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Fetal surveillance
Fetal surveillance
Fetal surveillance
Fetal surveillance
Fetal surveillance
Fetal surveillance
Fetal surveillance
Fetal surveillance
Fetal surveillance
Fetal surveillance
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Fetal surveillance

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Published in: Health & Medicine, Technology
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Transcript

  • 1. FETAL SURVEILLANCE IN HDP DR NAZIMAH IDRIS O&G HOSPITAL ALOR SETAR
  • 2. WHY DO WE NEED TO MONITOR?
  • 3. FETAL RISK PREMATURE DELIVERY GROWTH RESTRICTION PREMATURE DELIVERY AND GROWTH RESTRICTION IUD
  • 4. FETAL RISK - cont. PRE-ECLAMPSIA > GESTATIONAL HYPERTENSION ECLAMPSIA - RISK OF ACUTE ASPHYXIA IN AN ALREADY COMPROMISED FETUS
  • 5. MONITORING GROWTH WELL-BEING
  • 6. ANTEPARTUM MONITORING FETAL GROWTH SYMPHYSIOFUNDAL HEIGHT MEASUREMENT - FROM 22-24W, AT EVERY ANTENATAL VISIT ULTRASOUND SCANNING - BPD, FL,HC,AC,AFI. DONE SERIALLY MATERNAL WEIGHT GAIN - LIMITED VALUE
  • 7. ANTEPARTUM MONITORING FETAL WELL-BEING ULTRASOUND - FETAL BIOPHYSICAL PROFILE - FHR, FETAL TONE, FETAL BREATHING MOVEMENTS, AMNIOTIC FLUID INDEX AND CTG. MODIFIED: CTG,AFI. DOPPLER STUDIES - ABSCENCE OR REVERSED END DIASTOLIC FLOW IN UMBILICAL ARTERY IS ASSC.WITH POOR FETAL DIFFUSION AND HYPOXIA.
  • 8. FETAL WELL BEING - cont. FMC - CHEAP, EASY, MOTHER’S PARTICIPATION CTG FHR - PINARD’S STETHOSCOPE
  • 9. FETAL MONITORING DURING LABOUR INTERMITTENT AUSCULTATION EVERY 15 MIN AT END OF CONTRACTION CTG - PREFERABLY CONTINUOUSLY FETAL BLOOD SAMPLING - WHEN AVAILABLE
  • 10. FETAL MONITORING DURING LABOUR INTERMITTENT AUSCULTATION EVERY 15 MIN AT END OF CONTRACTION CTG - PREFERABLY CONTINUOUSLY FETAL BLOOD SAMPLING - WHEN AVAILABLE

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