Document Detail

Intrapartum fetal assessment. A review.
MedLine Citation:
PMID:  10494464     Owner:  NLM     Status:  MEDLINE    
Some of the difficulty in assessing the clinical value of intrapartum fetal-heart-rate (FHR) monitoring stems from lack of uniformity in pattern interpretation and, therefore, in response to perceived FHR abnormalities. This article reviews the physiology and pathophysiology of FHR changes, stresses the new NICHD guidelines for unambiguously defining FHR patterns, emphasizes the avoidance of circumstances stressful to the fetus, and suggests appropriate treatment for the distressed fetus. The strong likelihood that such treatment will be successful in reversing abnormal FHR patterns, as well as the importance of preparing for expedient delivery should such treatment fail, are noted. Finally, some of the newer tools for judging the timing of perinatal brain injury are described.
J F Huddleston
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Clinics in perinatology     Volume:  26     ISSN:  0095-5108     ISO Abbreviation:  Clin Perinatol     Publication Date:  1999 Sep 
Date Detail:
Created Date:  1999-10-07     Completed Date:  1999-10-07     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  7501306     Medline TA:  Clin Perinatol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  549-68, v     Citation Subset:  IM    
Department of Obstetrics and Gynecology, University of Florida Health Science Center at Jacksonville, Florida, USA.
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MeSH Terms
Birth Injuries / prevention & control
Brain Injuries / prevention & control
Cesarean Section
Delivery, Obstetric
Fetal Distress / diagnosis,  prevention & control,  therapy
Fetal Monitoring* / methods
Heart Rate, Fetal / physiology*
Labor, Obstetric / physiology
Pregnancy Outcome

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