Mosby's pocket guide to fetal monitoring : A multidisciplinary approach

Miller, Lisa A. (Lisa Anne) 1958- (Author). Miller, David A. (David Arthur), 1961- (Added Author). Tucker, Susan Martin, 1943- (Added Author). Tucker, Susan Martin, 1943- Mosby's pocket guide to fetal monitoring. (Added Author).

Summary: Evaluate intrapartum and antepartum fetal status with this portable, practical guide! Mosby's Pocket Guide to Fetal Monitoring, 7th Edition provides a multidisciplinary, evidence-based approach model that's ideal for use in the clinical environment. It offers a single definitive source on fetal heart rate monitoring, with the description, characteristics, etiology, clinical significance, and intervention for every tracing. Written by an expert team including nurse-midwife and attorney Lisa Miller, perinatologist David Miller, and RN Susan Martin Tucker, this reference may be used in any location where electronic monitoring is employed for fetal surveillance, such as the labor and delivery suite, the antepartum inpatient unit or ambulatory care setting, and emergency departments and intensive care units caring for pregnant women. -- Review from evolve.elsevier.com website.

Record details

ISBN: 9780323083522 (pbk. : alk. paper)
Physical Description: print
xvi, 336 p. : ill. ; 19 cm.
Edition: 7th ed.
Publisher: St. Louis, MO : Elsevier/Mosby, c2013.

