Page 80 - 33Elctronic Book (3) Normal Labor

- Chronic fetal anemia.

Management:
-Continuous, careful, fetal assessment including direct ultrasound observation of fetal
abnormalities or placental abnormalities.

- Assessment for active fetal movement is important in assessing fetal status.
- Percutaneous umbilical blood sampling under ultrasound guidance is a technique that
permits fetal hemoglobin levels to be assessed.
- Preparations for a possible emergent delivery should be initiated if intrauterine

resuscitation is not appropriate.

➢ Method of electronic fetal monitoring

I-External fetal monitoring

Equipment:
1- Bedside monitor unit
2- Two transducer or sensor (one sensor for FHR and the other one for uterine activity)

3- Paper strip
4- Belts to hold the sensors or transducer.
5- Ultra sound Gel.

1) Hand washing
2) Prepare equipment

3) Keep privacy
4) Explain the procedure and teach the mother that using electronic monitoring does not
mean that you or the baby has a problem- it's a common way we assess the baby's response
to labor contraction.

5) Verify doctor order.
6) use Leopold’s maneuver or grips To locate the fetus back

7) Apply ultra sound gel to the transducer as gel improues the transmission of ultra sound
wave.
8) Place the transducer on the woman's abdomen at approximately of fetal back, move the
sensors until a clear signal's heard.

9) Place the uterine activity sensor in the fundal area or the area where contraction feel
strongest when palpate
10) Apply belts; slide both belts under the women's back

11) Observe the strip for baseline fetal heat rate and contraction frequency and duration

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