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Fetal Surveillance During Labor Du Xue ,  PHD Department of  Obstetrics  & Gynecology  General Hospital of  TianJin Medical University
Fetal Surveillance During Labor ---- Epidemiology ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Mechanisms of fetal distress ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Changes under hypoxic conditions ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Fetal Surveillance During Labor ----methods
Methods of monitorin fetal heart rate ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Methods of Electronic Fetal Monitoring ,[object Object],[object Object],[object Object],[object Object],[object Object]
Methods of Electronic Fetal Monitoring ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Electronic fetal monitoring
Fetal Heart Rate Patterns ,[object Object],[object Object]
Fetal Heart Rate Patterns   Basline Assessment ,[object Object],<120 Bradycardia >160 Tachycardia 120-160 normal Beats/min Rate
Fetal Heart Rate Patterns   Basline Assessment ,[object Object],[object Object],[object Object]
Short-time variability  beat-to-beat variability Long-term variability
Short-time variability /beat-to beat variability ,[object Object],[object Object],[object Object]
Long-term variability ,[object Object],[object Object]
Fetal Heart Rate Patterns   Periodic Fetal Heart Rate Changes   Three kinds of responses to uterine contractions ,[object Object]
Fetal Heart Rate Patterns   Periodic Fetal Heart Rate Changes   Three kinds of responses to uterine contractions ,[object Object]
Fetal Heart Rate Patterns   Periodic Fetal Heart Rate Changes   Three kinds of responses to uterine contractions ,[object Object]
Types of deceleration Patterns ,[object Object],[object Object],[object Object],[object Object],[object Object]
Types of deceleration Patterns--1  Early deceleration :(head compression)   ,[object Object],[object Object],[object Object]
Types of deceleration Patterns--1  Early deceleration :(head compression)
Types of deceleration Patterns--1  Early deceleration :(head compression)
[object Object],[object Object],[object Object],[object Object],[object Object],Types of deceleration Patterns--2  Late deceleration   (uteroplacental  insufficiency)
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Types of deceleration Patterns--2  Late deceleration   (uteroplacental  insufficiency)
Types of deceleration Patterns--3  Variable deceletation  (cord compression) ,[object Object]
[object Object],[object Object],Types of deceleration Patterns—3   Variable deceletation  (cord compression)
[object Object],[object Object],[object Object],Types of deceleration Patterns—3   Variable deceletation  (cord compression)
[object Object],[object Object],[object Object],[object Object],Types of deceleration Patterns—4   Decreased beat-to beat variability
Strategies for intervention--1 Attentions ,[object Object],[object Object],[object Object]
 
 
 
Have A Rest
[object Object],[object Object],[object Object],Strategies for intervention--1 general considerations
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Strategies for intervention--2   Variable Decelerations
[object Object],[object Object],[object Object],Strategies for intervention--2   Variable Decelerations
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Strategies for intervention--2   Variable Decelerations
[object Object],[object Object],[object Object],[object Object],Strategies for intervention--3   Nonreactive fetal heart rate tracing
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Strategies for intervention--4   Late Decelerations
[object Object],[object Object],[object Object],[object Object],Strategies for intervention--4   Fetal Tachycardia
 
Meconium ,[object Object],[object Object],[object Object],[object Object],[object Object]
Meconium  ---- Early passage ,[object Object],[object Object],[object Object]
Meconium  ----Late passge ,[object Object],[object Object],[object Object],[object Object],[object Object]
Meconium  ---- Management ,[object Object],[object Object],[object Object],[object Object]
Fetal Blood Sampling PH :7.25-7.30  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Umbilical cord blood sampling ,[object Object],[object Object]
 
Ultrasonic Doppler velocimetry ,[object Object],[object Object]
The Apgar scoring system ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Questions ,[object Object],[object Object],[object Object],[object Object]
THANKS FOR YOUR ATTENDANCE GOOD LUCK

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