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Introduction to assessment of fetal wellbeing

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This tutorial reviews the different intrapartum fetal heart rate (FHR) patterns observed with electronic monitoring that may be associated with hypoxia. The tutorial should improve your basic knowledge of intrapartum monitoring and improve your ability to act appropriately to avoid intrapartum hypoxic events and the risk of hypoxic perinatal morbidity and mortality.

Learning objectives

When you have completed this tutorial you will be able to:

  • identify cases at risk of intrapartum hypoxia
  • interpret cardiotocographic (CTG) abnormalities that might suggest hypoxia
  • improve your decision making in intrapartum management
  • understand issues related to intrapartum hypoxia and neurological outcome
  • understand adjuvant tests of fetal wellbeing.


Last updated: 17/11/09 (Five case study assessments added in the Final assessments and More case studies section)

03/03/09 (BJOG paper added in the 'Fetal ECG' section)

 

 

17/11/08 (Two BJOG papers added in the 'Fetal electrogram (further reading)').

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