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E-grāmata: Handbook of CTG Interpretation: From Patterns to Physiology

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  • Formāts: PDF+DRM
  • Izdošanas datums: 23-Feb-2017
  • Izdevniecība: Cambridge University Press
  • Valoda: eng
  • ISBN-13: 9781316818244
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  • Formāts: PDF+DRM
  • Izdošanas datums: 23-Feb-2017
  • Izdevniecība: Cambridge University Press
  • Valoda: eng
  • ISBN-13: 9781316818244
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This book promotes an evidence-based paradigm of fetal heart rate monitoring during labour, with a move away from the traditional 'pattern-based' interpretation to physiology-based interpretation. Chapters are presented in a systematic and accessible format, covering topics such as non-hypoxic causes of fetal brain injury, pre-existing hypoxia, types of intrapartum hypoxia, erroneous monitoring of maternal heart rate, fetal scalp blood sampling and fetal ECG (STAN), intermittent auscultation and medico-legal issues. Sections on 'pearls' and 'pitfalls' highlight good practice and common errors to promote best practice. End-of-chapter exercises allow the reader to engage with the theory and test their knowledge of key areas. This is a highly practical manual aimed at obstetricians and midwives, particularly those undergoing CTG training. The book will also be very useful to midwifery and medical students and to all those involved in multiprofessional intrapartum care.

Papildus informācija

This highly practical manual promotes an evidence-based paradigm of fetal heart rate monitoring during labour.
List of Contributors
ix
Preface xi
Acknowledgements xv
Glossary xvii
1 `An Eye Opener': Perils of CTG Misinterpretation: Lessons from Confidential Enquiries and Medico-legal Cases
1(5)
Edwin Chandraharan
2 Fetal Oxygenation
6(7)
Anna Gracia-Perez-Bonfils
Edwin Chandraharan
3 Physiology of Fetal Heart Rate Control and Types of Intrapartum Hypoxia
13(13)
Anna Gracia-Perez-Bonfils
Edwin Chandraharan
4 Understanding the CTG: Technical Aspects
26(6)
Harriet Stevenson
Edwin Chandraharan
5 Applying Fetal Physiology to Interpret CTG Traces: Predicting the NEXT Change
32(9)
Edwin Chandraharan
6 Avoiding Errors: Maternal Heart Rate
41(4)
Sophie Eleanor Kay
Edwin Chandraharan
7 Antenatal Cardiotocography
45(10)
Francesco D'Antonio
Amar Bhide
8 Intermittent (Intelligent) Auscultation in the Low-Risk Setting
55(4)
Virginia Lowe
Abigail Archer
9 Current Scientific Evidence on CTG
59(3)
Ana Pinas Carrillo
Edwin Chandraharan
10 Role of Uterine Contractions and Intrapartum Reoxygenation Ratio
62(5)
Sadia Muhammad
Edwin Chandraharan
11 Intrapartum Monitoring of a Preterm Fetus
67(4)
Ana Pinas Carrillo
Edwin Chandraharan
12 Role of Chorioamnionitis and Infection
71(7)
Jessica Moore
Edwin Chandraharan
13 Meconium: Why Is It Harmful?
78(4)
Nirmala Chandrasekaran
Leonie Penna
14 Intrapartum Bleeding
82(5)
Edwin Chandraharan
15 Labour with a Uterine Scar: The Role of CTG
87(4)
Ana Pinas Carrillo
Edwin Chandraharan
16 Impact of Maternal Environment on Fetal Heart Rate
91(5)
Ayona Wijemanne
Edwin Chandraharan
17 Use of CTG with Induction and Augmentation of Labour
96(5)
Ana Pinas Carrillo
Edwin Chandraharan
18 Recognition of Chronic Hypoxia and the Preterminal Cardiotocograph
101(8)
Austin Ugwumadu
19 Unusual Fetal Heart Rate Patterns: Sinusoidal and Saltatory Patterns
109(5)
Madhusree Ghosh
Edwin Chandraharan
20 Intrauterine Resuscitation
114(4)
Abigail Spring
Edwin Chandraharan
21 Management of Prolonged Decelerations and Bradycardia
118(12)
Rosemary Townsend
Edwin Chandraharan
22 ST-Analyser (STAN): Principles and Physiology
130(5)
Ana Pinas Carrillo
Edwin Chandraharan
23 ST-Analyser: Case Examples and Pitfalls
135(7)
Ana Pinas Carrillo
Edwin Chandraharan
24 Role of a Computerized CTG
142(5)
Sabrina Kuah
Geoff Matthews
25 Peripheral Tests of Fetal Well-being
147(4)
Charis Mills
Edwin Chandraharan
26 Operative Interventions for Fetal Compromise
151(4)
Mary Catherine Tolcher
Kyle D. Traynor
27 Nonhypoxic Causes of CTG Changes
155(7)
Dovile Kalvinskaite
Edwin Chandraharan
28 Neonatal Implications of Intrapartum Fetal Hypoxia
162(5)
Justin Richards
29 Role of the Anaesthetist in the Management of Fetal Compromise during Labour
167(4)
Anuji Amarasekara
Anthony Addei
30 Medico-legal Issues with CTG
171(9)
K. Muhunthan
Sabaratnam Arulkumaran
31 Ensuring Competency in Intrapartum Fetal Monitoring: The Role of GIMS
180(5)
Virginia Lowe
Edwin Chandraharan
32 Physiology-Based CTG Training: Does It Really Matter?
185(8)
Sara Ledger
Edwin Chandraharan
Appendix: Rational Use of FIGO Guidelines in Clinical Practice 193(4)
Answers to Exercises 197(28)
Index 225
Edwin Chandraharan is Lead Consultant on the Labour Ward at St George's University Hospitals NHS Foundation Trust and Honorary Senior Lecturer at St George's Hospital Medical School, University of London.