Fetal Monitoring in Practice - Elsevier eBook on VitalSource (Retail access Card), 4th Edition

• Clear and friendly writing style makes a potentially challenging subject straightforward and accessible
• Explains the correct use of terminology to help ensure safe and accurate communication
• Emphasizes the importance of using monitoring techniques within the context of detailed clinical assessment
• Explains the basics of interpretation including the influence of drugs used for pain relief
• Explains common pitfalls associated with equipment usage and provides practical advice on how to avoid them
• Explains the underlying pathophysiology associated with abnormal changes seen on the CTG
• Explains and contextualizes relevant clinical trial data
• Clinical scenarios demonstrate common presentations such as breech birth, twin pregnancies, brow presentation, hypertension, and eclampsia
• Real CTG traces demonstrate more complex presentations such as prolonged deceleration, placental abruption, and fetal bleeding
• Perfect for candidates undertaking the Advanced Training Skills Module of the RCOGs 'Advanced Labour Ward Practice'

• Incorporates the latest guidelines from the National Institute for Health and Care Excellence and the International Federation of Gynecology and Obstetrics
• Expanded author team provides an international perspective
• Includes new and expanded information on clinical assessment, complications including infection, anaemia and bleeding and medical litigation,
• Contains a new chapter on competency testing in CTG interpretation prior to practice

1 Introduction

2 Clinical assessment and recording

3 Auscultation of the fetal heart rate

4 Electronic fetal monitoring – terminology and interpretation

5 Pathophysiology of fetal heart rate (FHR)

6 NICE and FIGO guidelines for interpretation of FHR patterns

7 Antepartum fetal surveillance

8 The admission test by cardiotocography or by auscultation

9 Assessment of uterine contractions

10 Oxytocin and fetal heart rate changes

11 Meconium, infection, anaemia, bleeding

12 Cardiotocographic interpretation: additional clinical scenarios

13 Cardiotocographic interpretation: more difficult problems

14 Fetal scalp blood sampling pH and lactate

15 Fetal ECG waveform analysis

16 Medico legal issues with CTG and current strategies to reduce litigation

17 Competency testing in CTG interpretation prior to practice