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Fetal Heart Tracing

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101. Nonreassuring Fetal Status

-reassuring Fetal Heart Tracing Maternal position change Oxygen 8-10 liters per minute by Suppress labor Discontinue Consider holding pushing Consider SQ 0.25 mg Consider Consider expedited delivery Consider Obstetrics Neonatology or Pediatrics VII. References Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Nonreassuring Fetal Status." Click on the image (or right click) to open the source website in a new browser window. Related (...) . Definition (MSH) Deficient oxygenation of FETAL BLOOD. Concepts Disease or Syndrome ( T047 ) MSH SnomedCT 276638004 English In Utero Hypoxia , Fetal Hypoxia , fetal hypoxia (diagnosis) , fetal hypoxia , Fetal Hypoxia [Disease/Finding] , fetus hypoxia , HYPOXIA IN UTERO , Fetal hypoxia , Fetal hypoxia (disorder) , Hypoxia, Fetal Portuguese Hipóxia Fetal Swedish Syrebrist hos foster Czech fétus - hypoxie , fetální hypoxie Finnish Sikiön hypoksia Russian PLODA GIPOKSIIA , GIPOKSIIA PLODA , KISLORODNAIA

2018 FP Notebook

102. Strategies for Improving Survival After In-Hospital Cardiac Arrest in the United States: 2013 Consensus Recommendations Full Text available with Trip Pro

January 2019 This site uses cookies. By continuing to browse this site you are agreeing to our use of cookies. Free Access article Share on Jump to Free Access article Strategies for Improving Survival After In-Hospital Cardiac Arrest in the United States: 2013 Consensus Recommendations A Consensus Statement From the American Heart Association , MD, MSc, Chair , MD, PhD , MD , MD , MD, MHS, FAHA , MD, FAHA , MD , RN, MS , RN, DNSc, FAHA , and MD, FAHA MD, MS, FAHAon behalf of the American Heart (...) of resuscitative efforts. A 2004 AHA scientific statement provided some guidance on who should be monitored with electrocardiography. Class I indications for monitoring include the following: Patients resuscitated from sudden cardiac death Patients in the early phase of acute coronary syndromes Patients with unstable coronary syndromes and newly diagnosed high-risk coronary lesions Adults and children who have undergone cardiac surgery Patients who have undergone nonurgent percutaneous coronary intervention

2013 American Heart Association

103. Human factors affecting the interpretation of fetal heart rate tracings: an update. Full Text available with Trip Pro

Human factors affecting the interpretation of fetal heart rate tracings: an update. Human factors can have an important impact on cardiotocography (CTG) interpretation and management decisions, and therefore may directly affect obstetrical outcomes.It has been well demonstrated that there is wide observer disagreement over CTG interpretation, particularly in the evaluation of variability, decelerations, and overall tracing classification. The reasons behind this are still incompletely

2012 Current Opinion in Obstetrics and Gynecology

104. Genetic Fate Mapping Defines the Vascular Potential of Endocardial Cells in the Adult Heart. Full Text available with Trip Pro

Genetic Fate Mapping Defines the Vascular Potential of Endocardial Cells in the Adult Heart. Endocardium is the major source of coronary endothelial cells (ECs) in the fetal and neonatal hearts. It remains unclear whether endocardium in the adult stage is also the main origin of neovascularization after cardiac injury.To define the vascular potential of adult endocardium in homeostasis and after cardiac injuries by fate-mapping studies.We generate an inducible adult endocardial Cre line (Npr3 (...) [natriuretic peptide receptor C]-CreER) and show that Npr3-CreER efficiently and specifically labels endocardial cells but not coronary blood vessels in the adult heart. The adult endocardial cells do not contribute to any vascular ECs during cardiac homeostasis. To examine the formation of blood vessels from endocardium after injury, we generate 4 cardiac injury models with Npr3-CreER mice: myocardial infarction, myocardial ischemia-reperfusion, cryoinjury, and transverse aortic constriction. Lineage

