Fetal Heart Rate Monitoring
Edition:
4
ISBN/ISSN:
9781451116632
9781451116632
Fetal heart rate monitoring affects the lives of millions of women and infants every year in the United States alone. ...
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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
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Edition4ISBN/ISSN9781451116632Product FormatHardcover BookTrim Size8.375 x 10.875Pages288Illustration500Table50Edition4Publication DateMay 17, 2012Weight1.8
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- Roger K. Freeman MD
- MemorialCare Center for Women
Miller Children’s Hospital
Long Beach Memorial Medical Center
Long Beach, California
Director Mednax Medical Group
Clinical Professor of Obstetrics and Gynecology
University of California, Irvine
- Thomas J. Garite MD
- E.J. Quilligan Professor Emeritus
Department of Obstetrics and Gynecology
University of California, Irvine
Orange, California
Director of Research and Education
Pediatrix Medical Group
Sunrise, Florida
- Michael P. Nageotte MD
- Professor
Department of Obstetrics and Gynecology
University of California, Irvine
Orange, California
Executive Careline Director
Women's Hospital
Long Beach Memorial Medical Center
Long Beach, California
- Lisa A Miller C.N.M., J.D.
- Consultant
Perinatal Risk Management & Education Services
Portland, Oregon
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1 History of Fetal Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
2 Physiologic Basis of Fetal Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
3 Intrauterine Hypoxia and Other Causes of Neonatal Encephalopathy
and Cerebral Palsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
4 Instrumentation and Artifact Detection Including Fetal Arrhythmias . . . . . . . 41
5 Uterine Contraction Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
6 Basic Pattern Recognition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
7 Umbilical Cord Blood Gases to Assess Fetal Condition at Birth . . . . . . . . . . 112
8 Clinical Management of Abnormal Fetal Heart Rate Patterns . . . . . . . . . . . . 119
9 Alternative and Backup Methods to Improve Interpretation of
Concerning FHR Patterns . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 156
10 Evaluation and Management of Fetal Heart Rate Patterns
in Premature Gestation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165
11 Antepartum Fetal Monitoring. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 179
12 Antepartum Management of the High-Risk Patient . . . . . . . . . . . . . . . . . . . . 201
13 Fetal Heart Rate Patterns Associated with Fetal Central
Nervous System Dysfunction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 218
14 Liability and Risk Management in Fetal Monitoring . . . . . . . . . . . . . . . . . . . 235 -
- NEW Addition of Neonatal Encephalopathy and recent studies on CP
- NEW information and discussion of most recent NICHD panel recommendations
- NEW New Pitfalls chapter
- NEW section on fetal maternal hemorrhage
- NEW Update on new instrumentation
- NEW Updated information on maternal/fetal coincidence and FDA warnings
- Clear, concise, easy to follow text
- Considered "gold standard" in fetal heart rate monitoring
- Includes a variety of strips to review
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"The book succeeds at becoming the definitive textbook for antepartum surveillance."
"This is a welcome update of this book on the interpretation and management of fetal tracing. The revision was necessary given the significant changes in terminology. It would have been great if more new data had emerged about the management of tracings, but that is not a limitation of the book as much as a limitation of the science around improvements."
- Doody's Book Review (November 2012)
Anthony Shanks, MD(Washington University School of Medicine)
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Fetal Heart Rate Monitoring
ISBN/ISSN: 9781451116632
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