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This comprehensive text emphasizes the practical application of electronic fetal monitoring (EFM). Case scenarios link various clinical situations with data interpretation to promote critical thinking. Relevant, up-to-date research helps readers develop problem solving skills; identify optimal treatment responses; and become familiar with the disease and nondisease conditions in pregnant patients that affect fetal health. More than 170 EFM strips complement the text. This edition has more monitoring strips and a new chapter on electronic record-keeping by a well-known expert. Electronic Fetal Monitoring: Concepts and Applications, Second Edition is a must-have purchase for anyone responsible for EFM interpretation.
This comprehensive guide to fetal monitoring, now in its fourth edition, provides an exhaustive compilation of up-to-date knowledge on the signs of fetal well-being and compromise obtained from FHR monitoring. Newly revised and updated, it features two new chapters on monitoring maternal heart rate patterns and legal issues involved in care, new fetal monitor "strips," and updated visual materials, references and resources. This book is an invaluable companion for labor and delivery nurses, nurse midwives, and maternal-child and family nurses. Key Features Covers systematic assessment of the pregnant patient Addresses external and internal fetal and maternal monitoring Includes a step-by-step guide to fetal monitoring equipment and procedures Contains detailed reproductions of actual fetal monitor tracings Clarifies differences between maternal and fetal heart rate patterns Includes NICHD definitions as alternative terminology for documentation Identifies ineffective actions that can delay timely interventions Sets forth legal issues Provides skill-testing exercises This hands-on workbook, designed for long-term and frequent use, is of value for any nurse currently working in a labor and delivery setting as well as those entering the field.
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.
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.
Rev. ed. of: Mosby's pocket guide to fetal monitoring / Susan Martin Tucker, Lisa A. Miller, David A. Miller.
It seems only yesterday that the fetus in utero accurately parameters of uterine activity, and they and the uterine environment were almost complete taught a systematic approach to the clinician's understanding of uterine physiology. Their work ly shrouded in mystery. The gender of the child was spread extremely rapidly' beyond the boundaries principally a matter of sheer speculation. Its size of their native Uruguay. The last 30 years have was estimated by abdominal palpation with notori seen a quantum leap in our understanding of fetal ous lack of accuracy. The growth pattern of the and uterine physiology. Nearly all of the old ques fetus was not a subject for serious study inasmuch tions-diagnostic, therapeutic, and prognostic as antenatal care and observations were not being systematically made. A question of whether the have been at least partly answered. The body of fetus had a severe malformation was dealt with as a new knowledge is now housed largely within the matter of fear rather than a subject to be seriously subspecialty of Maternal and Fetal Medicine. evaluated. The condition of the fetus in utero at a The author of this book arrived on the scene given time and the question of whether the fetus just after the critical mid-century turning point. would tolerate labor had not seriously been He was fortunate to come under the influence of Professor Raoul Palmer in France, to work in brought forward.
Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. The newly updated Electronic Fetal Monitoring: Concepts and Applications, 3rd Edition, is an invaluable guide for clinicians (nurses, nurse-midwives, physicians) responsible for ordering, initiating, performing, and interpreting electronic fetal monitoring (EFM). Written by OB/GYN nurses and advanced practitioners, this combination textbook/workbook offers clinicians involved in perinatal care a uniquely detailed, in-depth, and historical perspective on EFM. Topics include maternal-fetal physiology, EFM instrumentation, antepartum and intrapartum fetal assessment and pattern interpretation, and a variety of additional issues and challenges relevant to the current state of EFM practice. Applicable to both the novice and seasoned practitioner, this text is useful as a both a primer for this specialty field and also as a detailed resource to ready for the NCC Certificate of Added Qualification in EFM. Upgrade and update your EFM skills with: Examples of EFM tracings that demonstrate the points presented in the text– including 22 case studies annotated with real-time bedside interpretation, followed by expert review with commentary to support these analyses. Validation of knowledge - New! End-of-chapter study questions and answers are a perfect supplement for certification exam preparation. For the educator, methods of competence validation are discussed and presented in detail. Up-to-date EFM guidelines - explained and demonstrated in real-life, situational context Concise, easy-to-follow support for optimal acquisition and assessment of EFM data, and proper response to findings. Expert advice on handling both clinical and instrumental challenges related to EFM. Detailed explanation of the workings of EFM equipment and technology. Proven algorithms for management of antepartum testing and of EFM data, outlining specific interventions and their rationales. Coverage of crucial knowledge, including maternal-fetal physiology of fetal heart rate patterns and management of unusual EFM tracings, common problems and more. Chapter features include helpful tips (“Stork Bytes”) to highlight important points. Your book purchase includes a complimentary download of the enhanced eBook for iOSTM, AndroidTM, PC, and Mac. Take advantage of these practical features that will improve your eBook experience: The ability to download the eBook on multiple devices at one time—providing a seamless reading experience online or offline Powerful search tools and smart navigation cross-links that allow you to search within this book, or across your entire library of VitalSource eBooks Multiple viewing options that enable you to scale images and text to any size without losing page clarity, as well as responsive design The ability to highlight text and add notes with one click About the Clinical Editors Cydney Afriat Menihan, CNM, MSN, RDMS, is a Nurse Midwife and Perinatal Consultant in North Kingstown, Rhode Island. Ellen Kopel, RNC, MS, is a Nurse Educator and Perinatal Consultant in Tampa, Florida.
Thoroughly updated for its Second Edition, Fetal Monitoring Interpretation describes and illustrates the full range of patterns revealed by fetal monitoring and explains their clinical significance. The book uses case studies and high-quality tracings accompanied by detailed teaching diagrams usually found only in anatomical and surgical atlases. This edition includes twenty new case illustrations with teaching diagrams and five added tracings that present rare and unique patterns. The text incorporates current terminology. Five new sections cover fetal stress dynamic changes and other pattern dynamics; antepartum monitoring; patterns associated with disease states and other conditions; adjunctive methods of fetal assessment; and medico-legal considerations in fetal monitoring.
Significantly revised and updated, the new second edition updates the science on neonatal encephalopathy presented in the 1st edition. The new 2nd edition recommends a broad evaluation of all potential contributing factors in every case of neonatal encephalopathy, including maternal medical history, obstetric and intrapartum factors, and placental pathology. This recommendation is a shift from the 2003 report, which focused on determining whether or not a hypoxic-ischemic event was the cause of neonatal encephalopathy. Includes new sections on - Placental pathology - Focal ischemic stroke - Neonatal interventions - Patient safety - Significant advances in neuroimaging This report will assist the clinician in evaluating a newborn with encephalopathy to assist in defining both the cause and timing.