2018 Circulation Research

105. Contraction-Associated Maternal Heart Rate Decelerations: A Pragmatic Marker of Intrapartum Volume Status. (Abstract)

women with nonanomalous singleton gestations at 35 weeks of gestation or greater and a category 1 fetal heart rate (FHR) pattern from admission to epidural placement. Those lacking continuous maternal pulse oximetry data before epidural placement were excluded. Maternal heart rate tracings were evaluated for the presence of a contraction-associated heart rate deceleration pattern before epidural placement. Women with and without a contraction-associated heart rate deceleration pattern were compared (...) Contraction-Associated Maternal Heart Rate Decelerations: A Pragmatic Marker of Intrapartum Volume Status. To define and characterize a maternal contraction-associated heart rate deceleration pattern and evaluate its association with maternal volume status.We performed a prespecified secondary analysis of a prospectively collected cohort from a randomized controlled trial of maternal pulse pressure, epidural coload volume, and postepidural complications. Participants were healthy intrapartum

2018 Obstetrics and Gynecology Controlled trial quality: predicted high

106. Essentiality of Trace Element Micronutrition in Human Pregnancy: A Systematic Review Full Text available with Trip Pro

the mother and fetus. Such complication include; anaemia, hypertension, fetal growth restriction, preeclampsia, labour complications and even death. Regional variations in trace element concentration in food may leave some populations at risk of suboptimal micronutrient status. As a result increasingly significant proportions of women are turning to pregnancy specific micronutrient supplements to provide them with increased folate and support their bodies prior to and during pregnancy. With this in mind (...) outcomes. This review evaluates the importance of essential trace element micronutrition in pregnancy and discusses the benefits of supplementation on maternal outcomes and fetal development. The potential importance of key essential trace elements; magnesium, copper, zinc, calcium, iodine, manganese, selenium and iron are discussed and their importance in pregnancy considered. Keywords Trace elements; Micronutrition; Supplementation; Pregnancy; ; Preterm labour; Preterm delivery Abbreviations RDI

2015 Journal of pregnancy and child health

107. Accuracy of intrapartum fetal blood gas analysis by scalp sampling: A retrospective cohort study. Full Text available with Trip Pro

Accuracy of intrapartum fetal blood gas analysis by scalp sampling: A retrospective cohort study. Fetal blood gas analysis (FBGA) using scalp blood is commonly used to identify serious fetal distress. However, there is a lack of data regarding its accuracy and reliability. The aim of this study was to determine the positive predictive value (PPV) and negative predictive value (NPV) of FBGA for predicting postpartum acidosis in case of nonreassuring fetal heart rate tracings (NRFHRT (...) to determine the influence of cardiotocography variations and the time delay between FBGA and delivery on the accuracy of FBGA. We analyzed 343 deliveries with NRFHRT. In 32 (9%) of these cases, fetal acidosis was confirmed by a postpartum umbilical cord blood pH value ≤ 7.15. In 308/343 (90%) cases, FBGA identified NRFHRT as false positive (as confirmed by nonacidotic postpartum pH values) and thus avoided unnecessary interventions such as operative delivery. The overall test accuracy of FBGA was 91

2017 Medicine

108. Novii External Fetal Monitoring Device

is critical for appropriate interpretation of the characteristics that identify risk. This is a prospective, randomized pragmatic trial comparing the Novii Fetal ECG/EMG system to external fetal heart rate and tocometry (standard of care) for the amount of time of interpretable fetal heart rate during labor. Randomization will occur in blocks based on BMI to control for the potential effect of BMI. Fetal heart rate tracings from both groups of women will be reviewed in a blinded fashion by experienced (...) External fetal heart rate monitoring Active Comparator: Standard of Care External Monitor A standard external monitor will be placed throughout labor and delivery, unless a provider or investigator determines that an internal device is necessary for a better signal. Device: External fetal heart rate monitoring External fetal heart rate monitoring Outcome Measures Go to Primary Outcome Measures : Amount of time in minutes with the interpretable fetal heart rate tracing during the course of labor. [ Time

