Fetal surveillance

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Fetal surveillance

  1. 1. FETAL SURVEILLANCE IN HDP DR NAZIMAH IDRIS O&G HOSPITAL ALOR SETAR
  2. 2. WHY DO WE NEED TO MONITOR?
  3. 3. FETAL RISK PREMATURE DELIVERY GROWTH RESTRICTION PREMATURE DELIVERY AND GROWTH RESTRICTION IUD
  4. 4. FETAL RISK - cont. PRE-ECLAMPSIA > GESTATIONAL HYPERTENSION ECLAMPSIA - RISK OF ACUTE ASPHYXIA IN AN ALREADY COMPROMISED FETUS
  5. 5. MONITORING GROWTH WELL-BEING
  6. 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. 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. 8. FETAL WELL BEING - cont. FMC - CHEAP, EASY, MOTHER’S PARTICIPATION CTG FHR - PINARD’S STETHOSCOPE
  9. 9. FETAL MONITORING DURING LABOUR INTERMITTENT AUSCULTATION EVERY 15 MIN AT END OF CONTRACTION CTG - PREFERABLY CONTINUOUSLY FETAL BLOOD SAMPLING - WHEN AVAILABLE
  10. 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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