Intrapartum Fetal Monitoring

2021 ◽  
pp. 389-397
Author(s):  
Branka M. Yli ◽  
Jørg Kessler ◽  
Diogo Ayres-de-Campos
2021 ◽  
pp. 100008
Author(s):  
Manoj Mohan ◽  
Joohi Ramawat ◽  
Gene La Monica ◽  
Pradeep Jayaram ◽  
Sherif Abdel Fattah ◽  
...  

2015 ◽  
Vol 17 (1) ◽  
pp. 5-12 ◽  
Author(s):  
Adalina Sacco ◽  
Javaid Muglu ◽  
Ramesan Navaratnarajah ◽  
Matthew Hogg

Author(s):  
Mamta Mahajan ◽  
Amit Gupta ◽  
Anju Vij ◽  
Aanchal Gupta Sharma

Background: India is considered the world capital of diabetes, proper care and management of the same is the demand of society. The present study is carried out to identify the disease burden of GDM/ overt DM among antenatal cases. The main objective was to study the maternal and fetal outcome of diabetes complicating pregnancy.Methods: The present study was conducted at Dr. Rajendra Prasad Government Medical College at Tanda, District KangraHP from October 2015 to September 2016. All antenatal cases were screened for diabetes by OGTT 75 gm, 2-hour blood glucose level as per DIPSI guidelines and labelled as GDM/ overt DM. Those who fulfilled selection criteria were enrolled in the study. A total of 6452 cases who attended antenatal clinic during the study duration and were screened were selected for the study. 116 cases were found to have GDM / overt DM. Seventy-nine had GDM with OGTT>140 mg/dl (DIPSI guidelines) and 37 had overt DM with 2 hours PP >200 mg/dl (WHO criteria). Total 100 cases comprised of study group were followed till delivery to study maternal and fetal outcome.Results: The prevalence of diabetes in pregnancy was found to be low 1.79%. GDM was found to be more prevalent than overt diabetes in pregnant women (66% versus 34%). Among the antenatal maternal complications observed missed abortion (11.8% versus 1.55; p=0.026), polyhydraminos (26.4% versus 10.6%; p=0.04) and preterm labour (17.6% versus 4.5%; p=0.003) were significantly more common in overt diabetics than GDM cases. IUFD (8.8% versus 0; p=0.014) was also significantly more common in overt diabetics than GDM case. RDS was found significantly higher in neonates of overt diabetics as compared to GDM mothers (14.7 % versus 1.5%; p=0.009).Conclusions: Early detection and good glycemia control by MNT and insulin, regular antenatal check-ups, patient counselling and compliance, intrapartum fetal monitoring and early neonatal care are keys to improved outcome. 


2014 ◽  
Vol 94 (1) ◽  
pp. 117-118 ◽  
Author(s):  
Lawrence Devoe ◽  
Per Olofsson ◽  
Diogo Ayres-de-Campos ◽  
Jörg Kessler ◽  
Britta Tendal ◽  
...  

Author(s):  
Roland Devlieger ◽  
Maria-Elisabeth Smet

This chapter describes the events surrounding normal and abnormal labour and delivery with particular relevance to the anaesthetist. The first two sections explain the course of a normal labour, delivery, and third stage. Subsequently attention is paid to obstructed labour, delivery, and prolonged third stage. Since induction of labour has become common practice in many pathological conditions, several methods of induction and their complications are then discussed. Next, some basic knowledge about intrapartum fetal monitoring is presented, followed by some specific and potentially complicated situations such as shoulder dystocia, operative vaginal delivery, caesarean delivery, breech delivery, twin birth, and vaginal birth after previous caesarean delivery.


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