Antepartal and Intrapartal Fetal Monitoring by Michelle Murray PhD RNC

By Michelle Murray PhD RNC

The 3rd version presents practitioners with the wanted references and assets they should supply caliber care to girls and their fetuses. it's a leading edge source for a practice-based self-discipline, with info and references which are particular and transparent. moreover, the protocols and systems present in the appendix are acceptable to scientific practices that come with fetal displays.

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3 kPa) (91). Offset error does not occur with solid IUPCs because the pressure-sensitive transducer is in the uterus detecting hydrostatic pressure (91-92). Pressure recorded by a sensortipped IUPC depends on the placement of the tip of the catheter and the height of the amniotic fluid above it. Some examples of sensor-tipped IUPCs are the Intran III® and Intran Plus (IUP 400)® from Utah Medical Products Inc. in Midvale, Utah (198). Resting tone (tonus pressure). 5 to 15 mm Hg (1 to 2 kPa) to the IUP (91).

The most common causes of infection were Staphylococcus epidermidis and Bacteroides fragilis (169). Infection was markedly increased if a cesarean section was performed and any type of internal fetal monitoring was used. Even though maternal morbidity was related to the number of vaginal examinations in one study, it was not related to the duration of ruptured membranes or the number of vaginal examinations in another study (174). Cesarean section was the most significant factor contributing to febrile morbidity when it was compared with use of the clip electrode, spiral electrode, and the duration of ruptured membranes (163).

Animal cells were disturbed or destroyed by energy at 100 mW/cm2 (123). Fetal monitor US transducers contain seven to nine piezoelectric crystals. 17). The hand-held Doppler beam is narrow. Hand-held devices may emit a small, continuous US beam of low intensity, usually 5 to 12 mW/cm2 of energy (124). Some handheld Doppler devices are pulsed, waterproof, and have a digital display. Hand-held devices do not have internal logic to differentiate artifactual signals from fetal heart movement. In other words, the rate you hear when using a hand-held Doppler device may be from a maternal source.

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