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Fetal heart rate monitoring affects the lives of millions of women and infants every year in the United States alone. Used by all members of the obstetric team - nurses, students, midwives, and physicians – it is the primary method to assess fetal oxygenation in both the antepartum and intrapartum setting. Improving outcomes and promoting patient safety depends upon correct use and interpretation of fetal heart rate monitoring, and is crucial to daily obstetric practice. This fourth edition provides the obstetrical team a framework within which to interpret and understand fetal heart rate tracings and their implications. The text covers key issues as the physiological basis for monitoring, a discussion of fetal hypoxemia and neonatal encephalopathy, instrumentation and pattern recognition. In addition to an in-depth review of the standardized NICHD nomenclature and three-tiered FHR Category approach, there are chapters on intrapartum and antepartum management as well as fetal central nervous system effects on monitor patterns. Since fetal monitoring is primarily a screening tool there are also discussions on the use of backup methods for evaluation of abnormal patterns. This 4th edition also brings the addition of Lisa A. Miller CNM, JD, who provides a nursing and midwifery perspective as well an enhanced legal and risk management review.
This new fourth edition includes:'
Review of neonatal encephalopathy and recent studies on CP
Currentinformation and discussion of most recent NICHD panel recommendations, both antepartum and intrapartum
New chapter on Pitfalls in EFM
Detailed chapter on risk management, liability & documentation
New section on fetal maternal hemorrhage
Update on new instrumentation
Crucial information on maternal/fetal coincidence and FDA warnings
All chapters include updated practice tips and clinical implications for the entire obstetric team
Plus, with this edition clinicians have access to a companion website with full text and an image bank for fast & simplified clinical review.
Edition
4
ISBN/ISSN
9781469827735
Product Format
Vitalsource Fixed Layout eBook
Trim Size
8.375 x 10.875
Pages
288
Edition
4
Publication Date
February 21, 2013
Roger K. Freeman MD
MemorialCare Center for Women Miller Children’s Hospital Long Beach Memorial Medical Center Long Beach, California Director Mednax Medical Group Clinical Professor of Obstetrics and Gynecology University of California, Irvine
Thomas J. Garite MD
E.J. Quilligan Professor Emeritus Department of Obstetrics and Gynecology University of California, Irvine Orange, California Director of Research and Education Pediatrix Medical Group Sunrise, Florida
Michael P. Nageotte MD
Professor Department of Obstetrics and Gynecology University of California, Irvine Orange, California Executive Careline Director Women's Hospital Long Beach Memorial Medical Center Long Beach, California
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