Electronic Fetal Heart Rate Monitoring: the 5-Tier System
The 5-Tier System
3rd Edition
Published on 5. May 2017
Book
Paperback/Softback
242 pages
978-1-284-09033-8 (ISBN)
Description
Electronic Fetal Heart Rate Monitoring: The 5-Tier System, Third Edition reviews the practice of fetal heart rate monitoring. Beginning with a description of the anatomy of fetal circulation, placental function as a respiratory organ, and acid-base balance, it also presents normal fetal cardiovascular and cerebral metabolism. In addition, the pathophysiologic mechanisms involved in progressive fetal asphyxia are examined via a review of the seminal animal and human studies conducted in this field. Also included is a brief summary of fetal heart rate monitoring technology currently used in clinical practice and standard nomenclature for fetal heart rate characteristics. Variant fetal heart rate patterns and the underlying physiologic mechanisms are presented as well. The Third Edition summarizes the research identifying the relationship between specific fetal heart rate patterns and an increasing risk of fetal acidemia, including the effect of deceleration depth, duration, and pattern evolution. It also evaluates the scientific basis that supports management algorithms currently in use and recommends the Parer/Ikeda 5-tier system. This algorithm assigns fetal heart rate patterns to 5 categories based on their progressive risk of fetal acidemia and has been tested in several studies. Clinical management using the 5-tier system is presented in detail.
More details
Edition
3rd New edition
Language
English
Place of publication
Sudbury
United States
Target group
Professional and scholarly
Edition type
New edition
Product notice
Paperback (trade)
Unsewn / adhesive bound
Dimensions
Height: 274 mm
Width: 216 mm
Thickness: 18 mm
Weight
576 gr
ISBN-13
978-1-284-09033-8 (9781284090338)
Copyright in bibliographic data and cover images is held by Nielsen Book Services Limited or by the publishers or by their respective licensors: all rights reserved.
Schweitzer Classification
Persons
Julian T. Parer MD, PhD was a Professor of Obstetrics, Gynecology & Reproductive Sciences at the Univ of California San Francisco. Since 1974 he had done clinical care in Maternal Fetal Medicine, teaching and research, and was widely published. He Chaired the first National Institutes of Child Health and Human Development consensus conferences on FHR monitoring in 1997, was a member of the 2008 NICHD conference on the same topic, and was a member of the consensus committee of the Federation of International Societies of Gynecology & Obstetrics.
Associate Professor Department of Obstetrics, Gynecology, and Reproductive Sciences University of California at San Francisco San Francisco, California Deputy Editor Journal of Midwifery & Women's Health
Tomoaki Ikeda MD, PhD, Is Chair of the Department of Obstetrics & Gynecology at the University of Mie, Japan. He has a long history of clinical care, education and research in care of the fetus. As noted above he is a lead maternal Fetal Medicine specialist in the dissemination of the standardized approach to FHR management throughout the whole of Japan, potentially optimizing care for over 1 million Japanese babies per year.
Associate Professor Department of Obstetrics, Gynecology, and Reproductive Sciences University of California at San Francisco San Francisco, California Deputy Editor Journal of Midwifery & Women's Health
Tomoaki Ikeda MD, PhD, Is Chair of the Department of Obstetrics & Gynecology at the University of Mie, Japan. He has a long history of clinical care, education and research in care of the fetus. As noted above he is a lead maternal Fetal Medicine specialist in the dissemination of the standardized approach to FHR management throughout the whole of Japan, potentially optimizing care for over 1 million Japanese babies per year.