Fetal Monitoring - Coast Colleges Home Page胎儿监测海岸学院主页.pptVIP

下载本文档

1
0
约3.65千字
约 22页
2018-06-26 发布于四川
举报
版权申诉

Fetal Monitoring - Coast Colleges Home Page胎儿监测海岸学院主页.ppt

1、原创力文档（book118）网站文档一经付费（服务费），不意味着购买了该文档的版权，仅供个人/单位学习、研究之用，不得用于商业用途，未经授权，严禁复制、发行、汇编、翻译或者网络传播等，侵权必究。。
2、本站所有内容均由合作方或网友上传，本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺！文档内容仅供研究参考，付费前请自行鉴别。如您付费，意味着您自己接受本站规则且自行承担风险，本站不退款、不进行额外附加服务；查看《如何避免下载的几个坑》。如果您已付费下载过本站文档，您可以点击这里二次下载。
3、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等，请点击“版权申诉”（推荐），也可以打举报电话：400-050-0827(电话支持时间：9:00-18:30)。
4、该文档为VIP文档，如果想要下载，成为VIP会员后，下载免费。
5、成为VIP后，下载本文档将扣除1次下载权益。下载后，不支持退款、换文档。如有疑问请联系我们。
6、成为VIP后，您将拥有八大权益，权益包括：VIP文档下载权益、阅读免打扰、文档格式转换、高级专利检索、专属身份标志、高级客服、多端互通、版权登记。
7、VIP文档为合作方或网友上传，每下载1次，网站将根据用户上传文档的质量评分、类型等，对文档贡献者给予高额补贴、流量扶持。如果你也想贡献VIP文档。上传文档

Fetal Monitoring - Coast Colleges Home Page胎儿监测海岸学院主页

Fetal Monitoring RC 290 Estriol By-product of estrogen found in maternal urine Production requires functional placenta and fetal adrenal cortex Levels increase as pregnancy progresses Low or absent levels may indicate fetal demise or anencephaly Levels checked in maternal urine or plasma Amniocentesis Amniotic fluid is withdrawn via ultrasound-guided needle aspirations High yield with low occurrence of risk Puncture of fetus, umbilical cord or placenta Infection Spontaneous abortion Amniocentesis Findings Bilirubin levels – presence of RH disease Creatinine levels – normally increase as gestation progresses Shows maturation of fetal kidney Cellular exam – identify genetic and chromosomal abnormalities Amniocentesis (cont.) Presence of meconium Usually seen in term or post-term babies Indicates episode(s) of intrauterine stress, eg, hypoxia or asphyxia Fetus may aspirate which will cause respiratory distress after delivery Amniocentesis (cont.) L/S ratio: compares amount of lecithin to sphingomyelin in amniotic fluid Assesses maturity of fetal lungs and surfactant An L/S ratio of 2:1 shows fetal lung and surfactant maturity Normally occurs at 35 weeks gestation Shake Test Various mixtures of amniotic fluid, ETOH and saline are shaken so that a bubbly froth forms Test evaluates the ability of lecithin to create a stable foam in the presence of ETOH Is simpler and less costly than L/S ratio Surfactant Maturation Normally occurs at 35 weeks when L/S ratio hits 2:1 Any chronic, low grade stress will accelerate surfactant maturation L/S ratio hits 2:1 before 35 weeks Accelerated Surfactant Maturation Smoking Maternal respiratory problems Maternal diabetes (usually type I) Maternal anemia Maternal hypertension Maternal infection Maternal narcotic use Maternal malnutrition PROM – Premature Rupture of the Membrane Also makes infant prone to hypothermia and infection Placental problems Placenta Praevia Placenta Abruptio Delayed Surfactant Maturation L/S Ratio 2:1 AFTE