Fetal monitoring: Guidelines, reviews, statements.
If the trace is normal as per the Fetal Heart Rate Monitoring in Labour guideline after 20 minutes, return to intermittent auscultation unless the woman asks to stay on continuous cardiotocography. If fetal death is suspected or maternal pulse and fetal heart are not distinct, offer real-time ultrasound assessment to check fetal viability.
The Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) asserts that the availability of registered nurses (RNs) and other health care professionals who are skilled in fetal heart monitoring (FHM) techniques, including auscultation and electronic fetal monitoring (EFM), is essential to maternal and fetal well-being during antepartum care, labor, and birth.
Second, case reports have shown that 1 fetal response to anesthesia is a reduction in short-term fetal heart rate variability, which usually resolves after cessation of anesthesia; alternatively, an acute and temporary fetal bradycardia may be associated with essential surgical procedures used to preserve blood loss, such as aortic cross-clamping or bypass for cardiovascular surgery.
Monitoring fetal wellbeing by Intermittent Auscultation (IA) of the fetal heart in labour guideline. Overview Intermittent auscultation (IA) of the fetal heart (FH) in labour with a sonicaid or Pinard should be recommended for all women who are healthy and have uncomplicated pregnancies.
Fetal heart rate monitoring measures the heart rate and rhythm of your baby This lets your healthcare provider see how your baby is doing. Your healthcare provider may do fetal heart monitoring during late pregnancy and labor. The average fetal heart rate is between 110 and 160.
Fetal heart rate monitoring is the process of checking the condition of your fetus during labor and delivery by monitoring your fetus's heart rate with special equipment. Why is fetal heart rate monitoring done during labor and delivery? Fetal heart rate monitoring may help detect changes in the normal heart rate pattern during labor.
Improving fetal monitoring The Each Baby Counts 2015 report identified that out of the 556 babies for whom different care might have led to a different outcome, there were 409 babies for whom fetal monitoring was identified as a critical contributory factor by one or more reviewer.