Content descriptions

General Note:	Rev. ed. of: Mosby's pocket guide to fetal monitoring / Susan Martin Tucker, Lisa A. Miller, David A. Miller.
Bibliography, etc. Note:	Includes bibliographical references and index.
Formatted Contents Note:	1. Brief History of Fetal Monitoring -- Historical Overview -- Randomized Trials of Electronic Fetal Monitoring -- Research at the End of the Twentieth Century -- Fetal Monitoring in the Twenty-First Century -- Summary -- 2. Physiologic Basis for Electronic Fetal Heart Rate Monitoring -- Transfer of Oxygen from the Environment to the Fetus -- External Environment -- Maternal Lungs -- Maternal Blood -- Maternal Heart -- Maternal Vasculature -- Uterus -- Placenta -- Fetal Blood -- Umbilical Cord -- Fetal Response to Interrupted Oxygen Transfer -- Mechanisms of Injury -- Injury Threshold -- Summary -- 3. Methods and Instrumentation -- Intermittent Auscultation of Fetal Heart Rate -- Description -- Leopold's Maneuvers -- Utilization and Frequency of Intermittent Auscultation -- Documentation of Auscultated Fetal Heart Rate -- Interpretation of Auscultated Fetal Heart Rate -- Benefits and Limitations of Auscultation -- Electronic Fetal Monitoring -- Overview -- Converting Raw Data Into a Visual Display of FHR -- External Mode of Monitoring -- Ultrasound Transducer -- Tocotransducer -- Advantages and Limitations of External Transducers -- Internal Mode of Monitoring -- Spiral Electrode -- Intrauterine Pressure Catheter -- Advantages and Limitations of Internal Monitoring -- Display of Fetal Heart Rate, Uterine Activity, and Other Information -- Monitor Tracing Scale -- Monitoring Twins and Multiples -- Artifact Detection & Signal Coincidence with MHR -- Telemetry -- Troubleshooting the Monitor -- Computerized Perinatal Data Systems -- Data-Input Devices -- Abdominal Fetal Electrocardiogram (fECG) and ST Segment Analysis -- Abdominal fECG and Electromyogram (EMG) -- ST Segment Analysis -- Summary -- 4. Uterine Activity Evaluation and Management -- Assessment Methods: Palpation and Electronic Monitoring -- Manual Palpation -- Electronic Monitoring of Uterine Activity -- Stages of Normal Labor -- Defining Adequate Uterine Activity -- Defining Excessive Uterine Activity -- Common Underlying Causes of Excessive Uterine Activity -- Interventions to Decrease Excessive Uterine Activity -- Diagnosis and Management of Labor Abnormalities -- Latent Phase Abnormalities -- Active Phase Abnormalities -- Second Stage Abnormalities -- Uterine Activity and Oxytocin Use -- Summary -- 5. Pattern Recognition and Interpretation -- Evolution of Standardized Fetal Heart Rate Terminology -- 2008 NICHD Consensus Report -- NICHD Definitions General Considerations -- Five Essential Components of a Fetal Heart Rate Tracing -- Definition and Physiology of FHR Components -- Baseline Rate -- Fetal Heart Rate Variability -- Sinusoidal Pattern -- Acceleration -- Decelerations -- Early Deceleration -- Late Deceleration -- Variable Deceleration -- Prolonged Deceleration -- Standardized FHR Interpretation -- Fetal Cardiac Arrythmias -- Patterns not Defined by the NICHD -- "Wandering baseline" -- "Lambda pattern" -- "Shoulder(s)" -- "Checkmark pattern" -- "End-stage bradycardia" and "terminal bradycardia" -- "Uniform accelerations" -- "Atypical" variable decelerations -- Summary -- 6. Intrapartum Management of the Fetal Heart Rate Tracing -- Fundamental Principles -- Standardized Management Decision Model -- Standard of Care -- Confirm FHR and Uterine Activity -- Evaluate Five FHR Components -- Standardized "ABCD" Approach to FHR Management -- A. Assess the Oxygen Pathway and Consider Other Causes of FHR Changes -- B. Begin Corrective Measures as Indicated -- C. Clear Obstacles to Rapid Delivery -- D. Decision to Delivery Time -- Expectant Management Versus Delivery -- Adjuncts to Electronic Fetal Monitoring -- Intrapartum Fetal Scalp pH and Lactate Determination -- Fetal Scalp Stimulation and Vibroacoustic Stimulation -- Computer Analysis of Fetal Heart Rate -- Fetal Pulse Oximetry -- ST Segment Analysis -- Umbilical Cord Acid--Base Determination -- Approximate Normal Values for Cord Blood -- Types of Acidemia -- Summary -- 7. Influence of Gestational Age on Fetal Heart Rate -- Preterm Fetus -- Baseline Fetal Heart Rate in the Preterm Fetus -- Baseline Variability in the Preterm Fetus -- Periodic and Episodic Heart Rate Changes in the Preterm Fetus -- Behavior States in the Preterm Fetus -- Preterm Uterine Activity -- Tocolytic Agents and Effect on Fetal Heart Rate -- Monitoring the Preterm Fetus -- Postterm Fetus -- Risks Associated With Postterm Pregnancy -- Management of Postterm Pregnancy -- Summary -- 8. Fetal Assessment in Non-Obstetric Settings -- Emergency Services Department Assessment and Care -- Pregnant Trauma Victim Assessment and Care -- Maternal-Fetal Transport, Assessment, and Care -- Primary and Secondary Survey in the Emergency Department -- Emergent Cesarean Section -- Stabilization and Discharge -- Non-Obstetric Surgery: Maternal-Fetal Assessment and Care -- Surgery When Gestation is Greater Than 24 Weeks -- Federal Law and Triage -- Summary -- 9. Antepartum Fetal Assessment -- Comparing Antepartum Testing Methods -- Methods of Testing -- Contraction Stress Test and Oxytocin Challenge Test -- Interpretation and Management -- Advantages and Limitations -- Procedures for Contraction Stress Testing -- Nonstress Test -- Interpretation and Management -- Advantages and Disadvantages -- Biophysical Profile -- Interpretation and Management -- Advantages and Limitations -- Modified Biophysical Profile -- Interpretation and Management -- Advantages and Limitations -- Fetal Movement Counts -- Interpretation and Management -- Umbilical Artery Doppler Velocimetry -- Biochemical Assessment -- Amniocentesis for Fetal Lung Maturity -- Summary -- 10. Patient Safety, Risk Management, and Documentation -- Occurrence of Errors -- Human Error -- Prevention of Errors and Risk Reduction -- High-Reliability Perinatal Units -- Creating a Circle of Safety[™] -- Guidelines to Promote Safety and Reduce Risks -- Management of Risks and Adverse Outcomes -- Disclosure of Unanticipated Outcomes -- Elements of Malpractice -- Notification and Clinical Review -- Reporting of Sentinel Events -- Documentation -- Components of Care: Assessment, Communication, Documentation -- Documentation Issues Specific to Electronic Fetal Monitoring -- Electronic Medical Records and Information Systems -- Summary -- 11. Obstetric Models and Intrapartum Fetal Monitoring in Europe -- Models Of Care -- Electronic Fetal Monitoring - Cardiotocography -- Quality of EFM-CTG -- Guidelines for Terminology and Interpretation -- Additional Investigational and Diagnostic Tests -- Summary -- Appendix A: Amnioinfusion -- Appendix B: Instructions for reviewing Appendix B FHR tracings -- Glossary of terms and abbreviations -- Index.