2007China Practical MedicineRequires access

The Clinical Observation of Electronic Fetal Heart Rate Monitoring in Diagnosing Fetal Distress

Ding Xiu-pin

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Abstract

Objective Probing the relationship between electronic fetal heart rate monitoring,fetal distress and the rate of cesarean section.Methods Reviewing the patterns of the electronic fetal heart rate monitoring of 4674 giving birth women in our hospital.Results We found 382 abnormal cases of them,considering of fetal distress 223 pregnant women were given cesarean section.During operation 175 cases were found to be abnormal,the others were normal.FHR-baseline obviously reducing or disappearing,VD,PD and LD could lead to meconium-stained amniotic fluid,cord entanglement and neonatal asphyxia,it was obviously higher than the others abnormal patterns.Conclusion Electronic fetal heart rate monitoring could find fetal distress in time,but if we diagnose fetal distress only rely on the electronic fetal heart rate monitoring,we would draw a false positive judgment,when the abnormal patterns appear,we should take a close observation,according to the abnormal degree and the given laboring time we could choose a correct laboring method to reduce the death rate of newborn.

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Objective Probing the relationship between electronic fetal heart rate monitoring,fetal distress and the rate of cesarean section.Methods Reviewing the patterns of the electronic fetal heart rate monitoring of 4674 giving birth women in our hospital.Results We found 382 abnormal cases of them,considering of fetal distress 223 pregnant women were given cesarean section.During operation 175 cases were found to be abnormal,the others were normal.FHR-baseline obviously reducing or disappearing,VD,PD and LD could lead to meconium-stained amniotic fluid,cord entanglement and neonatal asphyxia,it was obviously higher than the others abnormal patterns.Conclusion Electronic fetal heart rate monitoring could find fetal distress in time,but if we diagnose fetal distress only rely on the electronic fetal heart rate monitoring,we would draw a false positive judgment,when the abnormal patterns appear,we should take a close observation,according to the abnormal degree and the given laboring time we could choose a correct laboring method to reduce the death rate of newborn.

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Available abstract

Objective Probing the relationship between electronic fetal heart rate monitoring,fetal distress and the rate of cesarean section.Methods Reviewing the patterns of the electronic fetal heart rate monitoring of 4674 giving birth women in our hospital.Results We found 382 abnormal cases of them,considering of fetal distress 223 pregnant women were given cesarean section.During operation 175 cases were found to be abnormal,the others were normal.FHR-baseline obviously reducing or disappearing,VD,PD and LD could lead to meconium-stained amniotic fluid,cord entanglement and neonatal asphyxia,it was obviously higher than the others abnormal patterns.Conclusion Electronic fetal heart rate monitoring could find fetal distress in time,but if we diagnose fetal distress only rely on the electronic fetal heart rate monitoring,we would draw a false positive judgment,when the abnormal patterns appear,we should take a close observation,according to the abnormal degree and the given laboring time we could choose a correct laboring method to reduce the death rate of newborn.

Key concepts: Medicine, Fetal distress, Asphyxia, Fetus, Fetal heart rate, Obstetrics, Distress, Electronic fetal monitoring

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