medical notes

Apr 17th, 2015
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ANTEPARTAL & INTRAPARTUMFETAL SURVEILLANCE The purpose of antepartal fetal surveillance isto determine the well-being of a fetus at riskfor antepartal fetal loss. We can do this by:I.reducing the risk of fetal death in utero,delaying the need for inappropriateinterventions,II. and prolonging the gestation in pregnancies atrisk for preterm delivery. There are a litany of medical and obstetric diseases that canrisk fetal death, and thus lead us to intensify fetalobservation. These include: Maternal causes: the hypertensive disorders, preeclampsia, eclampsia and chronic hypertension, insulindependent Diabetes Mellitus, chronic renal diseases,hyperthyroidism, lupus, cyanotic heart disease, andhemoglobinopathies. Fetal disorders: multiple gestations, post-term pregnancies,growth restriction disorders, amniotic fluid disorders,decreased fetal movement, isoimmunization and hydrops,and previous unexplained fetal death in utero. There is also no defined time to start testing,nor is the interval of testing firm. Mostauthorities begin at 32 weeks, and the intervalof testing is generally weekly to twice weekly.Methods of Antepartal FetalSurveillance Fetal kick counts. discovered in 1973 . after 36 weeks, a mother may feel only 15%percent of movements Interpretation in a span of 10hours, Up to 10 movements- fetus is not in danger 6-8 potential risk of compromise Less than 6 high risk of compromise.NON ST

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