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Electronic fetal monitoring
Electronic fetal monitoring
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Electronic Fetal Monitoring Technology has had a very prominent influence on electronic fetal monitoring since its appearance in the 1960’s and 1970’s. For many years, fetal monitoring was simply done by listening to a fetal heartbeat through a stethoscope. Dramatic changes in the heartbeat, such as a long period or a drop in the rate or intensity, could be detected,. Now, not only is the electronic fetal monitor used on the outside of the womb by strapping electrodes to the mother’s abdomen but electrodes can also be inserted during the first stage of labor and placed directly on the baby’s head. With advanced technologies such as this the acidity of the infant’s blood as well as the heart rate can be measured. New …show more content…
It is currently the best way of making sure that an unborn baby is doing well during labor.” Not only does the electronic fetal monitor keep a paper record of the baby’s heart rate, it also records uterine contractions to see how well the baby is handling the stress of contractions. Fetal monitoring is used in many cases of birth; premature, Cesarean sections, when the mother is anesthetized with general anesthesia, or when a spinal anesthetic is used. Between five to ten percent of all infants are born more than two weeks before their due date due to several factors that include infections, illness, poor nutrition, or complications during the pregnancy. Fetal monitors are used in the cases of C-sections because there is a much higher risk of detecting the infant’s distress and therefore can go in more quickly to remove the baby from the uterus. When the mother is under general anesthesia, which is rare in the United States, the mother is not aware of any kind of pain or even the birth of her child. When the mother has spinal anesthesia she has no feeling from the waist down. Sometimes, the best indication that the baby is in distress is the mother- an unfamiliar pain occurs or something else could be a sign of problems. Thus the reason fetal monitoring is important in the case of
Hypertrophic Cardiomyopathy, also known as HCM, is a type of heart disease that affects the Cardiac Muscles and Cardiac Muscle cells. This disease occurs if the Cardiac Muscle cells enlarge, which causes the wall of the heart’s ventricles (most often the left ventricle) to thicken. It can also cause stiffness in the ventricles, as well as mitral valve and cellular changes.
In most hospital delivery rooms, the doctors will routinely clamp and sever the umbilical cord with in fifteen to thirty seconds of the mother giving birth. When clamping the cord, the doctors will clamp the cord in two places, one close to the infant and then again in the middle of the cord another clamp. By delaying the clamping, fetal blood in the placental transfusion can provide the infant with an additional thirty percent more blood volume and up to sixty percent more blood cells (McDonald, S., & Middleton, P., 2009). This reduces the risk of the hemorrhaging that could occur after birth. But with new ongoing studies, it is said that by delaying the clamping of the cor...
The aim of this report is to provide an overview of chronic heart failure, examining signs symptoms and treatment related to the case study, and the anatomy and physiology of the heart will be discussed, and the pathophysiology of chronic heart failure.
During pregnancy an echocardiogram of the fetus can be done to produce images of the heart by sending ultrasonic sound waves to the vital organ. These sound waves create an image for the physician to analyze the babies heart function, structure sizes, and blood flow. A positive diagnosis before birth has shown to improve chances of survival, and will allow for appropriate care to be readily available at birth. If a baby is born without being diagnosed with the heart defect, some symptoms previous noted such as low oxygen levels can be suggestive of hypoplastic left heart syndrome. The baby may not display any symptoms or signs for hours after birth because of the openings allowing for blood to be pumped to the rest of the body. However, listening to the babies heart can revel a murmur indicating an irregular flow of blood in the heart. If a murmur is heard, or signs of the defect are observed, diagnostic tests will be ordered and performed. An echocardiogram is still the go-to test once the baby is born to evaluate the heart. The echocardiogram will diagnose the newborn, by revealing the underdeveloped left ventricle, mitral and aortic valve, and the ascending aorta commonly seen in
Patients with dilated cardiomyopathy will often have normal thickness of the ventricles with an enlarged right, left, or both ventricular cavities. In the early stages of this disease, there is an initial increase in the stroke volume from the increased force of contraction due to the stretching of the myocardium, which is described by the Frank-Starling mechanism. However, as the disease progresses, the heart loses that compensatory mechanism leading to a decrease in the strength of the contraction of the heart, hence, a decrease in left ventricular ejection fraction. There are two types of DCM, primary and secondary. Primary dilated cardiomyopathy are usually idiopathic in nature, however, “approximately 30% of cases” have a “familial transmission pattern.”3(138) Secondary dilated cardiomyopathy, on the other hand, are associated with “alcohol abuse, cocaine abuse, the peripartum state, pheochromocytoma, infectious diseases (human immunodeficiency virus infection), uncontrolled tachycardia, Duchenne’s muscul...
