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Fetal Heart Rate pattern monitoring I

Fetal Heart Rate pattern monitoring

Baseline fetal heart activity

- Normal : 120~160beats/min

Tachy : 1, 2, 5, 9, 10


Brady


- Beat to beat variation

증가하는 경우 : 4


감소하는 경우 : 6, 8, 11, 13, 14


- Sinusoidal FHR pattern


원인 : 3, 7, 12


1. maternal fever(mc)

2. amnionitis

3. severely anemic fetus

D-isoimmunization, ruptured vasa previa, twin to twin transfusion,

fetomaternal hemorrhage

4. fetal breathing, fetal body movement, advancing gestation

5. fetal compromise

6. sleeping fetus

7. alphoprodine, meperidine, butophanol, morphine

8. fetal hypoxiasingle most reliable sign

9. arrhythmia

10. maternal parasympatholytic or sympathomimetic drug use

(atropin) (terbutaline)

11. normal premature fetus

12. amnionitis, fetal distress, umbilical occlusion

13. maternal academia(eg. Diabetic ketoacidosis)

14. analgesic drug

Meperidine, morphine, barbiturate, diazepam, atropine, scopolamine,

thiazine, general anesthesia