Search

Only show content I have access to (0)

Chapters (1)

Over 3 years (1)

From year:

To year:

Apply

Medicine (1)

Cambridge University Press (1)

1 results

29 - Musculoskeletalconsiderations in pregnancy
from Section 5 - Medical and Surgical Emergencies during Pregnancy
- By Hiran Amarasekera
Edited by Edwin Chandraharan, Sabaratnam Arulkumaran
Book:

Obstetric and Intrapartum Emergencies

Published online:

05 November 2012

Print publication:

11 October 2012, pp 198-203
- Chapter
- - Get access
    
    Check if you have access via personal or institutional login
    
    Log in Register
- Export citation
Summary

The main aim of fetal monitoring is to timely identify and hence to salvage fetuses that are at risk of intrapartum hypoxic injury, whilst avoiding unnecessary operative intervention to fetuses that are normoxic or those who are mounting a good compensatory response. Cardiotocography (CTG) interpretation based on pattern recognition leads to unnecessary interventions as well as lack of action as all the CTG patterns of fetal neurological injury are not currently known and the specific CTG patterns do not correlate with poor neonatal outcomes. Intrapartum hypoxia should be suspected when there are changes in the baseline heart rate (i.e. below 110 beats per minute (bpm) or above 160 bpm) and/or presence of decelerations (on auscultation for 1 min after a uterine contraction) on intermittent auscultation. The decelerations are classified as early, late and variable in relation to the uterine contractions.