Cardiomyopathy is a disease of the heart muscle, causing the heart muscle to become enlarged, thick or rigid. In rare cases, the muscle tissue in the heart is replaced with scar tissue.
At Wildcat Hospital, I performed my first newborn assessment on a baby. I walked into the postpartum room and greeted the mother and family and asked if I could (along with another student) perform and assessment on the baby for the second time. This assessment was different from the initial assessment I performed four hours previously, because the second time around I had more control of the assessment. I listened to the heart, lungs, and stomach. I assessed the newborn’s respirations, reflexes and temperature. After our assessment was over, I was able to swaddle the baby back up and hand the infant back into the arms of an excited new mother.
Familial hypertrophic cardiomyopathy (feline HCM) in Maine Coons is a very serious myocardial disorder that often leads to sudden death due to heart failure. The Maine Coon (American Longhair) is the largest and oldest natural breed of domestic cat in North America with a distinct appearance with a lion-like ruff and a tail that resembles a raccoon’s and is good at hunting. HCM is when “a primary structural disorder of the myocardium; characterized by left ventricular hypertrophy… no symptoms to sustained palpitations, heart failure and sudden cardiac death” (2013). This is caused by a mutation of P.A31P in the cMyBP-C (myosin binding protein C) gene and these being the first non-human cases “feline familial HCM provides a valuable model
Partograph is a graphic form on which labor observations are recorded. Partograph provides overview of the progress of labor and records information about maternal and fetal condition during labor which is an early warning system” for identifying complications during childbirth. Partograph is important tools used to monitor labor and prevent prolonged and obstructed labor (Plotkin et al., 2011) The purpose of the partograph is to help health care providers to record, interpret, analyze and use data to make decisions of clinical management while labor is in progress. The provider must use critical thinking skills to interpret this information and make appropriate clinical decisions based on evidence and established protocols (Care, 2012) .
A baby monitor is also called a baby alarm. This is a radio system used to remotely listen to sounds made by the infant. The audio monitor consists of a transmitter unit, equipped with a microphone, and it is placed near to the child. It transmits the sounds pass the radio waves to a receiver unit. There is also completed by a speaker that can be carried by for the person to care the infant. Some of the monitors are completed by the music and some of them called baby cam because it is completed by a video camera.
Unlike vaginal birth delivery, the process of a cesarean delivery is quite different, but just as safe as giving vaginal birth (Taylor, 1). When delivering a baby using the cesarean method, there are two ways anesthetic can be used. The women can be put into an unconscious state using the anesthetic, therefore she will be asleep during the entire operation and her coach may not be present. The other way for the anesthetic to be used would be in an epidural or spinal block to temporarily numb the woman from her waist down. In this case the mother will be awake and her coach may be present to give her extra support. Once the anesthetic is working, an incision is made in the abdomen either horizontally or vertically, depending on the reason for the cesarean delivery. A vertical incision is made when the baby is in trouble and needs to be out as quickly as possible, when there is more time the horizontal incision is used. The baby is then lifted out of the uterus and gone for the APGAP procedure. The placenta is then removed and the mother’s reproductive organs are examined before closing the incision (Taylor, 1).
Cardiomegaly is a descriptive term used for the finding of an enlarged heart and is not a disease itself. Cardiomegaly is a disorder and condition which the heart has enlarged to the point that it is 50 percent larger than the diameter of the surrounding rib cage. It can sometimes be nonpermanent due to stress on the body, for example like pregnancy, obesity, other medical conditions etc., due to statistics the number of people diagnosed with heart diseases is 11.3%. The amount
I felt quite marvelous today, because of the opportunity of assisting the nurse. I felt the baby’s head in gage at the cervix and use A Pinard horn, also known as a fetoscope to listen to the fetal heartbeat.
It is always a joy when a child is born. The moment their little hands touch yours is truly a wonderful feeling. Because babies need extra special care and attention, having to part with them is difficult, even for a few minutes. You must keep watch of them at all times. With this need, the invention of baby monitors came. Now, you can keep your baby a step closer when you are away.
A baby monitor and breathing sensor is a device which gives you to move with peace of mind in your house and do your daily tasks while your little baby is sleeping. These monitors are like blessings for many parents but there are also some issues and complaints regarding the electronic or battery problem in it.