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Fetal Heart Tracing

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121. Fetal effects of combined spinal-epidural vs epidural labour analgesia: a prospective, randomised double-blind study. (Full text)

). Fetal heart rate traces, recorded for 30 min before and 60 min after neuraxial block, were categorised as normal, suspicious or pathological according to national guidelines. Sixty-one fetal heart rate tracings were analysed in the combined spinal-epidural group and 52 in the epidural group. No significant differences were found in fetal heart rate patterns, Apgar scores or umbilical artery and vein acid-base status between groups. However, in both combined spinal-epidural and epidural groups (...) Fetal effects of combined spinal-epidural vs epidural labour analgesia: a prospective, randomised double-blind study. We have compared fetal heart rate patterns, Apgar scores and umbilical cord gas values following initiation of labour analgesia using either combined spinal-epidural or epidural. One hundred and fifteen healthy women requesting neuraxial analgesia in the first stage of labour were randomly assigned to receive either combined spinal-epidural (n = 62) or epidural analgesia (n = 53

2014 Anaesthesia Controlled trial quality: uncertain

122. Comparison of Epidural Labor Pain Relief Techniques on Maternal and Fetal Outcomes

: Participants will be followed for the duration of labor analgesia from initiation to delivery, an expected average of 12 hours ] Occurrence of fetal bradycardia or other heart rate changes, changes in fetal heart tracing patterns Eligibility Criteria Go to Information from the National Library of Medicine Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor (...) Comparison of Epidural Labor Pain Relief Techniques on Maternal and Fetal Outcomes Comparison of Epidural Labor Pain Relief Techniques on Maternal and Fetal Outcomes - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before

2013 Clinical Trials

123. Fetal Copeptin After Oxytocin Challenge Test

the last 24 hours No contractions recorded by 30 min cardiotocogram prior to oxytocin challenge test Exclusion criteria: All contraindications for labor, including placenta praevia Serious fetal malformations Anhydramnios Oligohydramnios IUGR < 5. percentile Presence of any contractions Suspicious or pathological fetal heart rate tracing (cardiotocogram) Any clinical or biochemical signs of maternal infection Breech presentation More than 1 C-section in history Contacts and Locations Go to Information (...) Fetal Copeptin After Oxytocin Challenge Test Fetal Copeptin After Oxytocin Challenge Test - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Fetal Copeptin After Oxytocin Challenge Test (CopOCT) The safety

2013 Clinical Trials

124. Exercise During Pregnancy: Fetal Responses to Current Public Health Guidelines. (Full text)

for two subsequent 30-minute treadmill sessions: 1) moderate intensity (40-59% heart rate reserve); and 2) vigorous intensity (60-84%). All women performed the moderate test; only active women performed the vigorous test. Fetal well-being measures included umbilical artery Dopplers, fetal heart tracing and rate, and biophysical profile. Measures were obtained at rest and immediately postexercise.Groups were similar in age, body mass index, and gestational age. Maternal resting heart rate in the highly (...) in regularly and highly active women with statistically significant decreases postexercise (P<.05). The group × time interaction was not significant. Postexercise fetal heart tracings met criteria for reactivity within 20 minutes after all tests. Biophysical profile scores were reassuring.This study supports existing guidelines indicating pregnant women may begin or maintain an exercise program at moderate (inactive) or vigorous (active) intensities.

2012 Obstetrics and Gynecology

125. 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 (...) Nonreassuring Fetal Status Nonreassuring Fetal Status Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Nonreassuring Fetal Status

2015 FP Notebook

126. Use of Continuous Electronic Fetal Monitoring in a Preterm Fetus: Clinical Dilemmas and Recommendations for Practice (Full text)

heart rate and the resultant features observed on the CTG trace differs in the preterm fetus as compared to a fetus at term making interpretation difficult. This review describes the features of normal fetal heart rate patterns at different gestations and the physiological responses of a preterm fetus compared to a fetus at term. We have proposed an algorithm "ACUTE" to aid management. (...) Use of Continuous Electronic Fetal Monitoring in a Preterm Fetus: Clinical Dilemmas and Recommendations for Practice The aim of intrapartum continuous electronic fetal monitoring using a cardiotocograph (CTG) is to identify a fetus exposed to intrapartum hypoxic insults so that timely and appropriate action could be instituted to improve perinatal outcome. Features observed on a CTG trace reflect the functioning of somatic and autonomic nervous systems and the fetal response to hypoxic

