REGISTRO CARDIOTOCOGRAFICO FETAL PDF

Amnioinfusion for third trimester preterm premature rupture of membranes Guideline WHO recommendations: non-clinical interventions to reduce unnecessary caesarean sections Caesarean section rates have been steadily increasing worldwide over the last few decades above levels that cannot be considered medically necessary. This trend has not been accompanied by significant maternal or perinatal benefits. In recognition of the urgent need to address this sustained and unprecedented rise in the use of caesarean section, WHO has produced evidence-based guidance on non-clinical interventions specifically designed to reduce unnecessary caesarean section. These recommendations can be useful to health-care professionals responsible for developing regional, national and local health protocols and policies, as well as obstetricians, midwives, nurses, general medical practitioners, managers of maternal and child health programmes, and public health policy-makers in all settings and countries where increasing use of caesarean section has been identified as a problem.

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Por ello, es recomendable la vigilancia de la FCF en todas las gestantes. Prog Obstet Ginecol. En general pueden aceptarse criterios similares a los siguientes4: 1. Por el contrario, la ausencia de dicha respuesta predice pobremente la presencia de un pH fetal bajo. Por tanto, se trata de una prueba con un alto valor predictivo negativo, pero bajo valor predictivo positivo. Para poder medir la FSaO2 es necesario aplicar un sensor al feto.

Valores normales. Protocolos SEGO ratorios. Por esto, la medida del pH fetal no es muy utilizada en algunos centros. Acidosis moderada: pH entre 7,15 y 7, Acidosis grave: pH entre 7,10 y 7, PCO2 entre 40 y 50 mmHg.

Del mismo modo, la hemorragia fetal intensa y muy aguda puede comprometer la salud fetal sin que haya tiempo para que se desarrolle una acidosis. Continuous electronic heart rate monitoring for fetal assessment during labor Cochrane Review. En: The Cochrane Library, Issue 1. Butterwegge M. Fetal pulse oximetry and non-reassuring heart rate. Fetal heart rate pattems: monitoring, interpretation and management.

Number July Int J Gynaecol Obstet. Cardiotocography only versus cardiotocography plus ST analysis of fetal electrocardiogram for intrapartum fetal monitoring: a Swedish randomised controlled trial.

Society of Obstetricians and Gynaecologists of Canada. Fetal Health Surveillance in Labour. Clinical Practice Guideline n. March, A multicenter controlled trial of fetal pulse oximetry in the intrapartum management of nonreassuring fetal heart rate patterns.

Am J Obstet Gynecol. MacLennan A. A template for defining a causal relation between acute intrapartum events and cerebral palsy: international consensus statement. Intrapartum electronic fetal heart rate monitoring versus intermittent auscultation: a meta-analysis.

Obstet Gynecol. Fetal Pulse Oximetry. Neilson JP. Efficacy and safety of intrapartum fetal monitoring: an update. Intrapartum fetal surveillance. Stuart IP. Evidence is not as good as NICE suggests. Brandt-Niebelschutz S, Saling E. Implications for operative termination of labor on cardiotocography and fetal blood analysis. The reliability of these methods. J Perinat Med. Defining the pathogenesis and pathophysiology of neonatal encephalopathy and cerebral palsy.

The scalp stimulation test: a clinical alternative to fetal scalp sampling. Intrapartum fetal pulse oximetry. Part II: Clinical application. Obstet Gynecol Surv. En: Cabero L, director. Saling E. Fetal pulse oximetry during labor: issues and recommendations for clinical use. Multicenter study on the clinical value of fetal pulse oxymetry. II: compared predictive values of pulse oximetry and fetal blood analysis.

The prediction of acidosis by means of intrapartum fetal pulse oximetry. Fetal pulse oximetry and fetal heart rate monitoring during stage II of labour. Temas Actuales. Fabre E, editor. Manual de Asistencia al Parto y Puerperio Normal. Zaragoza: INO Reproducciones; Granada: Escuela Andaluza de Salud Publica; Guideline Intrapartum Fetal Surveillance. Puertas A. Granada: Hospital Universitario Virgen de las Nieves; No agotan todas las posibilidades ni pretenden sustituir a los protocolos ya existentes en departamentos y servicios hospitalarios.

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Registro cardiotocográfico

Por ello, es recomendable la vigilancia de la FCF en todas las gestantes. Prog Obstet Ginecol. En general pueden aceptarse criterios similares a los siguientes4: 1. Por el contrario, la ausencia de dicha respuesta predice pobremente la presencia de un pH fetal bajo. Por tanto, se trata de una prueba con un alto valor predictivo negativo, pero bajo valor predictivo positivo. Para poder medir la FSaO2 es necesario aplicar un sensor al feto.

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