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Fetal Heart Tracing

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141. 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

2015 FP Notebook

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

balance optimum fluid balance and how this might be achieved plans for risk assessment and monitoring. 1.3.20 Identify women with heart disease for whom fluid balance is critical to cardiac function. These include women with: severe left-sided stenotic lesions (for example, aortic stenosis and mitral stenosis) hypertrophic cardiomyopathy cardiomyopathy with systolic ventricular dysfunction pulmonary arterial hypertension Fontan circulation and other univentricular circulations Intrapartum care (...) for women 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 13 of 96NYHA class IV heart disease. 1.3.21 For women with heart disease in whom fluid balance is critical for optimal cardiac function, offer tailored monitoring and clinical review during the intrapartum period, and consider escalation as follows: hourly

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

143. 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

144. COVID-19 - SARS-CoV-2

, including those with asthma that requires continuous or repeated use of systemic steroids or with previous exacerbations requiring hospital admission, and chronic obstructive pulmonary disease (COPD) including chronic bronchitis and emphysema; bronchiectasis, cystic fibrosis, interstitial lung fibrosis, pneumoconiosis and bronchopulmonary dysplasia (BPD). Chronic heart disease and vascular disease Congenital heart disease, hypertension with cardiac complications, chronic heart failure, individuals (...) and contact tracing are needed in order to control viral spread. Perinatal transmission has been reported although the exact transmission route has not been elucidated (ECDCa, 2020). After the initial exposure, patients typically develop symptoms within 5-6 days (incubation period) although about 20% of patients remain asymptomatic throughout infection (Cevik M et al, 2020). Polymerase chain reaction (PCR) tests can detect viral SARS-CoV-2 RNA in the upper respiratory tract for a mean of 17 days, although

2021 The Green Book

145. Exercise During Pregnancy: Fetal Responses to Current Public Health Guidelines. Full Text available with Trip Pro

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

146. Clinical care of severe acute respiratory infections – Tool kit

University School of Medicine, Nashville, TN, United States of America); Sabine Heinrich (Berlin, Germany); Michael Ison (Northwestern University, Chicago, IL, United States of America); Arjun Karki (Patan Academy of Health Sciences, Kathmandu, Nepal); John Luce (San Francisco General Hospital, San Francisco, California, United States of America); Lung Injury Knowledge Network, National Heart, Lung, and Blood Institute (Bethesda, MD, United States of America); Kirsten Lunghi (San Francisco General (...) unit for adults CDC Centers for Disease Control and Prevention (United States of America) CFR case fatality ratio CNS central nervous system CO cardiac output CO 2 carbon dioxide COPD chronic obstructive pulmonary disease CPAP continuous positive airway pressure CPOT Critical-Care Pain Observation Tool CR capillary refill CVC central venous catheter CVP central venous pressure DBP diastolic blood pressure DVT deep venous thrombosis ECG electrocardiogram ECMO extracorporeal membrane oxygenation EN

2020 WHO Coronavirus disease (COVID-19) Pandemic

147. NZSHS Syphilis in Pregnancy Guideline

syphilis and is usually not clinically significant unless there is neurological or ophthalmic involvement or in pregnancy. • JH reaction occurs in up to 44% of pregnant women and can precipitate preterm labour, and fetal heart rate abnormalities. Stillbirth is a very rare complication of treatment, (usually in case of severely affected fetuses), 12 but concern for this possible complication should not delay treatment. • All viable pregnancies (=20 weeks gestation) must be treated in association (...) to seek obstetric attention after treatment if they notice any fever, contractions, or decrease in fetal movements. 20 Syphilis in Pregnancy Sept 2020 V1 17 10.3.5 HIV positive pregnant woman with syphilis • All women with HIV infection should be tested for syphilis during antenatal screening tests. Treatment and management of syphilis in HIV positive pregnant women is the same as per HIV negative women. 10.3.6 Management of sexual contacts and other children • Partner notification or contact tracing

