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Fetal Scalp Stimulation

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21. Fetal Health Surveillance: Antepartum & Intrapartum Consensus Guideline

Stimulation S38 Fetal Scalp Blood Sampling S39 Umbilicial Cord Blood Gases S41 NEW TECHNOLOGIES S43 Fetal Pulse Oximetry S43 Fetal Electrocardiogram Analysis S43 Intrapartum Scalp Lactate Testing S44 CHAPTER 3 MAINTAINING STANDARDS IN ANTENATAL/INTRAPARTUM FETAL SURVEILLANCE: QUALITY IMPROVEMENTS AND RISK MANAGEMENT S45 COMMUNICATION S45 DOCUMENTATION S46 INTERPROFESSIONAL ROLES AND EDUCATION S46 RISK MANAGEMENT ISSUES S48 REFERENCES S50 S2 SEPTEMBER JOGC SEPTEMBRE 2007SEPTEMBER JOGC SEPTEMBRE 2007 • S3 (...) is stable and (2) if oxytocin is being administered, the infusion rate is not increased. (III-B) Recommendation 12: Digital Fetal Scalp Stimulation 1. Digital fetal scalp stimulation is recommended in response to atypical electronic fetal heart tracings. (II-B) 2. In the absence of a positive acceleratory response with digital fetal scalp stimulation,  Fetal scalp blood sampling is recommended when available. (II-B)  If fetal scalp blood sampling is not available, consideration should be given

2008 British Columbia Perinatal Health Program

22. Continued Versus Discontinued Oxytocin Stimulation of Labour

readmission [ Time Frame: 0-168 hours ] Retention of urine [ Time Frame: 0-48 hours ] requiring catheterisation Vaginal explorations [ Time Frame: 0-48 hours ] number Cardiotocogram (CTG) classification [ Time Frame: 0-48 hours ] Parturition will be monitored with continous CTG. Suspicious, pathologic or terminal CTG will be registered. Fetal scalp pH values or Fetal scalp lactate [ Time Frame: 0-48 hours ] Apgar score at 1 and 5 minutes [ Time Frame: 0-48 hours ] Umbilical cord arterial pH [ Time Frame (...) for induction of labour (with or without cervical priming by prostaglandin) Exclusion Criteria: Unable to read and understand the Danish language or to give informed consent Cervical dilatation > 4 cm Non-cephalic presentation Multiple gestation Pathological fetal heart rate pattern (cardiotocogram, CTG) before Syntocinon® initiation Fetal weight estimation > 4500 g (clinical or ultrasonic) Subject declines participation Gestational age less than 37 completed weeks Definition: Stimulation with Syntocinon®

2015 Clinical Trials

23. Transcranial Direct Current Stimulation (tDCS) for Depression in Pregnancy: A Pilot Study

or neurologic illness or history of seizure Currently taking carbamazepine (which may interfere with the effects of anodal tDCS), Major complications and/or a known fetal anomaly in the current pregnancy as determined by the investigator team Planning to leave Toronto prior to delivery in the current pregnancy. Metal implant(s) in cranium Electrical implant(s) in body Currently taking benzodiazepines daily (Intermittent PRN use of low-dose Lorazepam allowed) Non-intact skin on scalp areas where stimulation (...) Transcranial Direct Current Stimulation (tDCS) for Depression in Pregnancy: A Pilot Study Transcranial Direct Current Stimulation (tDCS) for Depression in Pregnancy: A Pilot Study - 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

2014 Clinical Trials

24. Nonreassuring Fetal Status

Nonreassuring Fetal Status Aka: Nonreassuring Fetal Status , Fetal Distress , Fetal Hypoxia , Birth Asphyxia From Related Chapters II. Causes Uterine Hyperstimulation accident Uteroplacental Insufficiency III. Definition: Nonreassuring Fetal Status (preferred term) suggestive of IV. Evaluation Fetal status Confirm findings with alternative monitoring Consider fetal scalp electrode Response to acoustic or scalp stimulation Consider (pH < 7.20 is abnormal) Maternal status Maternal s Vaginal examination (e.g (...) 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