2011 Journal of pregnancy

127. Intervention for fetal distress among obstetricians, registered nurses, and residents: similarities, differences, and determining factors. (Full text)

). However, compared with residents, registered nurses notified the attending obstetricians at an earlier stage and in response to different fetal heart rate tracing scenarios suggestive of fetal distress (P<.001). Personal or professional experience, type of clinical practice, and psychological traits did not affect the management of the standardized clinical scenario or the intervention index (P=.3-.9).Different providers practicing in the same environment may develop a similar approach in the setting (...) by a study investigator to labor and delivery personnel, including faculty obstetricians, residents, and registered nurses (N=52). An intervention index was calculated for each faculty by dividing the number of cesarean and operative deliveries for nonreassuring fetal status by the actual number of laboring patients supervised by each faculty in 2008.Selection of the timing of delivery and characterization of nonreassuring fetal heart rate patterns was not different among the different providers (P=.3

2011 Obstetrics and Gynecology

128. De Novo Formation of a Distinct Coronary Vascular Population in Neonatal Heart (Full text)

De Novo Formation of a Distinct Coronary Vascular Population in Neonatal Heart The postnatal coronary vessels have been viewed as developing through expansion of vessels formed during the fetal period. Using genetic lineage tracing, we found that a substantial portion of postnatal coronary vessels arise de novo in the neonatal mouse heart, rather than expanding from preexisting embryonic vasculature. Our data show that lineage conversion of neonatal endocardial cells during trabecular

2014 Science (New York, N.Y.)

129. Epidural analgesia with ropivacaine and sufentanil is associated with transient fetal heart rate changes. (PubMed)

Epidural analgesia with ropivacaine and sufentanil is associated with transient fetal heart rate changes. Fetal heart rate (FHR) changes have been reported after regional labor analgesia. In this prospective single-blinded study, we aimed to assess whether epidural analgesia with ropivacaine and sufentanil is associated with significant changes in fetal heart rate.Fetal heart rate traces from 120 women in active labor requesting epidural analgesia were recorded and analyzed by two reviewers 90 (...) minutes before and after epidural analgesia for baseline fetal heart rate, accelerations, decelerations and long-term variability.A significantly decreased number of fetal heart rate accelerations (ANOVA P=0.0001) and a higher percentage of segments with decelerations (P<0.05) were observed in the three segments after analgesia as compared to the three preceding segments. The minimum number of accelerations occurred during the 30 minutes immediately after analgesia was initiated. The reviewers were

2010 Minerva anestesiologica Controlled trial quality: uncertain

130. Comparison of 5 experts and computer analysis in rule-based fetal heart rate interpretation. (PubMed)

Comparison of 5 experts and computer analysis in rule-based fetal heart rate interpretation. The purpose of this study was to measure agreement among 5 expert clinicians and a computerized method with the use of a strict fetal heart rate classification method.Five providers independently scored 769 8-minute segments from the last 3 hours of 30 tracings with the use of a 5-tier color-coded framework that contains pattern descriptions and proposals for management. Computer analysis was performed (...) -to-substantial levels of agreement overall using a strictly defined method to classify fetal heart rate tracings. The result of the computerized method was similar to the conclusions of these clinicians.Copyright © 2010 Mosby, Inc. All rights reserved.

2010 American Journal of Obstetrics and Gynecology

131. Maternal heart rate patterns in the 1(st) and 2(nd) stages of labor. (PubMed)

: +35±13bpm; 88±14 to 123±17bpm; p<0.001). MHR was persistently >100bpm in three women (17%) in the first stage, and in four women (27%) in the second stage. Peak MHR >140bpm occurred during pushing in 20%. Conclusion. Decreases in MHR during contractions in the first stage of labor can mimic fetal heart rate (FHR) accelerations as well as early type decelerations. Thus, first stage tracings with a low baseline and early type decelerations may be maternal in origin and FHR should be independently (...) Maternal heart rate patterns in the 1(st) and 2(nd) stages of labor. Objective. To analyze typical maternal heart rate (MHR) patterns in the first and second stages of labor. Design. Observational study. Setting. Tertiary care community hospital. Population. Normal term parturients with epidural anesthesia. Methods. Confirmed MHR and uterine activity were simultaneously recorded. The average MHR was analyzed 10 seconds before, as well as at the peak of, each contraction and/or pushing effort