2017 Clinical Trials

109. Spontaneous Fetal EEG Recording During Labor

): Martin Frasch, University of Washington Study Details Study Description Go to Brief Summary: This is a pilot feasibility study for a new application of an approved fetal heart rate monitoring device system. The objective of this study is to validate the feasibility of acquiring the new modality of human fetal bioelectrical activity, EEG, derived from the routinely used scalp fetal heart rate (FHR) monitor. Condition or disease Pregnancy Abnormal Detailed Description: The investigators' objective (...) is to validate the feasibility of acquiring the new modality of human fetal bioelectrical activity, EEG, derived from the routinely used scalp FHR monitor. The investigators expect that in some newborns acidemia will be detected based on cord blood pH. In these babies, the investigators will trace back the EEG recordings to further validate whether the EEG - FHR patterns were predictive of this outcome. In fetal sheep model of human labour the investigators were able to see the onset of acidemia <55 min

2017 Clinical Trials

110. Effect of Administering Intravenous Magnesium Sulfate on Fetal Cardiotocography and Neonatal Outcome in Preeclamptic Patients

over 15-20 min. Maintenance dose: 2 gm/hr in 100 mL of IV infusion to be continued for 24 hours after delivery. Other Name: Magnisium sulfate Outcome Measures Go to Primary Outcome Measures : Fetal heart rate tracing [ Time Frame: 20 minutes after MgSO4 administration ] Settings on a CTG machine is standardised to enable a consistent approach of interpretation of traces. Paper speed of 3cm per minute is adopted Eligibility Criteria Go to Information from the National Library of Medicine Choosing (...) settings on machines will be labelled at commencement of tracing. Maternal heart rate will be recorded and noted on CTG. Following birth date, time and mode of delivery will be labelled on CTG. Magnesium Sulphate hepatahydrate administration: Magnesium sulphate will be administered by continuous intravenous infusion according to our hospital protocol as follows: Loading dose: 4-6 gm of magnesium sulphate diluted in 100 mL of IV fluid administered over 15-20 min. Maintenance dose: 2 gm/hr in 100 mL

2017 Clinical Trials

111. Electronic Fetal Monitoring With and Without Pattern Interpretation

rate tracing is recorded on paper or electronically and produces a pattern to allow physicians to visually identify fetuses that are at risk for hypoxia and/or acidemia. This practice allows for prompt intervention via intrauterine resuscitation and expedited delivery if deemed necessary. National and international guidelines published by the International Federation of Gynecology and Obstetrics and American College of Obstetrics and Gynecology describe how fetal heart rate patterns obtained (...) , then their patient information will be collected. Their labor will be managed as in Phase 1 except that EFM will be interpreted and managed as per ACOG/FIGO guidelines using paper on which fetal heart tracings will be recorded. All other aspects of their care will proceed as per standard at Ayder Referral Hospital. Patients who require EFM will be asked to provide basic health and demographic information, along with collection of information on labor and delivery course, post-partum outcome, and neonatal

2017 Clinical Trials

112. Reduced Fetal Movements

be aware of the potential association of decreased fetal movements with key risk factors such as FGR, small-for-gestational-age (SGA) fetus, placental insufficiency and congenital malfor- mations. If after discussion with the clinician it is clear that the woman does not have RFM, there are no other risk factors for stillbirth and there is the presence of a fetal heart rate on auscultation, she can be reassured. However, if the woman still has concerns, she should be advised to attend her maternity (...) is not confirmed, immediate referral for ultrasound scan assessment of fetal cardiac activity must be undertaken. If the encounter with the woman has been over the telephone and there is thus no additional reassurance of auscultation of the fetal heart, the woman should be advised to report for further assessment. Methods employed to detect SGA fetuses include abdominal palpation, measurement of symphysis–fundal height and ultrasound biometry. The RCOG guidelines on the investigation and management of the SGA