25. Twin and triplet pregnancy

on the same cardiotocography trace. [2019] [2019] 1.11.8 Consider separating the fetal heart rates by 20 beats/minute if there is difficulty differentiating between them. [2019] [2019] 1.11.9 Classify and interpret cardiotocography in line with table 10 of NICE's guideline on intrapartum care for healthy women and babies, taking into account that: twin pregnancy should be considered a fetal clinical risk factor when classifying a cardiotocography trace as 'abnormal' versus 'non-reassuring' fetal scalp (...) for healthy women and babies. 1.11.13 If abdominal monitoring is unsuccessful or there are concerns about synchronicity of the fetal hearts: involve a senior obstetrician and senior midwife apply a fetal scalp electrode to the first baby (only after 34 weeks and if there are no contraindications) while continuing abdominal monitoring of the second baby perform a bedside ultrasound scan to confirm both fetal heart rates if monitoring remains unsatisfactory, consider a caesarean section. [2019] [2019

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

26. Polycystic ovary syndrome

hypertension scalp hair loss oily skin or excessive sweating acanthosis nigricans family history of PCOS premature adrenarche low birth weight fetal androgen exposure obesity environmental endocrine disruptors Diagnostic investigations serum total and free testosterone serum dehydroepiandrosterone sulfate (DHEAS) serum 17-hydroxyprogesterone serum prolactin serum thyroid-stimulating hormone oral glucose tolerance test fasting lipid panel serum androstenedione pelvic ultrasound basal body temperature (...) monitoring luteal phase progesterone measurement serum LH and follicle-stimulating hormone (FSH) Treatment algorithm ACUTE ONGOING Contributors Authors Director Division of Endocrinology, Diabetes & Metabolism Professor of Medicine Cedars-Sinai Medical Center Los Angeles CA Disclosures MOG is an author of a number of references cited in this topic. Peer reviewers Professor Department of Obstetrics and Gynecology University of California Davis Sacramento CA Disclosures AD declares that he has no competing

2019 BMJ Best Practice

27. Polycystic ovary syndrome

hypertension scalp hair loss oily skin or excessive sweating acanthosis nigricans family history of PCOS premature adrenarche low birth weight fetal androgen exposure obesity environmental endocrine disruptors Diagnostic investigations serum total and free testosterone serum dehydroepiandrosterone sulfate (DHEAS) serum 17-hydroxyprogesterone serum prolactin serum thyroid-stimulating hormone oral glucose tolerance test fasting lipid panel serum androstenedione pelvic ultrasound basal body temperature (...) monitoring luteal phase progesterone measurement serum LH and follicle-stimulating hormone (FSH) Treatment algorithm ACUTE ONGOING Contributors Authors Director Division of Endocrinology, Diabetes & Metabolism Professor of Medicine Cedars-Sinai Medical Center Los Angeles CA Disclosures MOG is an author of a number of references cited in this topic. Peer reviewers Professor Department of Obstetrics and Gynecology University of California Davis Sacramento CA Disclosures AD declares that he has no competing

2018 BMJ Best Practice

28. Diagnosis and management of epilepsy in adults

ContentsDiagnosis and management of epilepsy in adults Diagnosis and management of epilepsy in adults 5.6 Fetal, neonatal and childhood outcomes 43 5.7 Postpartum advice for mothers 47 5.8 Advice about breastfeeding 48 5.9 Menopause and epilepsy 49 6 Psychiatric comorbidity 50 6.1 Screening 50 6.2 Treatment options 52 7 Sleep 54 7.1 Sleep deprivation and sleep hygiene 54 7.2 Obstructive sleep apnoea and epilepsy 54 7.3 Sudden unexpected death in epilepsy and sleep 54 8 Mortality 55 8.1 Sudden unexpected death

2018 SIGN

29. Management of Stroke in Neonates and Children

in the majority of neonates with hemorrhagic stroke, risk factors include postmaturity, emergency cesarean delivery, fetal distress, and male sex. , Mutations in COL4A1 should be considered in neonates with cerebral hemorrhage, porencephaly, glaucoma, or cataracts. , Some hemorrhagic lesions such as periventricular hemorrhagic venous infarction may actually represent hemorrhagic conversion of an arterial or venous infarction. Either acquired or congenital coagulopathy may lead to intracranial hemorrhage

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2019 American Heart Association