2012 Acta Obstetricia et Gynecologica Scandinavica

132. Perioperative Ketorolac-lidocaine in the Patients With Valvular Heart Diseases During Cesarean Delivery

Perioperative Ketorolac-lidocaine in the Patients With Valvular Heart Diseases During Cesarean Delivery Perioperative Ketorolac-lidocaine in the Patients With Valvular Heart Diseases During Cesarean Delivery - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100 (...) ). Please remove one or more studies before adding more. Perioperative Ketorolac-lidocaine in the Patients With Valvular Heart Diseases During Cesarean Delivery The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT01571791 Recruitment Status : Unknown Verified March 2015 by Mohamed R El Tahan, Mansoura

2012 Clinical Trials

133. Graded classification of fetal heart rate tracings: association with neonatal metabolic acidosis and neurologic morbidity. (PubMed)

Graded classification of fetal heart rate tracings: association with neonatal metabolic acidosis and neurologic morbidity. The objective of the study was to measure the performance of a 5-tier, color-coded graded classification of electronic fetal monitoring (EFM).We used specialized software to analyze and categorize 7416 hours of EFM from term pregnancies. We measured how often and for how long each of the color-coded levels appeared in 3 groups of babies: (A) 60 babies with neonatal (...) abnormalities.Both degree and duration of tracing abnormality are related to outcome. We present empirical data quantifying that relationship in a systematic fashion.Copyright 2010 Mosby, Inc. All rights reserved.

2009 American Journal of Obstetrics and Gynecology

134. Fetal heart rate tracing patterns associated with congenital hypothyroidism. (PubMed)

Fetal heart rate tracing patterns associated with congenital hypothyroidism. This study was undertaken to determine fetal heart rate (FHR) tracing patterns associated with congenital hypothyroidism.FHR patterns of 59 women whose babies were diagnosed with congenital hypothyroidism were retrospectively compared with tracings of 78 of their siblings. Tracings were interpreted during the first stage of labor. Multivariable analysis was used to control for confounders.Neonates with congenital (...) hypothyroidism had significantly higher rates of reduced variability in FHR tracing patterns as compared with those without congenital hypothyroidism (49.2% vs 3.8%; odds ratio, 24.1; 95% confidence interval, 6.8-85.3; P < .001). No significant differences were noted between the groups regarding decelerations or baseline abnormalities. The significant association between congenital hypothyroidism and reduced variability persisted after controlling for confounders such as treatment with pethidine, MgSO4

2009 American Journal of Obstetrics and Gynecology

135. Influence of carbon monoxide poisoning on the fetal heart monitor tracing: a report of 3 cases. (PubMed)

Influence of carbon monoxide poisoning on the fetal heart monitor tracing: a report of 3 cases. The diagnosis of carbon monoxide poisoning in the third trimester of pregnancy requires an index of suspicion, and the appearance of the fetal heart monitor tracing may help in this regard.Three cases of third-trimester acute carbon monoxide poisoning occurred. In each pregnancy, the fetal heart monitor tracing on admission was correlated with the maternal carboxyhemoglobin level, and how the pattern (...) changed following the institution of therapy was analyzed.In all 3 cases, the initial fetal heart rate pattern demonstrated decreased variability with an elevated baseline and an absence of accelerations and decelerations. Within 45-90 minutes of treatment onset, the baseline fetal heart rate dropped by 20-40 beats per minute, the variability became moderate, and accelerations occurred. Absent accelerations with minimal variability, if caused by uteroplacental insufficiency, are usually preceded

2009 Journal of Reproductive Medicine

136. Abnormal fetal heart rate tracings in patients with thick meconium staining of the amniotic fluid: Xu et al. (PubMed)

