Download e-book for kindle: Antepartal and Intrapartal Fetal Monitoring by Michelle Murray PhD RNC

By Michelle Murray PhD RNC

The 3rd variation presents practitioners with the wanted references and assets they should offer caliber care to ladies and their fetuses. it's a leading edge source for a practice-based self-discipline, with information and references which are particular and transparent. furthermore, the protocols and methods present in the appendix are acceptable to medical practices that come with fetal displays.

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Antepartal and Intrapartal Fetal Monitoring by Michelle Murray PhD RNC PDF

The 3rd variation offers practitioners with the wanted references and assets they should supply caliber care to ladies and their fetuses. it's a innovative source for a practice-based self-discipline, with info and references which are particular and transparent. furthermore, the protocols and systems present in the appendix are appropriate to medical practices that come with fetal screens.

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The first generation single-lumen fluid-filled IUPC may be attached to a sterile transducer dome on a nondisposable strain gauge or pressure transducer which is attached to a pole on the side of the fetal monitor. This type of strain gauge must be sterilized prior to use. After use, it must be disassembled, cleaned, dried, and resterilized as it is a potential source of nosocomial infection. Strain gauges that were only dried were positively cultured for pseudomonas, flavobacterium, Alcaligenes faecalis, and achromobacter (196).

A high-speed data processor applies a complex, mathematically-intense formula to volumes of data derived from incoming US signals (130). Each incoming nonrandom US signal is amplified for detection. Random signals generated from motion of such things as maternal abdominal muscles or the intestines are cancelled. However, if the US is directed towards the maternal aorta or if the fetus has died, maternal aortic blood flow or wall movement would be amplified by automatic gain control and become the source of nonrandom signals.

Resting tone is derived from the hydrostatic pressure and elastic recoil of the uterus and surrounding tissues. It changes with maternal movement, and can increase during abruption and oxytocin administration (91). Normal resting tone depends on the type of IUPC used and the amount of amniotic fluid above the pressure transducer (hydrostatic pressure). It might have been suspected that pressures recorded by transducer-tipped IUPCs would be higher than pressures recorded by fluid-filled IUPCs due to the addition of hydrostatic pressure.

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