Electronic fetal monitoring during labor and intrauterine resuscitation

doi:10.3877/cma.j.issn.2095-3259.2017.01.005

Abstract

Abstract:

Electronic fetal monitoring (EFM) during labor is that FHR patterns are indirect markers of the fetal cardiac and central nervous system response to blood volume changes, acidemia, and hypoxemia, since the brain modulates heart rate. Virtually all obstetric societies advise monitoring the FHR during labor. The function of intrapartum FHR monitoring is that identification of FHR changes potentially associated with inadequate fetal oxygenation may enable timely intrauterine resuscitation to avoid intrapartum death or reduction in long-term neurologic impairment.

Key words: Heart Rate, fetal, Fetal monitoring, Fetal Hypoxia, Intrauterine resuscitation

Junnan Li. Electronic fetal monitoring during labor and intrauterine resuscitation[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2017, 06(01): 19-23.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhckjjdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-3259.2017.01.005

https://zhckjjdzzz.cma-cmc.com.cn/EN/Y2017/V06/I01/19

References 28

[1]	Vintzileos AM, Nochimson DJ, Guzman ER, et al. Intrapartum electronic fetal heart rate monitoring versus intermittent auscultation: a meta-analysis [J]. Obstet Gynecol, 1995, 85(1):149-155.
[2]	Chauhan SP, Klauser CK, Woodring TC, et al. Intrapartum nonreassuring fetal heart rate tracing and prediction of adverse outcomes: interobserver variability [J]. Am J Obstet Gynecol, 2008, 199(6): 623.e1-623.e5.
[3]	Blackwell SC, Grobman WA, Antoniewicz L, et al. Interobserver and intraobserver reliability of the NICHD 3-Tier Fetal Heart Rate Interpretation System [J]. Am J Obstet Gynecol, 2011, 205(4): 378.e1-378.e5.
[4]	Schiermeier S, Westhof G, Leven A, et al. Intra- and interobserver variability of intrapartum cardiotocography: a multicenter study comparing the FIGO classification with computer analysis software [J]. Gynecol Obstet Invest, 2011, 72(3):169-173.
[5]	Rhöse S, Heinis AM, Vandenbussche F, et al. Inter- and intra-observer agreement of non-reassuring cardiotocography analysis and subsequent clinical management[J]. Acta Obstet Gynecol Scand, 2014, 93(6): 596-602.
[6]	Macones GA, Hankins GD, Spong CY, et al. The 2008 National Institute of Child Health and Human Development workshop report on electronic fetal monitoring: update on definitions, interpretation, and research guidelines [J]. Obstet Gynecol, 2008, 112(3): 661-666.
[7]	Clark SL, Meyers JA, Frye DK, et al. Recognition and response to electronic fetal heart rate patterns: impact on newborn outcomes and primary cesarean delivery rate in women undergoing induction of labor [J]. Am J Obstet Gynecol, 2015, 212(4):494.e1-e6.
[8]	Dellinger EH, Boehm FH, Crane MM. Electronic fetal heart rate monitoring: early neonatal outcomes associated with normal rate, fetal stress, and fetal distress [J]. Am J Obstet Gynecol, 2000, 182(1 Pt 1): 214-220.
[9]	American Academy of Pediatrics, American College of Obstetricians and Gynecologists. Neonatal encephalopathy and cerebral palsy: defining the pathogenesis and pathophysiology. Elk Grove Village (IL): AAP; ACOG, Washington, DC: 2003.
[10]	Jackson M, Holmgren CM, Esplin MS, et al. Frequency of fetal heart rate categories and short-term neonatal outcome [J]. Obstet Gynecol, 2011, 118(4): 803-808.