2020 New Zealand Sexual Health Society

148. ADA Standards of Medical Care in Diabetes

and minimizing fetal growth impairment. Recommendations for statin treat- ment(primaryandsecondaryprevention, 10.19–10.28) have been revised to min- imize ASCVD risk and to align with the “2018 AHA/ACC/AACVPR/AAPA/ABC/ ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol: Executive Summary: A Report of the American College of Cardiology/ American Heart Association Task Force on Clinical Practice Guidelines” (https:// doi.org/10.1016/j.jacc.2018.11.002), published in June 2019 (...) Pharmacotherapy Medical Devices for Weight Loss Metabolic Surgery S98 9. Pharmacologic Approaches to Glycemic Treatment Pharmacologic Therapy for Type 1 Diabetes Surgical Treatment for Type 1 Diabetes Pharmacologic Therapy for Type 2 Diabetes S111 10. Cardiovascular Disease and Risk Management The Risk Calculator Hypertension/Blood Pressure Control Lipid Management Statin Changes Antiplatelet Agents Cardiovascular Disease Cardiac Testing Screening Asymptomatic Patients Lifestyle and Pharmacologic

2021 Pediatric Endocrine Society

149. Protective measures for groups vulnerable to COVID-19

Information and Quality Authority Page 24 of 82 ? have had blood cancer, for example, leukaemia, lymphoma or myelodysplastic syndrome (diagnosed in the last five years) ? having chemotherapy or radiotherapy. Chronic conditions that indicate moderate risk include: ? chronic kidney (renal) failure ? heart disease (coronary heart disease or failure) ? chronic lung disease, excluding mild or moderate asthma ? a non-haematological cancer (diagnosed in the last 12 months) ? diabetes ? severe obesity with a body (...) are pregnant with significant heart disease, congenital or acquired. On 4 September the Department of Health updated their criteria for extremely medically vulnerable to include people who are on dialysis. (2) On 27 March, the specific advice given to these groups was to stay at home at all times and avoid any face-to-face contact with others. It was announced on 1 May that those cocooning could go outside for a walk, provided they followed strict physical distancing and hygiene guidelines. However

2021 Health Information and Quality Authority

150. AAES Guidelines for the Definitive Surgical Management of Thyroid Disease in Adults

nodular disease, most commonly in association with goiter; it can also result from cardiac dysfunction or pulmonary hypertension secondary to untreated hyperthyroidism, or even hypothyroid-related diaphragmatic dysfunction. Shortness of breath is reported in ∼40% to 50% of patients with goiter. Positional dyspnea is seen in up to 3 quarters of patients with substernal goiter, may be associated with a diagnosis of obstructive sleep apnea, and may improve with thyroidectomy particularly if objective (...) should be carefully assessed and nonoperative approaches considered. Physical Examination Examination findings that can suggest hyperthyroidism include elevated heart rate, hypertension, and exophthalmos. A slow heart rate and slowed Achilles heel reflex time may signal hypothyroidism. In meta-analysis, overweight and obese patients have significant higher risks of PTC, FTC, and ATC, but no increased risk of MTC. Taller height also has been associated with increased DTC risk. Demographic

2021 Publication 4896149

151. Protective measures for groups vulnerable to COVID-19

and severe COPD ? People with rare diseases and inborn errors of metabolism that significantly increase the risk of infections (such as SCID, homozygous sickle cell) ? People on immunosuppression therapies sufficient to significantly increase risk of infection ? Women who are pregnant with significant heart disease, congenital or acquired. The Health Service Executive updated the criteria for highest risk in preparation for use in the allocation of vaccines. (3) Additional groups include Down’s syndrome (...) ) ? People with rare diseases that significantly increase the risk of infections (such as severe combined immunodeficiency (SCID), homozygous sickle cell) ? People on immunosuppression therapies sufficient to significantly increase risk of infection ? Problems with your spleen, e.g. splenectomy (having your spleen removed) ? Adults with Down’s syndrome. ? Adults on dialysis or with chronic kidney disease (stage 5) ? Women who are pregnant with significant heart disease, congenital or acquired ? Other

