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Use of Continuous Electronic Fetal Monitoring in a Preterm Fetus : Clinical Dilemmas and Recommendations for Practice
Joint Authors
Chandraharan, Edwin
Afors, Karolina
Source
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-09-13
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
The aim of intrapartum continuous electronic fetal monitoring using a cardiotocograph (CTG) is to identify a fetus exposed to intrapartum hypoxic insults so that timely and appropriate action could be instituted to improve perinatal outcome.
Features observed on a CTG trace reflect the functioning of somatic and autonomic nervous systems and the fetal response to hypoxic or mechanical insults during labour.
Although, National Guidelines on electronic fetal monitoring exist for term fetuses, there is paucity of recommendations based on scientific evidence for monitoring preterm fetuses during labour.
Lack of evidence-based recommendations may pose a clinical dilemma as preterm births account for nearly 8% (1 in 13) live births in England and Wales.
93% of these preterm births occur after 28 weeks, 6% between 22–27 weeks, and 1% before 22 weeks.
Physiological control of fetal heart rate and the resultant features observed on the CTG trace differs in the preterm fetus as compared to a fetus at term making interpretation difficult.
This review describes the features of normal fetal heart rate patterns at different gestations and the physiological responses of a preterm fetus compared to a fetus at term.
We have proposed an algorithm “ACUTE” to aid management.
American Psychological Association (APA)
Afors, Karolina& Chandraharan, Edwin. 2011. Use of Continuous Electronic Fetal Monitoring in a Preterm Fetus : Clinical Dilemmas and Recommendations for Practice. Journal of Pregnancy،Vol. 2011, no. 2011, pp.1-7.
https://search.emarefa.net/detail/BIM-503071
Modern Language Association (MLA)
Afors, Karolina& Chandraharan, Edwin. Use of Continuous Electronic Fetal Monitoring in a Preterm Fetus : Clinical Dilemmas and Recommendations for Practice. Journal of Pregnancy No. 2011 (2011), pp.1-7.
https://search.emarefa.net/detail/BIM-503071
American Medical Association (AMA)
Afors, Karolina& Chandraharan, Edwin. Use of Continuous Electronic Fetal Monitoring in a Preterm Fetus : Clinical Dilemmas and Recommendations for Practice. Journal of Pregnancy. 2011. Vol. 2011, no. 2011, pp.1-7.
https://search.emarefa.net/detail/BIM-503071
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-503071