8.Fetal Surveillance During Labor

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]

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]

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)

[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]

[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],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

8.Fetal Surveillance During Labor

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8.Fetal Surveillance During Labor