30. International evidence-based guideline for the assessment and management of polycystic ovary syndrome (PCOS)

, diagnosis and management of PCOS, we endorse the Rotterdam diagnostic criteria in adults and recommend tighter criteria requiring both hyperandrogenism and irregular cycles, with ultrasound not indicated in adolescents, due to overlap with normal reproductive physiology. Exclusion of thyroid disease (thyroid stimulating hormone), hyperprolactinemia (prolactin), and non-classic congenital adrenal hyperplasia (17-hydroxy progesterone) is recommended with further evaluation recommended in those

2018 European Society of Human Reproduction and Embryology

31. Guidelines for the Management of Genital Herpes in New Zealand

– Management of Recurrent Episodes of Genital Herpes 18 GENITAL HERPES IN PREGNANCY 18 Maternal Fetal Transmission 19 Use of Antivirals in Pregnancy and Breastfeeding 19 Mode of Delivery 21 Special Situations in Pregnancy 21 Prevention of HSV in the Neonate 21 Summary of Clinical Management of First Episode Genital Herpes in Pregnancy 22 Treatment algorithm – Management of Women with Suspected Genital Herpes in Pregnancy 23 First Episode Genital Herpes: First and Second Trimester Acquisition 23 First (...) ). Also, some people do not seroconvert and reversal from seropositive to seronegative status may occur if there is minimal antigenic stimulation. Situations where type-specific antibody might be helpful include: • Herpes in pregnancy (see page 18). In a woman with no previous history of herpes, serology can be helpful to ascertain if it is a primary infection (with viremia, potentially, hence higher risk of transmission) or a recurrence (much lower risk). • Discordant couples planning pregnancy (when

2017 New Zealand Sexual Health Society

32. Induction of labour

– Queensland Clinical Guideline: Induction of labour Refer to online version, destroy printed copies after use Page 16 of 30 3.2 Membrane sweeping Membrane sweeping refers to the digital separation of the fetal membranes from the lower uterine segment during VE. This movement helps to separate the cervix from the membranes and stimulate the release of prostaglandins. Table 13. Membrane sweeping Membrane sweeping Indication · Reduce the need for IOL by encouraging spontaneous labour Contraindication (...) with presenting part · Insert amnihook–amnicot, using examining finger as guard to hook · Rupture forewaters–avoid ARM over fontanelle or face · Remove amnihook–amnicot, guarding it against index finger · Confirm passage of fluid and check for presence of blood or meconium · Sweep membranes from presenting part · Ensure good application of presenting part before completing VE · Apply fetal scalp electrode, only if clinically indicated o Refer to Queensland Clinical Guideline: Intrapartum fetal surveillance 69

2018 Queensland Health

35. Clinical practice guidelines for the care of girls and women with Turner syndrome: proceedings from the 2016 Cincinnati International Turner Syndrome Meeting

against routine oocyte retrieval for fertility preservation of young TS girls before the age of 12 years (⨁◯◯◯). R 3.4. We recommend considering oocyte donation for fertility, only after thorough screening and appropriate counseling (⨁⨁⨁⨁). R 3.5. We recommend that management of pregnant women with TS should be undertaken by a multidisciplinary team including maternal–fetal medicine specialists and cardiologists with expertise in managing women with TS (⨁⨁⨁◯). R 3.6. We suggest that other options (...) of a dilated aorta with rapid increase in diameter (⨁◯◯◯). R 3.16. We suggest that in case of an acute ascending AoD before the fetus is viable, to perform emergency aortic surgery understanding that fetal viability may be at risk. If the fetus is viable, it is reasonable to perform cesarean section first, followed by aortic surgery, which should be performed under near-normothermia, pulsatile perfusion, high pump flow and avoidance of vasoconstrictors (⨁◯◯◯). R 3.17. We suggest that exercise testing

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2016 European Society of Human Reproduction and Embryology

36. European Society of Endocrinology Clinical practice guidelines for the care of girls and women with Turner syndrome

against routine oocyte retrieval for fertility preservation of young TS girls before the age of 12 years (⨁◯◯◯). R 3.4. We recommend considering oocyte donation for fertility, only after thorough screening and appropriate counseling (⨁⨁⨁⨁). R 3.5. We recommend that management of pregnant women with TS should be undertaken by a multidisciplinary team including maternal–fetal medicine specialists and cardiologists with expertise in managing women with TS (⨁⨁⨁◯). R 3.6. We suggest that other options (...) of a dilated aorta with rapid increase in diameter (⨁◯◯◯). R 3.16. We suggest that in case of an acute ascending AoD before the fetus is viable, to perform emergency aortic surgery understanding that fetal viability may be at risk. If the fetus is viable, it is reasonable to perform cesarean section first, followed by aortic surgery, which should be performed under near-normothermia, pulsatile perfusion, high pump flow and avoidance of vasoconstrictors (⨁◯◯◯). R 3.17. We suggest that exercise testing

