Fetal Heart Rate Monitoring

by Freeman, Roger K.; Garite, Thomas J.; Nageotte, Michael P.

• ISBN13: 9780683033816
• ISBN10: 0683033816
• Format: Hardcover
• Copyright: 1991-03-01
• Publisher: Williams & Wilkins

Summary

Thoroughly revised for its Third Edition, this volume is a practical guide to the physiology, instrumentation, applications, and interpretation of fetal heart rate monitoring. A major portion of the book presents actual cases and monitoring strips that illustrate abnormalities such as fetal distress, fetal distress in prematurity, and central nervous system dysfunction. This edition features a new chapter on fetal pulse oximetry using a non-invasive electrode placed on the fetus's cheek during labor. Case examples include strips from the cheek electrode and the traditional scalp electrode. This edition also includes information on new drugs used during labor that affect fetal heart rate. Compatibility: BlackBerry(R) OS 4.1 or Higher / iPhone/iPod Touch 2.0 or Higher /Palm OS 3.5 or higher / Palm Pre Classic / Symbian S60, 3rd edition (Nokia) / Windows Mobile(TM) Pocket PC (all versions) / Windows Mobile Smartphone / Windows 98SE/2000/ME/XP/Vista/Tablet PC

Author Biography

Roger K. Freeman, M.D.: Professor, Department of Obstetrics and Gynecology, University of California, Irvine; Director of Obstetrics & Gynecology, Newborn Careline Women's Hospital Long Beach Memorial Medical Center, California Thomas J. Garite, M.D.: E.J. Quilligan Professor and Chairman, Department of Obstetrics and Gynecology, University of California, Irvine Michael P. Nageotte, M.D.: Professor, Department of Obstetrics and Gynecology, University of California, Irvine; Executive Careline Director, Women's Hospital, Long Beach Memorial Medical Center, California

Table of Contents

Preface	vii
History of Fetal Monitoring	1	(6)
Physiologic Basis of Fetal Monitoring	7	(14)
Effects of Hypoxia and Asphyxia on the Fetus and Newborn and the Impact of Intrapartum Electronic Fetal Heart Rate Monitoring	21	(14)
Instrumentation and Artifact Detection	35	(23)
Uterine Contraction Monitoring	58	(11)
Basic Pattern Recognition	69	(24)
Fetal Cardiac Arrhythmias	93	(10)
Fetal Acid Base Monitoring	103	(7)
Clinical Management of Fetal Distress	110	(33)
Diagnosis and Management of Fetal Distress in Premature Gestation	143	(13)
Antepartum Fetal Monitoring	156	(23)
Antepartum Management of the High-Risk Patient	179	(14)
Fetal Heart Rate Patterns Associated with Fetal Central Nervous System Dysfunction	193	(10)
Pitfalls in Antepartum and Intrapartum Fetal Monitoring	203	(24)
Index	227