Page 221 - ترم ثاني كتاب تمريض صحة الام الكتروني

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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:

1- Internal fetal monitoring

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