2017 European Society of Endocrinology

37. Intrapartum care for healthy women and babies

tr ansferred (% of total transferred from each ansferred from each setting) setting) F From home rom home (n=3,529) (n=3,529) F From a freestanding rom a freestanding midwifery unit (n=2,457) midwifery unit (n=2,457) F From an alongside rom an alongside midwifery unit midwifery unit (n=4,401) (n=4,401) Delay during first or second stage of labour 1,144 (32.4%) 912 (37.1%) 1,548 (35.2%) Abnormal fetal heart rate 246 (7.0%) 259 (10.5%) 477 (10.8%) Request for regional analgesia 180 (5.1%) 163 (6.6 (...) on ultrasound) Abnormal fetal heart rate/doppler studies Ultrasound diagnosis of oligo-/polyhydramnios Intrapartum care for healthy women and babies (CG190) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 13 of 89Previous gynaecological history Myomectomy Hysterotomy T T able able 8 Medical conditions indicating individual assessment when planning place of 8 Medical conditions indicating individual assessment when planning

2014 National Institute for Health and Clinical Excellence - Clinical Guidelines

38. Brief Resolved Unexplained Events (Formerly Apparent Life-Threatening Events) and Evaluation of Lower-Risk Infants

at “high risk” of SIDS and reported that 80% had alarms at home. All infants with alarms had at least 1 episode of parental intervention motivated by the alarms, although the authors acknowledged that some cases of parental intervention may have been attributable to parental anxiety. Nevertheless, the stimulated infants did not die of SIDS or require rehospitalization and therefore it was concluded that monitoring resulted in successful resuscitation, but this was not firmly established. Côté et al

2016 American Academy of Pediatrics

39. Guideline on the management of premature ovarian insufficiency

) antibodies should be performed in women with POI of unknown cause or if an immune disorder is suspected. In patients with a positive TPO-Ab test, thyroid stimulating hormone (TSH) should be measured every year. C 10 There is insufficient evidence to recommend routinely screening POI women for diabetes. D There is no indication for infection screening in women with POI. D The possibility of POI being a consequence of a medical or surgical intervention should be discussed with women as part (...) and quality of primordial follicles. Low ovarian reserve is a condition in which the ovary loses its normal reproductive potential. Women with low ovarian reserve often respond poorly to controlled ovarian stimulation resulting in retrieval of fewer oocytes, producing poorer quality embryos and reduced implantation rates and pregnancy rates (Narkwichean, et al., 2013). Incidence of poor ovarian response, a measure of low ovarian reserve, over all assisted conception cycles ranges from 9 to 24% (Keay, et

2015 European Society of Human Reproduction and Embryology

40. Genetics of Skin Cancer (PDQ®): Health Professional Version

cell leukemia; cutaneous T-cell lymphoma is often confined to the skin throughout its course. Overall, 10% of leukemias and lymphomas have prominent expression in the skin.[ ] Epidermal appendages are also found in the dermal compartment. These are derivatives of the epidermal keratinocytes, such as hair follicles, sweat glands, and the sebaceous glands associated with the hair follicles. These structures are generally formed in the first and second trimesters of fetal development. These can form (...) by BCNS.[ , , ] BCNS-associated ovarian fibromas are more likely to be bilateral and calcified than sporadic ovarian fibromas.[ ] Ameloblastomas, aggressive tumors of the odontogenic epithelium, have also been proposed as a diagnostic criterion for BCNS, but most groups do not include it at this time.[ ] Other associated benign neoplasms include gastric hamartomatous polyps,[ ] pulmonary cysts,[ ] cardiac fibromas,[ ] meningiomas,[ - ] craniopharyngiomas,[ ] fetal rhabdomyomas,[ ] leiomyomas

2018 PDQ - NCI's Comprehensive Cancer Database

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