How to improve the fetal monitoring problem

Fetal monitoring can check whether the baby's current condition is healthy. Generally, fetal monitoring is mainly used to check whether the baby is suffering from hypoxia, or whether acidosis has occurred. If the baby is found to be suffering from hypoxia, oxygen therapy is generally required immediately to ensure the baby's health. Sometimes pregnant women may find that the fetal monitoring is not good, and certain measures must be taken to improve it. How can I improve the poor fetal monitoring?

In 2008, the National Institute of Child Health and Human Development (NICHD) of the United States divided the results of fetal heart rate monitoring curve analysis into three categories: normal, abnormal, and intermediate. It should be noted that the fetal heart rate monitoring curve can only reflect whether the fetus is currently suffering from hypoxia or acidosis, and cannot predict the risk of cerebral palsy in the newborn. As the gestational age, environment, fetus and pregnant woman's condition change, the fetal heart rate monitoring curve may change back and forth between the three types, and the treatment measures will also change accordingly. The meanings and corresponding treatment measures of various fetal heart monitoring graphics are as follows:

Clinical significance and treatment methods of fetal heart rate monitoring curve

normal

The baseline fetal heart rate was normal (120-160 beats/min) with moderate baseline variability, no variability or late decelerations, and with or without accelerations. The fetus is in good condition and no special treatment is needed

Intermediate

Changes in fetal heart rate baseline: bradycardia but baseline variability exists; tachycardia. Bradyheart rate: rupture of membranes, persistent transverse occipital position, overdue pregnancy, congenital fetal abnormalities; tachycardia: drugs, infection, fever, anxiety of pregnant women. If there is no improvement after general treatment, end the delivery as soon as possible.

Changes in baseline variability: absent but without multiple decelerations; minimal; significant. Drugs, fetal sleep, fetal hypoxia or acidosis. If there is no improvement after general treatment or change of monitoring method, end the delivery as soon as possible.

There is no fetal heart rate acceleration after fetal stimulation. Fetal hypoxia or acidosis may be present. If there is no improvement after general treatment with oxytocin, end the delivery as soon as possible.

There was deceleration but baseline variability was present. Variable deceleration: umbilical cord around the neck or prolapse. General treatment: amnioinfusion (for multiple variable decelerations). If ineffective, end delivery as soon as possible.

Late decelerations: uteroplacental oxygen insufficiency, tachycardia, hypotension during epidural anesthesia. General treatment: oxytocin is used to stop delivery. If it is ineffective, end the delivery as soon as possible.

abnormal

The baseline variability disappears; there are multiple decelerations (variable or late) and/or bradycardia; the heart rate is sinusoidal. Insufficient blood supply to the uterus and placenta, resulting in fetal hypoxia or acidosis. After general treatment, stop giving oxytocin and end the delivery as soon as possible.