Fetal Monitoring Interpretation

Thoroughly updated for its Second Edition, Fetal Monitoring Interpretation describes and illustrates the full range of patterns revealed by fetal monitoring and explains their clinical significance. The book uses case studies and high-quality tracings accompanied by detailed teaching diagrams usually found only in anatomical and surgical atlases. This edition includes twenty new case illustrations with teaching diagrams and five added tracings that present rare and unique patterns. The text incorporates the changes in terminology recommended by the 2008 workshop jointly sponsored by the National Institute of Child Health and Human Development, the American College of Obstetricians and Gynecologists, and the Society for Maternal-Fetal Medicine. Five new sections have been added: * Pattern Transitions: Emphasizing the dynamic process of bedside assessment of the fetus, this section focuses on changes occurring over time, influenced by factors such as maternal health, pre-existing fetal health, gestation, and medications/anesthesia. * Antepartum Monitoring: The first edition focused on intrapartum monitoring. The second edition presents a new section on the unique interpretation in the antepartum setting. * Patterns Associated with Disease States and Other Conditions: For the first time, a section is included that begins with a maternal or fetal condition or the fetal environment and addresses potential fetal heart rate patterns that might be associated. * Technology Behind Fetal Monitoring and Adjuncts to Fetal Assessment: This new section reviews adjunctive methods of fetal assessment that might improve on the monitor heart rate data in inconclusive situations. * Medico-Legal Considerations: This section examines the role of the monitor in predicting or retrospectively assisting with the analysis of adverse neonatal outcomes and the future of the monitor in obstetrics. Table Of Contents SECTION HEADINGS Section I. INTRODUCTION TO THE FETAL MONITOR 1. Role of the Electronic Fetal Monitor 2. Classification/Terminology 3. Clinical Application 4. Limitations Section II. BASIC PATTERN COMPONENTS 1. Baseline 2. Periodic and Nonperiodic Changes Section III. BASELINE VARIANTS 1. Sinusoidal & Other Undulating Patterns 2. Baseline Shifts and Other Rate Aberrations Section IV. PATTERN TRANSITIONS 1. Fetal Stress Dynamic Changes 2. Other Pattern Dynamics Section V. UTERINE / MATERNAL-FETAL ACTIVITY 1. Uterine Activity 2. Maternal/Fetal Activity Section VI. ANTEPARTUM MONITORING 1. Role of the Fetal Monitor in Fetal Welfare Assessment 2. Other Methods of Fetal Welfare Assessment 3. Unique Interpretation in the Outpatient Setting Section VII. PATTERNS ASSOCIATED WITH DISEASE STATES AND OTHER CONDITIONS 1. Maternal Conditions 2. Fetal Conditions 3. Support Structures 4. Second Stage and Delivery Section VIII. DYSRHYTHMIAS 1. Sinus Node Variants 2. Dysrhythmias Section IX. TECHNOLOGY BEHIND FETAL MONITORING AND ADJUNCTS TO FETAL ASSESSMENT 1. EFM Signal Processing 2. Maternal-Fetal Dual Monitoring 3. Advanced EFM Technology in Clinical Use 4. Adjuncts to EFM in Patient Care Section X. MEDICO-LEGAL CONSIDERATIONS 1. Fetal Monitoring and Litigation 2. Patterns Retrospectively Associated with Cerebral Palsy 3. Fetal Monitoring in the Rural/Primary-Center Hospital 4. Using the Monitor Effectively