294 Fetal Heart Rate Monitoring. Principles and ...（294年胎儿心率监测。）.pdfVIP

Sign up to receive ATOTW weekly - email worldanaesthesia@ FETAL HEART RATE MONITORING – PRINCIPLES AND INTEPRETATION OF CARDIOTOCOGRAPHY ANAESTHESIA TUTORIAL OF THE WEEK 294 23RD SEPTEMBER 2013 Dr Claire Todd Specialist Trainee Anaesthesia Dr Matthew Rucklidge Consultant Anaesthetist Miss Tracey Kay Consultant Obstetrician Royal Devon and Exeter Hospital Correspondence to clairetodd@.uk QUESTIONS Before reading this tutorial try and answer the following questions. The answers with brief explanations can be found at the end of this article. 1. Regarding cardiotocography (CTG): a. Three transducers are typically used b. One transducer is routinely placed on the fetal scalp c. It only records fetal heart rate d. It will detect all cases of fetal distress e. Loss of contact is a common problem with the transducers 2. The following are indications for CTG monitoring during labour: a. Primigravida deliveries b. Women receiving epidural analgesia c. Women with a previous caesarean section d. Maternal pyrexia e. Augmentation of labour with syntocinon (oxytocin) 3. Regarding characteristics of CTG: a. The normal fetal heart rate baseline is 110 – 160 beats per minute b. Variability of the fetal heart rate is a normal phenomenon c. All decelerations are pathological d. Most accelerations are pathological e. Bradycardia is defined as a fetal heart rate 80 beats per minute 4. Regarding fetal distress: a. It may be identified by fetal bradycardias or fetal heart accelerations b. It may recover without intervention c. If suspected, an emergency caesarean section must always be performed d. It is only caused by fetal problems or abnormalities e. Changing maternal position may be beneficial ATOTW 294 – Fetal Heart Rate Monito