"Fetal heart rate monitoring is widely used by almost every obstetrician as a way to document the case and to help decrease health care costs. This is a short reference on the physiologic benefits, instrumentation, application and interpretation of fetalheart rate monitoring. The second half of the book uses actual FHR strips and cases to illustrate various anomalies (fetal distress, fetal distress in prematurity, fetus with CNS dysfunction). Several new drugs have been introduced for use during labor that effect FHR"--Provided by publisher.

This book offers clinicians involved in perinatal care a detailed and in-depth perspective on electronic fetal monitoring (EFM). Topics include EFM management, antepartum and intrapartum fetal assessment and application of EFM in abnormal pregnancy, obstetrical complications, fetal acid-base balance, and fetal arrhythmias. Variant fetal heart rate patterns are presented with interpretation, diagnosis and comments from experts who have wealthy experience in high risk pregnancy intervention. It will be a valuable reference for physicians, nurses, and midwives who are responsible for initiating, performing, and interpreting EFM.

Electronic Fetal Heart Rate Monitoring: The 5-Tier System, Third Edition reviews the practice of fetal heart rate monitoring. Beginning with a description of the anatomy of fetal circulation, placental function as a respiratory organ, and acid-base balance, it also presents normal fetal cardiovascular and cerebral metabolism. In addition, the pathophysiologic mechanisms involved in progressive fetal asphyxia are examined via a review of the seminal animal and human studies conducted in this field. Also included is a brief summary of fetal heart rate monitoring technology currently used in clinical practice and standard nomenclature for fetal heart rate characteristics. Variant fetal heart rate patterns and the underlying physiologic mechanisms are presented as well.

Fetal heart rate monitoring affects the lives of millions of women and infants every year in the United States alone. Used by all members of the obstetric team - nurses, students, midwives, and physicians – it is the primary method to assess fetal oxygenation in both the antepartum and intrapartum setting. Improving outcomes and promoting patient safety depends upon correct use and interpretation of fetal heart rate monitoring, and is crucial to daily obstetric practice. This fourth edition provides the obstetrical team a framework within which to interpret and understand fetal heart rate tracings and their implications. The text covers key issues as the physiological basis for monitoring, a discussion of fetal hypoxemia and neonatal encephalopathy, instrumentation and pattern recognition. In addition to an in-depth review of the standardized NICHD nomenclature and three-tiered FHR Category approach, there are chapters on intrapartum and antepartum management as well as fetal central nervous system effects on monitor patterns. Since fetal monitoring is primarily a screening tool there are also discussions on the use of backup methods for evaluation of abnormal patterns. This 4th edition also brings the addition of Lisa A. Miller CNM, JD, who provides a nursing and midwifery perspective as well an enhanced legal and risk management review. This new fourth edition includes: Review of neonatal encephalopathy and recent studies on CP Currentinformation and discussion of most recent NICHD panel recommendations, both antepartum and intrapartum New chapter on Pitfalls in EFM Detailed chapter on risk management, liability & documentation New section on fetal maternal hemorrhage Update on new instrumentation Crucial information on maternal/fetal coincidence and FDA warnings All chapters include updated practice tips and clinical implications for the entire obstetric team Plus, with this edition clinicians have access to a companion website with full text and an image bank for fast & simplified clinical review.

The new, 2nd Edition of this convenient handbook provides practical guidance in interpreting electronic fetal heart rate patterns. Completely rewritten with a greater emphasis on the practical management of patients, it enables readers to minimize damagecaused by fetal asphyxia, and to manage pregnancies with limited obstetric intervention. Review of First Edition: "The ease with which one can read the handbook is a tribute to the author's organization and conciseness. This work is recommended reading for all perinatal health care providers." --Perinatology and Neonatology Addresses indications for use of fetal heart rate monitors. Provides step-by-step explanations of how to interpret fetal heart rate tracings - for both normal and abnormal tracings - and allows for proper identification of disorders from the monitor's tracings. Includes coverage of antipartum and labor management. Features comprehensive sections on basic science aspects of fetal and placental physiology, and acid-base state. Offers recommendations for management based on current knowledge in the field.

First published in 1981, this book provides obstetrical care physicians with a reference for managing patients using fetal heart rate monitoring as a means of primary surveillance. This third edition updates interpretation of heart rate tracings, includes results from the National Institutes of Health workshop, and includes coverage of fetal pulse oximetry for clarifying the significance of nonreassuring fetal heart rate patterns, and new areas of concern regarding infection resulting from fetal inflammatory response. The authors are all professors of medicine, U. of California, Irvine. Annotation (c)2003 Book News, Inc., Portland, OR (booknews.com).