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Wednesday, January 30, 2019

Intrapartum Fetal Heart Rate Monitoring (Usmle)

OBGYN: Intrapartum Fetal Heart Rate Monitoring (Usmle)


Mnemonic to remember : VEAL CHOP

Variable     Cord compression
Early          Head compression
Acceleration OK
Late         Placental Insufficiency

Early Deceleration: Head compression. Fetus deceleration is symmetrical to mother's contraction. Tx = No treatment

Late Deceleration : Placental insufficiency : Fetal deceleration is after the mother's contraction Tx= test fetal blood from scalp sample to diagnose hypoxia or acidosis.

Variable Deceleration : Cord compression. Fetal deceleration can be symmetric or after mother's contraction (Onset of fetal deceleration to the nadir should be < 30 sec.)
Tx = 1. Change the mother's position
     2. Amnioinfusion

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