Page 70 - 2023 Elctronic Book (3) Normal Labor_Neat

Electronic Fetal Monitoring

 Overall Aim:
Each student will be able to recognize indication of fetal monitoring and identify

abnormalities of fetal heart rate patterns and their causes.
 ILOs:
I-Knowledge and understanding:

1- Define fetal monitoring.
2- List indication of fetal monitoring.
3- Identify types of fetal monitoring.

4- Identify abnormalities of fetal heart rate patterns, their causes and management.
II-Intellectual skills:
1- Differentiate between internal and external cardiotocography.

2- Differentiate between different methods of assessing fetus during labor.
III- Practical skills:
1- Apply nursing care for woman with abnormal fetal heart rate.
2- Demonstrate procedure of fetal monitoring (internal or external).

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.

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