5 Intrapartum fetal monitoring

摘要: Summary From the fetal viewpoint, labour is a prolonged contraction stress test which most pass without incident. Labour also represents obstetrician's last opportunity to influence perinatal outcome and ensure that those fetuses who have suffered chronic hypoxia antenatally are recognized promptly, so supervised in way does not place them at increased risk of either death or birth asphyxia. In case fetus enters healthy, with normal reserves, managed same aim mind, but foreknowledge visualization volume clear amniotic fluid reasonable duration makes development asphyxia unlikely. Those should be monitored electronically, but, for remainder, intermittent auscultation satisfactory until lasts excess 5 hours, if patient requires oxytocin, an epidural placed. If EFM used, then it important provide adequate education trace interpretation, particular emphasis on importance short-term variability. Widespread use has provided us immense amount knowledge about physiology, critically practising obstetrician understand that, low-risk patient, more effective than IA preventing from asphyxia, protect against asphyxial seizures, widespread technique been associated significant reduction population permanently handicapped infants. This information particularly relevant developing nations where money spent sophisticated monitoring equipment might better other areas. maternal point view, intensive profound implications by virtue its usual effect incidence Caesarean birth, although Dublin trial results, regard section, emphasize considering intrapartum as just one part overall supervision labour. Finally, must emphasized method chosen may strongly influenced factors scientific evidence, United States medicolegal climate such failure rigorously document absence distress/true result harrowing lawsuit. It position this author developed considerable sympathy recent years.