitoring that aid in diagnoses. Tap into recent developments in treatment and management in four new chapters—Global Maternal & Perinatal Health Issues; Recurrent Pregnancy Loss; Surveillance of the Fetus and its Indications; and Training for Obstetric Emergencies. Apply new evidence-based management options to treat genetic and constitutional factors leading to a high-risk pregnancy (such as diabetes, obesity, hypertension, and cardiac disease) through new and expanded coverage of these increasingly common presentations. Reference pregnancy-relevant laboratory values with an updated and comprehensive appendix on "Normal Values in Pregnancy." Effectively manage patients newly diagnosed with hematologic and immunologic malignancies, and explore the available drug options. Confirm your diagnoses with greater confidence thanks to full-color images throughout the text.