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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.
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.
Monitoring in Anesthesia and Perioperative Care is a practical and comprehensive resource documenting the current art and science of perioperative patient monitoring, addressing the systems-based practice issues that drive the highly regulated health care industry of the early twenty-first century. Initial chapters cover the history, medicolegal implications, validity of measurement and education issues relating to monitoring. The core of the book addresses the many monitoring modalities, with the majority of the chapters organized in a systematic fashion to describe technical concepts, parameters monitored, evidence of utility complications, credentialing and monitoring standards, and practice guidelines. Describing each device, technique and principle of clinical monitoring in an accessible style, Monitoring in Anesthesia and Perioperative Care is full of invaluable advice from the leading experts in the field, making it an essential tool for every anesthesiologist.
Electronic Fetal Heart Rate Monitoring: The 5-Tier System, Third Edition reviews the practice of fetal heart rate monitoring. Beginning with a description of the anatomy of fetal circulation, placental function as a respiratory organ, and acid-base balance, it also presents normal fetal cardiovascular and cerebral metabolism. In addition, the pathophysiologic mechanisms involved in progressive fetal asphyxia are examined via a review of the seminal animal and human studies conducted in this field. Also included is a brief summary of fetal heart rate monitoring technology currently used in clinical practice and standard nomenclature for fetal heart rate characteristics. Variant fetal heart rate patterns and the underlying physiologic mechanisms are presented as well.
The new, 2nd Edition of this convenient handbook provides practical guidance in interpreting electronic fetal heart rate patterns. Completely rewritten with a greater emphasis on the practical management of patients, it enables readers to minimize damagecaused by fetal asphyxia, and to manage pregnancies with limited obstetric intervention. Review of First Edition: "The ease with which one can read the handbook is a tribute to the author's organization and conciseness. This work is recommended reading for all perinatal health care providers." --Perinatology and Neonatology Addresses indications for use of fetal heart rate monitors. Provides step-by-step explanations of how to interpret fetal heart rate tracings - for both normal and abnormal tracings - and allows for proper identification of disorders from the monitor's tracings. Includes coverage of antipartum and labor management. Features comprehensive sections on basic science aspects of fetal and placental physiology, and acid-base state. Offers recommendations for management based on current knowledge in the field.
This book is a compact question-based review of the most critical topics an obstetrician will come across in practice. Each chapter includes 10-30 multiple-choice questions designed to test the readers understanding surrounding one obstetric topic. Based on all 45 obstetric based practice bulletins by ACOG, this text is designed to keep practitioners up-to-date with the latest evidence based medicine. Sample topics include: anemia in pregnancy, screening for fetal chromosomal abnormalities, and vaginal birth after previous cesarean delivery. This is an ideal tool for attendings and clerkship directors who frequently test residents and medical students during rounds and in the classroom. This review also proves useful for practicing physicians and physicians-in-training who want to self-evaluate their comprehension and study for board examinations.
Rev. ed. of: Mosby's pocket guide to fetal monitoring / Susan Martin Tucker, Lisa A. Miller, David A. Miller.
The significantly expanded second edition of this full-color atlas provides a step-by-step, visual guide to the most common procedures in emergency medicine. Completely revised, it also includes new procedures such as REBOA, the HINTS test, sphenopalatine ganglion block, occipital nerve block, and lung ultrasonography. Procedures are described on a single page, or two-page spreads, so that the physician can quickly access and review the procedure at hand. The atlas contains more than 700 diagnostic algorithms, schematic diagrams, and photographic illustrations to highlight the breadth and depth of emergency medicine. Topics are logically arranged by anatomic location or by type of procedure, and all procedures are based on the most current and evidence-based practices. Atlas of Emergency Medicine Procedures, Second Edition is an essential resource for physicians and advanced practice professionals, residents, medical students, and nurses in emergency medicine, urgent care, and pediatrics.
Praise for the previous edition: “…An outstanding handbook. It will be a familiar volume on most midwifery bookshelves, providing an excellent guide to midwifery focused care of both woman and child in the birthing setting.” - Nursing Times Online Providing a practical and comprehensive guide to midwifery care, The Midwife’s Labour and Birth Handbook continues to promote best practice and a safe, satisfying birthing experience with a focus on women-centred care. Covering all aspects of care during labour and birth, from obstetric emergencies to the practicalities of perineal repair (including left-hand suturing), the fourth edition has been fully revised and updated to include: Full colour photographs of kneeling extended breech and footling breech births New water birth and breech water birth photographs Female genital mutilation Sepsis Group B streptococcus Care of the woman with diabetes /Neonatal hypoglycaemia Mental health Seeding/microbirthing It also addresses important issues such as: Why are the numbers of UK women giving birth in stirrups RISING rather than falling? Why are so few preterm babies given bedside resuscitation with the cord intact? Would the creation of midwife breech practitioners/specialists enable more women to choose vaginal breech birth and is breech water birth safe? What is the legal position for women who choose to free birth – and their birth partners? Why are midwives challenging the OASI care bundle? Incorporating research, evidence and anecdotal observations, The Midwife’s Labour and Birth Handbook remains an essential resource for both student midwives and experienced practising midwives.