Fetal monitoring during birth Flashcards
what is a Pinard Stethoscope?
for IA of the fetal heart rate
- almost never used
what are auscultation ancient methods?
doppler ultrasound stethoscope or a DeLee-Hillis fetoscope
what is the best practice option for FHM?
intermittent auscultation
in late stages of labour, how often should FHM be done?
q 15-20 mins
how often should FHM be done when mom is pushing?
q5 mins or after every contraction
what is electric fetal monitoring for?
analyzed for characteristic patterns that suggest fetal hypoxemia and metabolic acidosis during labor
when should electric fetal heart monitoring be used?
when the pt is high risk
- however it is often used when they’re short staffed bc not everyone knows how to do IA
what is the external mode of EFM?
external transducers placed on the laboring patients abdomen
what is internal mode of EFM?
application of a spiral electrode to the fetal presenting part to assess the IU resting tone and FH)