Abnormal fetal heart rate tracings in patients with thick meconium staining of the amniotic fluid: Xu et al. The article below summarizes a roundtable discussion of a study published in this issue of the Journal in light of its methodology, relevance to practice, and implications for future research. Article discussed: Xu H, Calvet M, Wei S-Q, Luo Z-C, Fraser WD. Abnormal fetal heart rate tracing patterns in patients with thick meconium staining of the amniotic fluid: association with perinatal

2009 American Journal of Obstetrics and Gynecology

137. Intrapartum care for women with existing medical conditions or obstetric complications and their babies

with existing medical conditions or obstetric complications and their babies (NG121) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Last updated April 2019 Page 2 of 96Contents Contents Overview 6 Who is it for? 6 Recommendations 7 1.1 Information for women with existing medical conditions 7 1.2 Planning for intrapartum care with women with existing medical conditions – involving a multidisciplinary team 8 1.3 Heart disease 9 (...) with heart disease 57 Management of anticoagulation for women with mechanical heart valves 59 Mode of birth for women with heart disease 61 Fluid management for women with heart disease 62 Diagnosis and management of heart failure for all women in the intrapartum period 63 Anaesthesia and analgesia for women with heart disease 64 Management of the third stage of labour for women with heart disease 65 Analgesia for women with asthma 66 Prostaglandins for women with asthma 66 Long-term systemic steroids 67

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

138. Twin and triplet pregnancy

pregnancy or preterm babies. [2019] [2019] 1.11.2 Explain to the woman that continuous cardiotocography is used to monitor the babies' heartbeats and her labour contractions, and that: it allows simultaneous monitoring of both babies it might restrict her mobility normal traces show the babies are coping well with labour; if traces are not normal, there will be less certainty about the babies' condition it is normal to see changes to the fetal heart rate pattern during labour and this does (...) ). Page 26 of 59labour, involve a senior obstetrician in discussions with the woman and her family members or carers about how to monitor the fetal heart rates. [2019] [2019] 1.11.7 When carrying out cardiotocography: use dual channel cardiotocography monitors to allow simultaneous monitoring of both fetal hearts document on the cardiotocograph and in the clinical records which cardiotocography trace belongs to which baby monitor the maternal pulse electronically and display it simultaneously

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

139. Monoamniotic twin pregnancy: continuous inpatient electronic fetal monitoring-an impossible goal? (PubMed)

Monoamniotic twin pregnancy: continuous inpatient electronic fetal monitoring-an impossible goal? We sought to determine the effectiveness of continuous fetal monitoring in monoamniotic twins and assess the percentage of successful monitoring across gestation.This was a single-center retrospective cohort analysis of monoamniotic twins. Each subject's entire electronic fetal heart tracing was reviewed. The primary outcome measure was the percentage of time that 0, 1, and 2 fetuses were (...) successfully monitored. To compare the effectiveness of monitoring across gestation, these data were stratified by gestational age (<27, 27-30, and >30 weeks).A total of 10,402 hours of fetal monitoring were reviewed for 17 monoamniotic twin pairs. Successful monitoring of 0, 1, and 2 fetuses occurred 21.2%, 27.1%, and 51.6% of the time, respectively. Successful monitoring of both fetuses was positively correlated with gestational age (<27 weeks 37%; 27-30 weeks 51%; >30 weeks 57%; P < .007).Successful

2010 American Journal of Obstetrics and Gynecology

140. Trial of Labour After Caesarean

of labour after Caesarean or elective repeat Caesarean section should be clearly stated, and documentation of the previous uterine scar should be clearly marked on the prenatal record (III-A). 26 The entire team should be made aware of the presence of a woman undergoing a trial of labour after Caesarean labouring in the birthing unit (III-A). 27 Continuous electronic fetal monitoring of women having a trial of labour after Caesarean is necessary, as changes to the fetal heart rate tracing are one (...) in a 4-part series on labour and delivery. DOI: To view the full text, please login as a subscribed user or . Click to view the full text on ScienceDirect. Abstract Objective To provide evidence-based guidelines for the provision of a trial of labour after Caesarean section. Outcomes Fetal and maternal morbidity and mortality associated with vaginal birth after Caesarean and repeat Caesarean section. Evidence MEDLINE database was searched for articles published from January 1, 1995, to October 31

2019 Society of Obstetricians and Gynaecologists of Canada

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