Fetal heart rate monitoring

The incidence of nosocomial infections is higher in the pediatric intensive care unit than in the general pediatric unit. One of the main reasons for this is the use of invasive diagnostic and therapeutic devices and procedures that predispose patients to infection. Although many of the complications that result from use of these devices are unavoidable, the risk of infection can be reduced. Drs Clendenen and Ryan discuss ways—many of which are surprisingly simple—to prevent infectious complications in the at-risk pediatric patient.     

Fetal surveillance in the intensive care unit: understanding electronic fetal monitoring.

Electronic fetal monitoring has become an integral component of current obstetric nursing care. The goals of surveillance are to establish fetal well-being and identify the fetus at risk for asphyxia and death. Fetal heart rate (FHR) responses provide a cardiovascular indication of fetal acid-base status. To evaluate FHR tracings and plan care accordingly, the nurse must understand the physiologic regularity mechanisms of the fetus, baseline patterns, and periodic changes of the fetal heart rate.     

多种胎儿宫内监测方法预测子痫前期新生儿不良结局的比较研究

目的 比较脐动脉监测、胎心监护和胎儿生物物理行为在子痫前期胎儿监测中的应用价值,探讨子痫前期新生儿不良结局的预测指标.方法 收集分娩前1周内行脐动脉监测、胎心监护、超声生物物理评分、生物物理评分和改良生物物理评分(MBPP)检查的123例子痫前期单胎孕妇及其新生儿结局资料,对上述监测结果进行分组并比较,应用Logist...     

Evaluation of Fetal Growth and Fetal Well-Being

This article reviews the actual knowledge and future developments of ultrasound techniques for the evaluation of fetal growth and well-being. Sonography allows the visualization of the fetus in utero and is utilized worldwide for the evaluation of fetal growth and well-being. Fetal biometry assessment is performed in the second half of pregnancy when deviations of fetal growth can be best recognized through alterations of fetal abdominal circumference growth. Doppler velocimetry of utero-placental vessels identifies alterations of placental perfusion and is valuable in the assessment of fetal brain, heart, and liver perfusion, thus being utilized in the timing of delivery. Recently, three-dimensional ultrasound evaluation of fetal organs and placenta is being developed.     

Fetal Monitoring

The severe risk situations characterized by fetal growth retardation are outlined. The small fetus, whether growth retarded or severely premature, is best delivered where both fetal monitoring and newborn resuscitation are available. The moderate risk fetus can be monitored at home base with clinical skills described in this article.