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Fetal Well Being Essay

973 words - 4 pages

Fetal Well –being
High risk pregnancy not only place mother at danger but also fetus requires close monitoring as well. Maternal with high risk pregnancies increases the rate of fetal morbidity and mortality. It is very crucial to monitor for fetal well-being when maternal is prone to have high risk pregnancy. For example, the gestational age is expected to be smaller for a maternal with preeclampsia. This is directly related to fetal hypoxia and malnutrition, due to maternal vasospasm and hypovolemia. In some cases it may result in premature birth (London, Ladewing, Ball, & Binder 2007). Other conditions that are considered maternal with high risk pregnancy include maternal age ...view middle of the document...

Ultrasound guided fetal monitoring display graphically FHR on the screen. However, if for some reason external electronic monitoring is not sufficient than internal fetal monitoring is completed by spinal electrode. In order to perform internal fetal monitoring there are some requirements as stated by London et al. ( 2007) “To place the spinal electrode on the fetal occiput, the amniotic membrane must be ruptured, the cervix must be dilated at least 2 cm, the presenting part must be down against the cervix, and the presenting part must be known” (p. 345). If the FHR is above the normal range (120-160 beats per minute); it may be indicative of hypoxia, maternal dehydration, amnionitis, and fetal anemia. According to London et al. (2007) “Tachycardia is considered by an ominous sign if it is accompanied by late decelerations, sever variable decelerations, or decreased variability (p.346).” On the other hand, if FHR is below normal rage is indicative of late fetal hypoxia, maternal hypotension, prolonged umbilical cord compression or fetal arrhythmia associated with complete heart block.
Non stress testing (NST) is done to evaluate fetal status. This test is performed when there is adequate oxygenation and intact nerve system of the fetus; there are accelerations of the (FHR) with fetal movements. It recodes acceleration of the fetal heart rate via electronic fetal monitoring and tracing is obtained of FHR and fetal movement. During this procedure two belts are placed on the woman’s abdomen. One monitors FHR and other monitors fetal movement. As mentioned by London et al. (2007) “As the NST is done, each fetal movement is documented, so that associated or simultaneous FHR changes can be evaluated” (p.297). Woman with high risk pregnancy usually start this testing at 30-32 weeks of gestation. The test results are classified as reactive, nonreactive, and unsatisfactory tests. Reactive test results are considered fetal well-being and nonreactive test results indicate that fetal is sick or asleep. However the test is considered unsatisfactory...

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