2011 Royal College of Obstetricians and Gynaecologists

113. To Compare the Efficacy Between 3 Fetal Monitoring Methods (EUM)

-Aviv Sourasky Medical Center Information provided by (Responsible Party): Tel-Aviv Sourasky Medical Center Study Details Study Description Go to Brief Summary: Background: Identification and measurement of fetal heart tracings throughout pregnancy and labor is crucial to the well-being of the fetus. Non reassuring fetal heart rate is one of the most common indications for operative vaginal delivery or cesarean section. Therefore, management of labor requires reliable and accurate information about (...) the reliability and accuracy of the EUM versus fetal doppler compared to scalp electrode in the same patients. Condition or disease Intervention/treatment Phase Fetal Heartbeat Tracings Device: Scalp electrode, Device: Fetal doppler Device: EUM Phase 3 Detailed Description: Background: Identification and measurement of fetal heart tracings throughout pregnancy and labor is crucial to the well-being of the fetus. Non reassuring fetal heart rate is one of the most common indications for operative vaginal

2016 Clinical Trials

114. Valvular Heart Disease

entities having participated in the development of this document: Associations: European Association of Echocardiography (EAE), European Association of Percutaneous Cardiovascular Interventions (EAPCI), Heart Failure Association (HFA) Working Groups: Acute Cardiac Care, Cardiovascular Surgery, Valvular Heart Disease, Thrombosis, Grown-up Congenital Heart Disease Councils: Cardiology Practice, Cardiovascular Imaging The content of these European Society of Cardiology (ESC) Guidelines has been published (...) on 02 April 201911.2.6. Management of bioprosthetic failure . . . . . . . . .2485 11.2.7. Heart failure . . . . . . . . . . . . . . . . . . . . . . . . .2487 12. Management during non-cardiac surgery . . . . . . . . . . . . .2487 12.1. Preoperative evaluation . . . . . . . . . . . . . . . . . . . . .2488 12.2. Speci?c valve lesions. . . . . . . . . . . . . . . . . . . . . . .2488 12.2.1. Aortic stenosis . . . . . . . . . . . . . . . . . . . . . . .2488 12.2.2. Mitral stenosis

2012 European Society of Cardiology

115. Fetal Awareness: Review of Research and Recommendations for Practice

section so that surgery can be performed while the baby is still receiving oxygen from the placenta fetal magnetoencephalography A technique to measure brain activity in fetus haemodynamic The movement of blood hypoxaemia Decreased blood oxygen vihysterotomy Surgical incision in the uterus, usually to remove the fetus insular cortex Part of the cerebral cortex believed to be responsible for integrating sensory information fMRI (functional magnetic A technique for measuring blood flow in the brain (...) was to review the relevant science and clinical practice relevant to the issue of fetal awareness and, in particular, evidence published since 1997. In so doing, the report was completely rewritten, not only to take account of recent literature but also the evidence presented to the House of Commons Committee. In reviewing the neuroanatomical and physiological evidence in the fetus, it was apparent that connections from the periphery to the cortex are not intact before 24 weeks of gestation and, as most

2010 Royal College of Obstetricians and Gynaecologists

116. A new method for the extraction of fetal ECG from the dependent abdominal signals using blind source separation and adaptive noise cancellation techniques Full Text available with Trip Pro

A new method for the extraction of fetal ECG from the dependent abdominal signals using blind source separation and adaptive noise cancellation techniques The electrocardiogram (ECG) is a diagnostic tool that records the electrical activity of the heart, and depicts it as a series of graph-like tracings, or waves. Being able to interpret these details allows diagnosis of a wide range of heart problems. Fetal electrocardiogram (FECG) extraction has an important impact in medical diagnostics (...) use the Kullbak-Leibler divergence between copula densities to separate the fetal heart rate from the mother one, for both independent and dependent cases.

