Article: Electronic Fetal Monitoring

Question 1

What does the WHO recommend instead of continuous FHR monitoring for low-risk patients in spontaneous labor?

Answer 1

Intermittent auscultation w/ Pinard stethoscope or hand-held doppler

Question 2

Has EFM shown consistent improvements in perinatal outcomes

Answer 2

nope

Question 3

What was done to overcome marked intra-and inter-observer variability

Answer 3

standardization of the visual interpretation of fetal heart tracings

Question 4

NICHD 3 tier system identifies what 3 categories of fetal heart tracing?

Answer 4

• Category 1: pattern unlikely to be associated with fetal acidemia or hypoxic injury
• 2: intermediate or uncertain significance
• 3: abnormal; strong association with adverse outcomes

Question 5

Monica Novii

Answer 5

adjunctive device to EFM developed to improve the labor and birthing experience with remote monitoring.
-detects maternal and fetal ECG instead of FHR

Question 6

Moyo device

Answer 6

novel strap-on FHR monitor to measure, calculate, and analyze FHR
-allows women to remain mobile during labor

Question 7

What is the future goal of FHR monitoring

Answer 7

overcome human Intra and inter-observer variation factors and incorporate data into an intelligent system that can interpret all FHR patterns and incorporate objective information available from the clinician in order to tailor management

blah blah blah i dont give a single shit

Question 8

is EFM a reliable system

Answer 8

nope bc of high variability in interpretation

Question 9

what is a simple, affordable, useful, and effective adjunctive test for fetal well being

Answer 9

fetal stimulation