By T N Fay, Toby Fay

(BMJ Books) Nottingham urban medical institution, united kingdom. Pocket-sized define covers greater than ninety principles and gives an relief to reminiscence to profitable administration of moms and infants earlier than, in the course of, and after delivery. British-oriented. Softcover.

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Example text

Therefore, in this situation, the CTG may not be a valid measure of fetal well-being necessitating intervention to protect the fetus. In addition, the fetal blood sampling itself may enhance the risk of septicaemia for the fetus. In this particular clinical situation, local guidelines should be established to deal with the problem but in general the baby should be delivered and passed to the neonatologists for observation, investigation, and antibiotic therapy. If Caesarean section were required intrauterine swabs for culture must be obtained and high-dose intraoperative and postoperative antibiotics given to protect the mother from septicaemia and wound infection.

Previous uterine scar Inability to auscultate fetal heart (obesity) Previous fetal loss Prolonged labour Augmented labour Preterm labour Infection Meconium stained liquor Oligohydramnios Audible abnormal heart rate Intrauterine growth restriction Breech presentation Multiple pregnancy Antepartum haemorrhage Intrapartum haemorrhage Abnormal admission test2 1 Neilson JP. Cardiotocography during labour. BMJ 1993; 306: 347–8. 2 Ingemarsson I et al. Admission test – a screening test for fetal distress in labor.

In: Enkin MW, Keirse MJNC, Renfrew MJ, Neilson JP, Crowther C, eds. Pregnancy and Childbirth Module. The Cochrane and Childbirth Database. The Cochrane Collaboration, Issue 2. Oxford: Update Software, 1995. 23 Reader’s rules Use this space to write down your own labour ward rules. 1 Fetal monitoring Choose which assessment is necessary to monitor the baby Continuous electronic fetal monitoring during labour with an increased likelihood of fetal decompensation is accepted good practice. 1 below).

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