2021 Health Information and Quality Authority

152. Hypertension and pregnancy

Postpartum • Close clinical surveillance • VTE prophylaxis • Consider timing of discharge • Arrange follow up • Maternal screening as indicated ALPS: antiphospholipid syndrome, BMI: body mass index, BP: blood pressure, CTG: cardiotocograph, dBP: diastolic BP, ELFT: electrolytes and liver function test, FHR: fetal heart rate, LDH: Lactate dehydrogenase, sBP: systolic BP, USS: ultrasound scan, VTE: venous thromboembolism, >: greater than, <: less than, =: greater than or equal to, =: less than or equal (...) intravascular coagulation DVP Deepest vertical pocket FBC Full blood count FHR Fetal heart rate GA General anaesthesia HDP Hypertensive disorders of pregnancy GP General Practitioner HELLP Haemolysis, Elevated Liver enzymes and Low Platelet count IUGR/FGR Intrauterine growth restriction/Fetal growth restriction LAM List of approved medicines LDH Lactate dehydrogenase LFT Liver function test sBP Systolic blood pressure SLE Systemic lupus erythematosus RR Relative risk SpO 2 Saturation of peripheral oxygen

2021 Queensland Health

153. Guidelines For Professional Ultrasound Practice

published on a wide range of topics by organisations other than the SCoR and BMUS. These guidelines do not and cannot cover all elements of an ultrasound examination and, in addition, ultrasound practitioners are advised to access standard texts, documents and research in order to fully inform local departmental protocols and procedures. There are no guidelines included for obstetric ultrasound in this edition. Practitioners are referred to publications from the national fetal anomaly screening (...) programmes, the Royal College of Obstetricians and Gynaecologists (especially their Greentop Guidelines), the Fetal Medicine Foundation, Association of Early Pregnancy Units, British Society of Gynaecological Imaging, National Institute for Health and Care Excellence and the International Society of Ultrasound in Obstetrics and Gynaecology. The term patient has been used throughout the document in preference to other terms such as client or service user. Several professional titles are used by those who

2019 British Medical Ultrasound Society

154. Towards integrated antenatal care for low-risk pregnancy

consists of a clinical evaluation, a technical examination (foetal heart auscultation and ultrasound), a haematological assessment, an assessment of infectious diseases and a screening for maternal clinical problems (such as gestational diabetes). All interventions regarding the clinical follow-up of low-risk pregnancies and their planning during the pregnancy are described in KCE report 248. 5 In low-risk pregnancies, all these interventions may be performed by gynaecologists, midwives (except (...) of the co-payment and the potential supplement. The supplement is the difference between the freely set fees by non-contracted providers and the negotiated fees. It falls outside the scope of the national health insurance and has to be paid by the patient. KCE Report 326 Towards integrated antenatal care for low-risk pregnancy 11 Preconception counselling The medical purpose of preconception counselling is the prevention of perturbation in the organogenesis of the main vital organs of the foetus

2020 Belgian Health Care Knowledge Centre

155. 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

156. Guidelines on Supraventricular Tachycardia (for the management of patients with) Full Text available with Trip Pro

-entrant tachycardia AVRT Atrioventricular re-entrant tachycardia BBB Bundle branch block b.p.m. Beats per minute CHA2DS2- VASc Cardiac failure, Hypertension, Age ≥75 (Doubled), Diabetes, Stroke (Doubled) – Vascular disease, Age 65–74 and Sex category (Female) CL Cycle length CMR Cardiac magnetic resonance CT Computed tomography CTI Cavotricuspid isthmus CV Conduction velocity CYP Cytochrome P450 DAD Delayed after-depolarization DC Direct current DCS Distal coronary sinus EA Enhanced automaticity EAD (...) Guidelines on Supraventricular Tachycardia (for the management of patients with) 2019 ESC Guidelines for the management of patients with supraventricular tachycardiaThe Task Force for the management of patients with supraventricular tachycardia of the European Society of Cardiology (ESC) | European Heart Journal | Oxford Academic ') We use cookies to enhance your experience on our website.By continuing to use our website, you are agreeing to our use of cookies. You can change your cookie

