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Fetal Heart Tracing

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141. Interobserver and intraobserver reliability of the NICHD 3-Tier Fetal Heart Rate Interpretation System. (Abstract)

Interobserver and intraobserver reliability of the NICHD 3-Tier Fetal Heart Rate Interpretation System. Our purpose was to test the reliability of the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) 3-Tier Fetal Heart Rate (FHR) classification system.Individual 15- to 20-minute FHR segments (n = 154) were independently reviewed without clinical data by 3 maternal-fetal medicine examiners and classified by NICHD category (I, II, III).Interobserver (...) reliability was moderate (kappa 0.45) and varied by NICHD category (category I moderate [kappa 0.48], category II moderate [kappa 0.44], and category III poor [kappa 0.0]). The intraobserver agreement ranged from substantial to perfect (kappa 0.74-1.0).Interobserver agreement of 3-Tier FHR classification System was moderate for NICHD categories I and II. Agreement for category III tracings was poor mainly due to lack of agreement regarding absent vs minimal variability.Copyright © 2011 Mosby, Inc. All

2011 American Journal of Obstetrics and Gynecology

142. Fetal heart ventricle mass obtained by STIC acquisition combined with inversion mode and VOCAL. Full Text available with Trip Pro

-dimensional inversion mode and Virtual Organ Computer-aided AnaLysis (VOCAL™) for fetal cardiac mass assessment in healthy fetuses in the second and third trimesters.STIC acquisition was performed during fetal quiescence with the abdomen uppermost, at an angle of 30-50°, without color Doppler mapping. Myocardial volume measurements were performed in postprocessing using VOCAL mode, set to 15°. Beginning with the heart in four-chamber view at end diastole, a trace was drawn manually including (...) Fetal heart ventricle mass obtained by STIC acquisition combined with inversion mode and VOCAL. Estimation of fetal heart ventricular mass is important for fetal cardiac evaluation in cases of structural or functional cardiac disorders or extracardiac factors. It may be used with other cardiac parameters to ascertain the severity and prognosis of such disorders, or the nature and timing of intervention. We applied a novel technique combining spatiotemporal image correlation (STIC) with three

2011 Ultrasound in Obstetrics and Gynecology

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

, preload, coronary perfusion, and cardiac output. Many women still prefer general anesthesia rather than regional techniques at the author's country. The pharmacological modifications of the sympathetic response to tracheal intubation and surgical stimulation using opioids have adverse effects on the neonatal outcome after cesarean delivery. The authors have demonstrated in their previous studies the safety of both perioperative infusion of both of ketorolac and lidocaine in the attenuation (...) 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 - 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

2012 Clinical Trials

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

: +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

145. Use of Continuous Electronic Fetal Monitoring in a Preterm Fetus: Clinical Dilemmas and Recommendations for Practice Full Text available with Trip Pro

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

146. Practice bulletin no. 116: Management of intrapartum fetal heart rate tracings. (Abstract)

Practice bulletin no. 116: Management of intrapartum fetal heart rate tracings. Intrapartum electronic fetal monitoring (EFM) is used for most women who give birth in the United States. As such, clinicians are faced daily with the management of fetal heart rate (FHR) tracings. The purpose of this document is to provide obstetric care providers with a framework for evaluation and management of intrapartum EFM patterns based on the new three-tiered categorization.

2010 Obstetrics and Gynecology

149. 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 ( 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

150. 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

151. 2020 Atrial Fibrillation (Management of) Guidelines

Coronary artery disease CAPTAF Catheter Ablation compared with Pharmacological Therapy for Atrial Fibrillation CASTLE-AF Catheter Ablation vs. Standard conventional Treatment in patients with LEft ventricular dysfunction and Atrial Fibrillation CATCH-ME Characterizing AF by Translating its Causes into Health Modifiers in the Elderly CCB Calcium channel blocker CCS Chronic coronary syndrome CHA 2 DS 2 - VASc Congestive heart failure, Hypertension, Age ≥75 years, Diabetes mellitus, Stroke, Vascular (...) disease, Age 65–74 years, Sex category (female) CHADS 2 CHF history, Hypertension history, Age ≥75 y, Diabetes mellitus history, Stroke or TIA symptoms previously CHF Congestive heart failure CI Confidence interval CIED Cardiac implantable electronic device CKD Chronic kidney disease COP-AF Colchicine For The Prevention Of Perioperative Atrial Fibrillation In Patients Undergoing Thoracic Surgery COPD Chronic obstructive pulmonary disease CPAP Continuous positive airway pressure CrCl Creatinine

2020 European Society of Cardiology

152. 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

153. 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

154. Intervention for fetal distress among obstetricians, registered nurses, and residents: similarities, differences, and determining factors. (Abstract)

). 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

155. 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

156. 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

157. 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

158. 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

159. 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

160. Evidence summary for duration of infectiousness of SARS-CoV-2

from restriction of movements (or quarantine), which is defined as separating and restricting the movements of people who were exposed or potentially exposed to COVID-19. This is performed as a precautionary measure to prevent transmission should exposed individuals later become diagnosed. ? Viral culture and contact tracing studies that report outcomes in relation to time since symptom onset or SARS-CoV-2 RNA detection can suggest the duration of potential infectiousness. Therefore, these can (...) inform the duration of isolation required for patients who test positive for SARS-CoV-2 RNA. ? Viral culture studies measure the ability of SARS-CoV-2 to replicate in cultured cells. While a positive viral culture indicates potential infectiousness, risk of transmission (clinical infectivity) is also influenced by the viral titre, clinical and environmental factors, and behaviour of the infected individual. ? Contact tracing studies measure virus transmission between index cases (the first identified

2020 Health Information and Quality Authority

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