Identification of the Fetus at Risk for Metabolic Acidemia Using Continuous Fetal Heart Rate Monitoring
- PMID: 32516155
- DOI: 10.1097/GRF.0000000000000546
Identification of the Fetus at Risk for Metabolic Acidemia Using Continuous Fetal Heart Rate Monitoring
Abstract
The fetal heart rate can be used to assess the current metabolic state of the fetus and predict the risk of the evolution of metabolic acidemia through the course of labor. In this chapter, we will present the pathophysiology of the development of fetal acidemia and provide an organized approach to identifying the risk of worsening acidemia using changes noted in the fetal heart rate pattern to allow for interventions that might alter this course.
References
-
- D’Alton ME, Hankins GDV, Berkowitz RL, et al. Neonatal Encephalopathy and Neurologic Outcome, Second Edition. Report of the American College of Obstetricians and Gynecologists’ Task Force on Neonatal Encephalopathy. Pediatrics. 2014;133:e1482.
-
- Miller DA, Miller LA. Electronic fetal heart rate monitoring: applying principles of patient safety. Am J Obstet Gynecol. 2012;206:278–283.
-
- Parer JT, King T, Flanders S, et al. Fetal acidemia and electronic fetal heart rate patterns: is there evidence of an association? J Matern Fetal Neonatal Med. 2006;19:289–294.
-
- Afors K, Chandraharan E. Use of continuous electronic fetal monitoring in a preterm fetus: clinical dilemmas and recommendations for practice. J Pregnancy. 2011;2011:848794.
-
- Berkus MD, Langer O, Samueloff A, et al. Electronic fetal monitoring: what’s reassuring? Acta Obstet Gynecol Scand. 1999;78:15–21.
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