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27 Cards in this Set
- Front
- Back
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The goal of fetal heart rate monitoring is
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to prevent fetal injury that might result from disrupted fetal oxygenation during or prior to labor
Page ix |
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This book is geared towards _______ clinical practice
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daily
Page ix |
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This book focuses on the application of evidence-based ________ & ________ of fetal heart rate tracings in all settings.
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interpretation & Management
Page ix |
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NICHD stands for
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National Institute of Child Health and Human Development
Page ix |
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What % of women who give birth in the US, have continuous electronic fetal monitoring?
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85%
Page 1 |
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Intrapartum fetal heart rate monitoring has not led to a significant reduction in ________ ___________ ________.
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neonatal neurologic morbidity
Page 1 |
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Randomized trials indicated that women with continuous EFM during labor have higher ________ _______ _______?
Than women who don't have continuous EFM. |
cesarean section rates
Page 1 |
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Fetal heart tones were 1st heard in the ________ _______.
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17th century
Page 1 |
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Early clinical use of determining the presence or absence of fetal heart sounds included
___________________ ___________________ ___________________ |
confirmation of pregnancy,
identification of twin gestation, justification for a postmortem cesarean section Page 1 |
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During the _____ physicians developed electronic devices that were able to continuously measure and record the fetal heart rate and uterine activity.
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1950's
Page 2 |
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The invention of the Electronic fetal devices permitted systematic study of the relationships between __/___/___/___ and _____/_______.
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fetal heart rate patterns
& fetal physiology page 2 |
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In the 1960s observational studies demonstrated a decrease in intrapartum _______ rates in the settings that adopted continuous electronic fetal monitoring.
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stillbirth
page 2 |
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1. EFM was originally intended for use in what setting?
2. What setting did it rapidly move into? |
1. high-risk laboring women
2.low-risk laboring women |
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In the 1970's randomized clinical trails conducted comparing continuous electronic fetal monitoring with intermittent auscultation using Pinard stethoscope or a hand-held Doppler device, showed that a continuous EFM was not associated with a decrease in ______ ______ ______ or ________ _______.
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low Apgar scores or perinatal mortality
page 2-3 |
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Study in 1970's showed that what went up with continuous EFM?
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incidence of cesarean section
page 3 |
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By _____ use of EFM had become nearly ubiquitous.
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1990's
page 3 |
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Meta-analyses have reviewed the results of trials comparing cont. EFM and intermittent auscultation, cont. EFM showed no significant difference in overall perinatal death, but was associated with a significant reduction in _______
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seizures
page 3 |
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Meta-analyses have reviewed the results of trials comparing cont. EFM and intermittent auscultation, cont. EFM showed No significant difference was detected in the incidence of ______ _______.
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cerebal palsy
page 3 |
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Meta-analyses have reviewed the results of trials comparing cont. EFM and intermittent auscultation, cont. EFM showed a significant increase in _________ ________. (maternal)
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cesarean sections
page 3 |
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Meta-analyses have reviewed the results of trials comparing cont. EFM and intermittent auscultation, cont. EFM. More importantly, the majority of newborns in the cohort who later developed cerebral palsy were not in the group of fetuses who had FHR tracins that were considered _________.
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ominous
page 3 |
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In 1996 NICHD Task Force met and made recommendations for 3 important aspects of fetal heart rate monitoring for both research and clinical practice
1. _____________ 2.______________ 3.______________ |
1. The task force developed standard definitions for fetal heart rate patterns
2. the described the fetal heart rate pattern that consistently reflects an absence of asphyxia 3. they described fetal heart rate patterns that are "predictive of current or impending asphyxia. page 4 |
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In _____, the Task Force on Neonatal Encephalopathy and Cerbral Palsy was convened by ACOG to review the world literature regarding the relationship between fetal heart rate patterns in labor and neonatal outcomes.
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2003
page 5 |
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Fetal pulse oximetry has been a useful tool for _______ but is no longer available for use in clinical practice.
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research
page 5 |
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STAN technology is used where?
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outside the United States
page 5 |
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STAN does what?
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computer analysis of the fetal electro-cardiogram ST segment.
page 5 |
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What remains the best approaches to safe passage for mother and child, regardless of the technology employed
1. 2. 3. 4. 5. 6. |
1. Standardization of terminology
2. multidisciplinary education 3. regarding fetal heart rate interpretation 4. underlying physiology 5.management based on 6.collaboration teamwork page 6 |
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The underlying assumption, behind the objective of intrapartum FHR monitoring is
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that disruption of fetal oxygenation leads to characteristic physiologic changes that can be detected by changes in the fetal heart rate.
page 9 |
