Intrapartum Electronic Foetal Monitoring : Does it Lead or Mislead?
| Autor: | Shakti Vardhan, TK Bhattacharyya, Sps Kochar, SK Kathpalia |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Pregnancy
Fetus education.field_of_study medicine.medical_specialty Neonatal intensive care unit medicine.diagnostic_test Stethoscope business.industry Obstetrics Population General Medicine Auscultation Review Article Uterine hyperstimulation medicine.disease female genital diseases and pregnancy complications law.invention law embryonic structures medicine Childbirth business education reproductive and urinary physiology |
| Zdroj: | Medical journal, Armed Forces India. 62(1) |
| ISSN: | 0377-1237 |
| Popis: | The importance of foetal monitoring during labour is well recognised. The stress of uterine contractions affects the foetus adversely especially if the foetus is already compromised when the placental reserves are suboptimal or when cord undergoes compression as in diminished liquor amnii maternal metabolic and haemo dynamic alterations (e.g. hypotension due to epidural labour analgesia) or iatrogenic uterine hyperstimulation due to injudicious use of oxytocin. Auscultation of the foetal heart sounds with stethoscope or the use of Doppler is the commonly available method of intrapartum foetal monitoring. However its intermittent nature led to the feeling amongst obstetricians that this form of monitoring is inadequate. Hence continuous electronic foetal monitoring (EFM) came in vogue in the late 1960s. It came with very high expectations that it will be able to pick up all cases of intrapartum foetal distress early in labour and prevent neonatal deaths with improved Apgar-score and decreased Neonatal Intensive Care Unit (NICU) admissions. (excerpt) |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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