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Use of the birth pool during labour and delivery
Published in Michael S. Marsch, Janet M. Rennie, Phillipa A. Groves, Clinical Protocols in Labour, 2020
Michael S. Marsch, Janet M. Rennie, Phillipa A. Groves
The use of electrical equipment for monitoring the fetal heart rate during water births is contraindicated. A portable Doppler Sonicaid can be used to auscultate the fetal heart before, during and after a contraction with the woman standing out of the water and dried. A cardiotocograph recording of at least 10-20 min can be made every 4 h as an adjunct to intermittent monitoring.
Pregnancy – wanted and unwanted
Published in Suzanne Everett, Handbook of Contraception and Sexual Health, 2020
Certain signs help to confirm pregnancy. Positive pregnancy test.Enlarged uterus.Foetal heart sounds can be heard at ten weeks by Sonicaid ultrasonic equipment.Foetal movements felt.Foetal parts felt.Ultrasound can be used to diagnose pregnancy at six weeks.X-ray can show foetal skeletons at 14–16 weeks but should be avoided as irradiation can damage the developing foetus.
SBA Questions
Published in Justin C. Konje, Complete Revision Guide for MRCOG Part 2, 2019
A 23-year-old woman presents with reduced fetal movements at 33 weeks gestation. The fetal heart could not be heard with a sonicaid; hence, she was referred for an ultrasound scan. The scan has confirmed an intrauterine fetal death (IUFD). Approximately what percentage of women presenting with an intrauterine fetal death have reduced fetal movements?25%35%45%55%65%
Impact of Braxton-Hicks contractions on fetal wellbeing; a prospective analysis through computerised cardiotocography
Published in Journal of Obstetrics and Gynaecology, 2022
Marco La Verde, Gaetano Riemma, Marco Torella, Clelia Torre, Stefano Cianci, Anna Conte, Carlo Capristo, Maddalena Morlando, Nicola Colacurci, Pasquale De Franciscis
This was a prospective cohort study carried out between the first April of 2019 and the first March of 2020. We included childbearing women who were referred for the foetal antepartum cardiotocography monitoring to the outpatient clinic of the Obstetrics and Gynaecology Unit of the “Luigi Vanvitelli” University Hospital, University of Campania, Naples, Italy (Rahman et al. 2012). All patients included had an uncomplicated pregnancy according to Chappell’s definition: “a normotensive pregnancy, delivered at >37 weeks, ending in a live-born baby who was not small for gestational age and did not have any other notable pregnancy complications” (Pardey et al. 2002). We excluded pregnancies affected by foetal malformations, stillbirths, preterm labour risk, intrauterine growth restriction and all the pregnancy complicated by maternal pathology. Only one tracing per foetus was accepted, we selected the last one trace before the onset of labour. The time interval between the cCTG trace and delivery was between 24 and 48 hours. From each patient, we registered demographics and pregnancy data as follows: maternal age, maternal height and weight, gestational age (GA) at cCTG, parity, smoking and foetus sex. GA was determined according to the first-trimester ultrasound exam (Salomon et al. 2013). The cCTG was done using Sonicaid Team 3 (Huntleigh Healthcare Ltd, Cardiff, United Kingdom) computerised cardiotocography machine. External cCTG was performed for at least 20 minutes and a maximum of 60 minutes. Two transducers were put on the maternal abdomen: one on the foetal heart and the other one on the uterine fundus.
Quantitative cervicovaginal fetal fibronectin as a predictor of cervical ripening and induced labour duration in late-term pregnancy
Published in Journal of Obstetrics and Gynaecology, 2023
Modupe Olatokunbo Adedeji, Ayokunle Moses Olumodeji, Adetokunbo Olusegun Fabamwo, Oyedokun Yekini Oyedele
During the labour process, adequate feto-maternal monitoring was carried out by monitoring the maternal pulse rate, blood pressure and urinalysis. Intermittent foetal heart rate auscultation using the sonicaid was done as well. Digital vaginal examination for cervical assessment was done four hours till the mother expressed the urge to bear down. The charting of the labour progress was done on a modified WHO partograph (Yisma et al.2013). Failed induction was defined in this study as the inability to achieve vaginal delivery.