[11]	Trochez RD, Sibanda T, Sharma R, Draycott T. Fetal monitoring in labor: are accelerations good enough？[J]. J Matern Fetal Neonatal Med, 2005, 18(5): 349-352.
[12]	American College of Obstetricians and Gynecologists. ACOG Practice Bulletin. Clinical Management Guidelines for Obstetrician-Gynecologists, Number 70, December 2005 (Replaces Practice Bulletin Number 62, May 2005). Intrapartum fetal heart rate monitoring [J]. Obstet Gynecol, 2005, 106(6):1453-1460.
[13]	Clark SL, Nageotte MP, Garite TJ, et al. Intrapartum management of category II fetal heart rate tracings: towards standardization of care [J]. Am J Obstet Gynecol, 2013, 209(2): 89-97.
[14]	Winkler CL, Hauth JC, Tucker JM, et al. Neonatal complications at term as related to the degree of umbilical artery acidemia [J]. Am J Obstet Gynecol, 1991, 164(2):637-641.
[15]	Fawole B, Hofmeyr GJ. Maternal oxygen administration for fetal distress [J]. Cochrane Database Syst Rev, 2012, 12:CD000136.
[16]	Simpson KR, James DC. Efficacy of intrauterine resuscitation techniques in improving fetal oxygen status during labor [J]. Obstet Gynecol, 2005, 105(6):1362-1368.
[17]	Dawood F, Dowswell T, Quenby S. Intravenous fluids for reducing the duration of labour in low risk nulliparous women [J]. Cochrane Database Syst Rev, 2013, (6): CD007715.
[18]	American College of Obstetricians and Gynecologists. ACOG Practice Bulletin No. 106: Intrapartum fetal heart rate monitoring: nomenclature, interpretation, and general management principles [J]. Obstet Gynecol, 2009, 114(1):192-202.
[19]	Zamora JE, Rosaeg OP, Lindsay MP, et al. Haemodynamic consequences and uterine contractions following 0.5 or 1.0 litre crystalloid infusion before obstetric epidural analgesia [J]. Can J Anaesth, 1996, 43(4):347-352.
[20]	Thorp JA, Trobough T, Evans R, et al. The effect of maternal oxygen administration during the second stage of labor on umbilical cord blood gas values: a randomized controlled prospective trial [J]. Am J Obstet Gynecol, 1995, 172(2 Pt 1): 465-474.
[21]	Simpson KR. Intrauterine resuscitation during labor: review of current methods and supportive evidence [J]. J Midwifery Womens Health, 2007, 52(6):229-237.
[22]	Hofmeyr GJ, Lawrie TA. Amnioinfusion for potential or suspected umbilical cord compression in labour [J]. Cochrane Database Syst Rev, 2012, 1:CD000013.
[23]	Spong CY, McKindsey F, Ross MG. Amniotic fluid index predicts the relief of variable decelerations after amnioinfusion bolus [J]. Am J Obstet Gynecol, 1996, 175(4 Pt 1):1066-1067.
[24]	American Academy of Pediatrics and The American College of Obstetricians and Gynecologists. Intrapartum and postpartum care of the mother. In: Guidelines for Perinatal Care, 7th edition, 2012.
[25]	Novikova N, Hofmeyr GJ, Essilfie-Appiah G. Prophylactic versus therapeutic amnioinfusion for oligohydramnios in labour [J]. Cochrane Database Syst Rev, 2012, (9):CD000176.
[26]	Pierce J, Gaudier FL, Sanchez-Ramos L. Intrapartum amnioinfusion for meconium-stained fluid: meta-analysis of prospective clinical trials [J]. Obstet Gynecol, 2000, 95(6 Pt 2): 1051-1056.
[27]	Hofmeyr GJ. Amnioinfusion for umbilical cord compression in labour[J]. Cochrane Database Syst Rev, 2000, (2):CD000013.
[28]	Cahill AG, Caughey AB, Roehl KA, et al. Terminal fetal heart decelerations and neonatal outcomes [J]. Obstet Gynecol, 2013, 122(5):1070-1076.

Please choose a citation manager

Content to export