Description
Find real-world, clinically useful information on all aspects of electronic fetal monitoring! Authored by a nurse-midwife, a perinatologist, and a nurse, Mosby's Pocket Guide to Fetal Monitoring: A Multidisciplinary Approach, 10th Edition, is an evidence-based resource on fetal heart rate monitoring for all clinicians — whether you are a nurse, a physician, or a midwife, a student or an instructor, this guide has information crucial to your practice. Designed specifically for the clinical environment, it provides a single source for interpretation and management of electronic fetal monitoring in labor and delivery, the intensive care unit, inpatient antepartum units, or the obstetric or midwifery office.- Compact format with vibrant two-color design offers quick and easy access to key information- Prioritization of fetal heart rate and uterine activity assessment, interpretation, and clinical management, grounded in evidence-based practice and current literature, guides you in delivering focused, effective care- Explanations of the relationship between specific fetal heart rate patterns and fetal acidemia provide critical insights for managing condition-specific care- Guidance for safe and competent care is reinforced through patient safety and risk management strategies, illustrated by case studies and legal commentary- Comprehensive guidance on best practices for accurate and timely electronic fetal monitoring documentation covers essential components of fetal heart rate and uterine activity assessment to support clear communication, informed clinical decisions, and legal compliance- Overview of contemporary obstetric models of care — ranging from midwifery-led to physician-led and collaborative approaches — highlights their impact on maternal and neonatal outcomes- Appendix on reviewing electronic fetal monitor tracings serves as a valuable reference and a test bank of questions to aid in certification preparation and knowledge reinforcement- Renowned author team features recognized leaders in the United States and a strong international presence- New content explores the use of artificial intelligence (AI) in fetal monitoring- Information on the wireless Patch System intrapartum maternal/fetal monitor explores how it noninvasively measures and displays fetal heart rate, maternal heart rate, and uterine activity- Restructured content related to monitoring and clinical management of the preterm fetus includes periviability and multiple gestations- Enhanced coverage addresses maternal cardiac arrest and resuscitative cesarean delivery- Updated recommendations for initiation of antepartum testing include highlighted conditions, gestational age, and frequency- In-depth review of documentation from a risk-management perspective highlights core components of quality charting for nurses, midwives, and physicians, along with the role of the electronic health record- Updated practice recommendations include the latest information on amnioinfusion
Table of Contents
1 Physiologic Basis for Electronic Fetal MonitoringTransfer of Oxygen From the Environment to the FetusExternal EnvironmentMaternal LungsMaternal BloodMaternal HeartMaternal VasculatureUterusPlacentaIntervillous Space Pao2Intervillous Space Blood FlowChorionic Villous Surface AreaDiffusion Across the "Blood‑Blood" BarrierInterruption of Placental Blood VesselsSummary of Placental Causes of Disrupted OxygenationFetal BloodUmbilical CordFetal Response to Interrupted Oxygen TransferMechanisms of InjuryInjury ThresholdSummary2 Methods and InstrumentationIntermittent Auscultation of the Fetal Heart RateDescriptionLeopold's ManeuverUtilization of Intermittent AuscultationProcedure for Intermittent AuscultationFrequency of Intermittent AuscultationInterpretation of Auscultated Fetal Heart RateBenefits and Limitations of AuscultationElectronic Fetal MonitoringOverviewConverting Raw Data Into a Visual Display of Fetal Heart RateExternal Mode of MonitoringUltrasound TransducerTocotransducerAdvantages and Limitations of External TransducersInternal Mode of MonitoringFetal Spiral ElectrodeContraindicationsIntrauterine Pressure CatheterContraindicationsAdvantages and Limitations of Internal MonitoringDisplay of Fetal Heart Rate, Uterine Activity, and Other InformationMonitor Tracing ScaleMonitoring Multiple GestationsOffset FeatureSystematic Labeling ParametersFetal Heart Rate Artifact and DetectionSignal Ambiguity (Coincidence) With Maternal Heart RateTelemetryElectronic Fetal Monitoring TroubleshootingSelected Troubleshooting ActionsComputerized Perinatal Data SystemsClinical Decision SupportComputer Decision Analysis of the Fetal Heart RateSummary3 Evaluation and Management of Uterine ActivityAssessment Methods: Palpation and Electronic MonitoringManual PalpationElectronic Monitoring of Uterine ActivityElectronic Display of Uterine ActivityNormal Labor ParametersDefining Adequate Uterine ActivityDefining Excessive Uterine ActivityCommon Underlying Causes of Excessive Uterine ActivityCorrective Measures to Decrease Excessive Uterine ActivityLabor Support and ManagementLatent‑Phase AbnormalitiesManagement Strategies for Latent‑Phase DisordersActive‑Phase AbnormalitiesManagement Strategies for Active‑Phase DisordersSecond‑Stage AbnormalitiesUterine Activity and Oxytocin UseSummary4 Fetal Heart Rate Pattern Recognition and InterpretationThe Evolution of Standardized FHR DefinitionsThe 2008 National Institute of Child Health and Human Development Consensus ReportEvidence‑Based Interpretation of Fetal Heart Rate PatternsNational Institute of Child Health and Human Development Definitions: General ConsiderationsFive Essential Components of a Fetal Heart Rate TracingDefinitions, Physiology, and Interpretation of Specific Fetal Heart Rate PatternsTerms and Concepts Not Supported by Evidence or ConsensusBaseline RateCategories of Baseline RateTachycardiaBradycardiaBaseline Fetal Heart Rate VariabilityCategories of Baseline VariabilityAbsent VariabilityMinimal VariabilityModerate VariabilityMarked VariabilityPeriodic and Episodic Fetal Heart Rate PatternsAccelerationDecelerationsTypes of DecelerationsEarly DecelerationLate DecelerationVariable DecelerationProlonged DecelerationFetal Cardiac ArrhythmiasWandering BaselineLambda PatternShoulderCheckmark PatternEnd‑Stage Bradycardia and Terminal BradycardiaUniform AccelerationsVariable Deceleration TerminologyVariable Deceleration With a Late ComponentMild, Moderate, and Severe Variable DecelerationsV‑Shaped Variables and W‑Shaped Variable DecelerationsVariability Within a DecelerationOther Mechanisms That Lack Scientific BasisSummary5 Intrapartum Management of the Fetal Heart Rate TracingFundamental PrinciplesStandard of CareConfirm Fetal Heart Rate and Uterine ActivityEvaluate Fetal Heart Rate ComponentsA Standardized ABCD Approach to Fetal Heart Rate ManagementA: Assess the Oxygen Pathway and Consider Other Causes of Fetal Heart Rate ChangesB: Begin Corrective Measures as In
