Page 201 - كتاب تمريض نسا الاكتروني

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IV- General and transferable skills:
1) Cooperate with other health care team to manage woman with abnormal fetal heart rate.
2) Value importance of fetal monitoring during labor.

Definition:

Electronic fetal monitoring involves the use of an electronic fetal heart rate monitor to
record the baby's heart rate…. Electronic fetal monitoring is performed late in pregnancy
or continuously during labor to ensure normal delivery of health baby.

 Indications for continuous electronic fetal monitoring:

 Antenatal maternal risk factors:
− Previous caesarean section.
− Pre- eclampsia or pregnancy- induced hypertension.

− Recurrent antepartum hemorrhage.
− Prolonged membrane rupture (> 24 hours).
− Diabetes.

− BMI at booking > 35 Kg/ m2
 Antenatal fetal risk factors:
− Suspected fetal grow resistance.

− Suspected oligohydramnios or Polyhydramnios.

− Abnormal presentation breech, transverse oblique
− High or free head in nulliparous woman.

− Reduced fetal move in the previous 24 hours.
− Other significant maternal medical disease or risk Factor requiring obstetric, including
prematurity and multi pregnancies.

 The Goal of Electronic fetal monitoring (EFM) is:

• Reduce fetal death
• Reduce brain injury
• Provide documentation of labor

 Types of fetal monitoring:

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