2019 European Society of Cardiology

157. Bariatric surgery in Belgium: organisation and payment of care before and after surgery

of healthcare professionals 157 8 Bariatric surgery in Belgium KCE Report 329 Table 22 – Long term supplementation after bariatric surgery according to Farmaka 2016 49 and BMS 2015 50 162 Table 23 – Effects of bariatric surgery on maternal and foetal outcomes (EASO 2017) 38 163 Table 24 – List of 2014 not reimbursed costs for which reimbursement was requested according to BASO Currently not reimbursed costs for which reimbursement is requested in the future (minimal number of visits) 172 Table 25 – Data

2020 Belgian Health Care Knowledge Centre

158. Pregnancy and Renal Disease

, (Piccoli et al., 2018, #13860) which equates to between 15,000-20,000 pregnancies per year in England. The prevalence of CKD in pregnancy is predicted to rise in the future due to increasing maternal age and obesity. Although CKD is not a barrier to reproduction in most women, the risk of adverse pregnancy outcomes is increased in women with CKD including pre-eclampsia, fetal growth restriction, preterm delivery and accelerated loss of maternal renal function. CKD impacts on communication, decision (...) of spontaneous miscarriage and fetal abnormality. A 3-month interval is advised before conception to allow conversion to a pregnancy-safe alternative and ensure stable disease/kidney function (1C). Guideline 2.6 We recommend that, when other treatment options exist, rituximab is avoided in pregnancy due to the risk of neonatal B cell depletion and unknown long-term outcomes (1D). Guideline 2.7 We recommend sirolimus and everolimus are avoided in pregnancy due to insufficient safety data (1D). Guideline 2.8

2019 Renal Association

159. Syphilis in pregnancy

, transient accentuation of cutaneous lesions 47 , hypotension and tachycardia 38,40 · May precipitate uterine contractions (56–67%), decreased fetal movements (67%) and abnormal fetal heart rate (FHR) tracings (50%) 24 · In severely affected pregnancies preterm birth and stillbirth have been reported 24 Management · Do not delay treatment due to concerns about adequacy of monitoring · Offer information to women about JHR o Refer to Queensland Clinical Guideline Parent information · Advise women to: o (...) Abbreviations CSF Cerebrospinal fluid FHR Fetal heart rate GP General Practitioner HIV Human immunodeficiency virus IgM Immunoglobulin M IV Intravenous JHR Jarisch Herxheimer Reaction PCR Polymerase Chain Reaction POC Point of care QSSS Queensland Syphilis Surveillance Service SOP Standard operating procedure STI Sexually transmitted infection USS Ultrasound VDRL Venereal Diseases Research Laboratory Definition of terms Adequate treatment In a pregnant woman, treatment may be considered adequate if a stage

2020 Queensland Health

160. Labor Dystocia

will eventually have at least one child, 1 and the majority of these women will undergo labor. “Labor dystocia”— difficult or obstructed labor 2 —encompasses a variety of concepts, ranging from “abnormally” slow dilation of the cervix or descent of the fetus during active labor 3 to entrapment of the fetal shoulders after delivery of the head (“shoulder dystocia,” an obstetric emergency). For the purposes of this systematic review, we assume that “labor dystocia” refers to “abnormal” labor progression during (...) (timing, choice of analgesic agents). • Variations in monitoring labor progress (such as frequency of cervical examination or use of intrauterine pressure catheters) and fetal well-being (fetal heart rate monitoring). • Variations in strategies for how oxytocin is used during labor augmentation including timing of augmentation relative to labor progress and variation in dosing regimens. • Variations in strategies for reducing the length of the second stage of labor (after cervical dilation is complete

2020 Effective Health Care Program (AHRQ)

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