Electronic Fetal Heart Rate Monitoring with Intrauterine Fetal Demise |
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| Authors: | WILLIAM N. P. HERBERT MD NANCY N. STUART RN BSN LARRY S. BUTLER MD |
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| Affiliation: | William N.P. Herbert is an associate professor in the Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, at the University of North Carolina in Chapel Hill. Dr. Herbert is a fellow of ACOG and a member of the Society of Perinatal Obstetricians.;Nancy N, Stuart is a clinical nurse II in the Perinatal Unit of The North Carolina Memorial Hospital in Chapel Hill. She is a member of NAACOG.;Larry S. Butler is in private practice and is a fellow of ACOG. |
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| Abstract: | Management of patients during labor is often based upon interpretation of electronic fetal heart rate tracings. Misdiagnoses of these records can lead to inappropriate actions, including cesarean delivery for presumed fetal distress. This case study, using a heart rate tracing from a patient with intrauterine fetal death, describes the findings, reviews the origin of the electronic signal, and outlines the means to distinguish the fetal and maternal cardiac impulses. |
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