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Intrapartum Fetal Surveillance

Andrea Priest-Atkins
Across
Frequency, duration, & intensity of the contractions; and uterine resting tone
May be used to describe contraction intensity
Used to assess infant's acid-base balance immediately after birth rather than during labor.
Every 15-30 minutes, just after a contraction
Done first if cord compression is suspected
Undetectable to < or =5 bpm
Acoustic stimulation
Baseline FHR < 110 for atleast 10 minutes
Cord Compression
Head compression
Given to reduce uterine activity
Identify fetal's back
Down
Undetectable
Fetal tachycardia precedes this in mother
>25bpm
> or = to 90 to 120 seconds
Category three
Respositioned to this position to eliminate aortocaval compression
Low oxygen
Hormone used to strengthen labor contractions during childbirth
Occurs at peak of contration, usually no lower than 30-40bpm
Hypotension can develop from this procedure
Around the neck
Method of assessing the fetal HR that requires gel
Given via IV fluid to increase maternal blood volume and improve perfusion of placenta if hypotension develops