2015 Theoretical biology & medical modelling

117. 3D Ultrasonography Fetal Lung Volume Measurement and Neonatal Respiratory Function

& general anesthesia upon doing CS) or oligohydramnios (amniotic fluid index < 5th centile), rupture of membranes, the presence of fetal malformations (chest, heart or abdominal) or abnormal fetal growth (defined as: estimated fetal weight < 5th centile or > 95th centile and/or abdominal circumference < 5th centile or > 95th centile). Also, women with a cardiac pacemaker were excluded (as the transmitter necessary for the lung volume measurements could disturb the function of the pacemaker). Contacts (...) volume (FLV) measured using Voluson 730 Expert ultrasonography machine (GE Healthcare Austria GmbH, Seoul, Korea) equipped with a 4- to 8- MHz transabdominal transducer for 3-dimensional (3D) volume scanning. A single examiner will perform all ultrasound examinations with the following technique; a transverse section of the fetal thorax at the level of the 4-chamber view, with the fetal heart proximal to the transducer, was identified by 2-dimensional ultrasonography, and the volume box

2015 Clinical Trials

118. Pregnancy Outcome in Women with Decreased Sensation of Fetal Movements at Term According to Parity. (Abstract)

% CI 1.01-1.8]), 1-minute Apgar score less than 7 (aOR 2.3 [95% CI 1.5-3.5]) and neonatal seizures (aOR 3.2 [95% CI 1.3-8.2]). For multiparous women, DFM was associated with unscheduled CD (aOR 2.7 [95% CI 1.6-4.6]) and CD indicated by intermediate/abnormal fetal heart rate tracing (aOR 4.8 [95% CI 2.8-8.4]).DFM carries different outcomes according to parity. Although for nulliparous women, DFM is associated with increased risk of CD and immediate adverse perinatal outcome, for multiparous women (...) Pregnancy Outcome in Women with Decreased Sensation of Fetal Movements at Term According to Parity. Decreased sensation of fetal movements (DFM) is a common maternal complaint. Thus, we aimed to evaluate the association between DFM and pregnancy outcome in singleton gestation at term according to parity.A retrospective cohort study of singleton pregnancies at term between 2008 and 2013. Eligibility was limited to women carrying a fetus with no known structural or chromosomal anomalies, at 37+0

2015 Birth

119. Feasibility of Noninvasive Fetal Electrocardiographic Monitoring in a Clinical Setting. (Abstract)

Feasibility of Noninvasive Fetal Electrocardiographic Monitoring in a Clinical Setting. Cardiac rhythm is an essential component of fetal cardiac evaluation. The Monica AN24 is a fetal heart rate monitor that may provide a quick, inexpensive modality for obtaining a noninvasive fetal electrocardiogram (fECG) in a clinical setting. The fECG device has the ability to acquire fECG signals and allow calculation of fetal cardiac time intervals between 16- and 42-week gestational age (GA). We aimed (...) to demonstrate the feasibility of fECG acquisition in a busy fetal cardiology clinic using the Monica fetal heart rate monitor. This is a prospective observational pilot study of fECG acquired from fetuses referred for fetal echocardiography. Recordings were performed for 5-15 min. Maternal signals were attenuated and fECG averaged. fECG and fetal cardiac time intervals (PR, QRS, RR, and QT) were evaluated by two cardiologists independently and inter-observer reliability was assessed using intraclass

2015 Pediatric Cardiology

120. 2012 ACCF/AHA/HRS Focused Update Incorporated Into the ACCF/AHA/HRS 2008 Guidelines for Device-Based Therapy of Cardiac Rhythm Abnormalities Full Text available with Trip Pro

2019 January 2019 January 2019 January 2019 January 2019 This site uses cookies. By continuing to browse this site you are agreeing to our use of cookies. Free Access article Share on Jump to Free Access article 2012 ACCF/AHA/HRS Focused Update Incorporated Into the ACCF/AHA/HRS 2008 Guidelines for Device-Based Therapy of Cardiac Rhythm Abnormalities A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society (...) Therapy for Secondary Prevention of Cardiac Arrest and Sustained Ventricular Tachycardia e313 3.1.2. Specific Disease States and Secondary Prevention of Cardiac Arrest or Sustained Ventricular Tachycardia e314 3.1.3. Coronary Artery Disease e314 3.1.4. Nonischemic Dilated Cardiomyopathy e314 3.1.5. Hypertrophic Cardiomyopathy e314 3.1.6. Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy e315 3.1.7. Genetic Arrhythmia Syndromes e315 3.1.8. Syncope With Inducible Sustained Ventricular

2012 American Heart Association

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