How do you treat decelerations?
Discontinuing uterotonics: by discontinuing uterotonics, there is a relaxation of the uterine muscles which has been proven to increase uteroplacental blood flow – the frequency of uterine contractions can also be decreased by using tocolytics; tocolysis has proven to improve uterine relaxation by decreasing the …
What is Cardiotocography PPT?
BACKGROUND Cardiotocography (CTG) is a test used in pregnancy to monitor both the fetal heart pattern as well as the uterine contractions. It should only used in the 3rd trimester when fetal neural reflexes are present.
How do you read a Cardiotocography?
To interpret a CTG you need a structured method of assessing its various characteristics….The most popular structure can be remembered using the acronym DR C BRAVADO:
- DR: Define risk.
- C: Contractions.
- BRa: Baseline rate.
- V: Variability.
- A: Accelerations.
- D: Decelerations.
- O: Overall impression.
Why is CTG important?
The purpose of CTG recordings is to identify when there is concern about fetal well-being to allow interventions to be carried out before the fetus is harmed. The focus is on identifying fetal heart rate (FHR) patterns associated with inadequate oxygen supply to the fetus.
What are the indication of Cardiotocography?
Cardiotocography (CTG) – is defined as the graphic recording of fetal heart rate and uterine contractions by the use of electronic devices indicated for the assessment of fetal condition….
|Normal||CTG with signs that are attributable to the permissible group|
Where do you put a CTG?
CTG is most commonly carried out externally. This means that the equipment used to monitor the baby’s heart is placed on the tummy (abdomen) of the mother. An elastic belt is placed around the mother’s abdomen.
What is a reactive CTG?
“Reactive” is defined as the presence of two or more fetal heart rate accelerations within a 20-minute period. “Non-reactive” is defined as fewer than two adequate accelerations during a prolonged period, which may be over an hour.
What does a reactive non stress test indicate?
NST results that are reactive mean that the baby’s heart rate went up normally. Non-reactive results mean that the baby’s heart rate did not go up enough.
When can CTG be done?
CTG should only be performed in the antenatal period for fetal surveillance as per clinical indications. until the woman is in labour. Prior to that gestation, auscultation with Pinards Stethoscope or Sonic aid is appropriate. 2.3.
How do you read contractions on a monitor?
When you’re looking at the screen, the fetal heart rate is usually on the top and the contractions at the bottom. When the machine prints out graph paper, you’ll see the fetal heart rate to the left and the contractions to the right. Sometimes it’s easier to read printouts by looking at them sideways.
How do you tell if you’re having a contraction?
You know you’re in true labor when:
- You have strong and regular contractions. A contraction is when the muscles of your uterus tighten up like a fist and then relax.
- You feel pain in your belly and lower back.
- You have a bloody (brownish or reddish) mucus discharge.
- Your water breaks.
What is a normal contraction pattern?
In a normal labor, one contraction every two to three minutes or less than five contractions in a 10 minute period is ideal. A uterus must rest between contractions, having sufficient uterine resting tone (soft to the touch), and uterine resting time (about one minute).
What are normal contraction numbers?
During normal labor, the amplitude of contractions increases from an average of 30 mm Hg in early labor to 50 mm Hg in later first stage and 50 to 80 mm Hg during the second stage.
What is the intensity of contractions?
The frequency of uterine contractions will be 3-5 times in every 10 minute period. Each contraction lasts 40–60 seconds; this is known as the duration of contractions. The woman tells you that her contractions feel strong; this is the intensity of contractions.
How many mmHg is considered a contraction?
The intensity of Braxton Hicks contractions varies between approximately 5-25 mm Hg (a measure of pressure). For comparison, during true labor the intensity of a contraction is between 40-60 mm Hg in the beginning of the active phase.
How do you read contraction strength?
The intensity of the contractions can be estimated by touching the uterus. The relaxed or mildly contracted uterus usually feels about as firm as a cheek, a moderately contracted uterus feels as firm as the end of the nose, and a strongly contracted uterus is as firm as the forehead.
Is it normal to sleep a lot before labor?
You Are More Fatigued Than Usual Extreme fatigue is one of the early signs of labor, and you may notice that you are much more tired than usual. Rest as needed, and don’t over exert yourself.
How can I encourage Labour?
- Walking more. Being upright helps your baby move down on to your cervix.
- Eating dates.
- Drinking raspberry leaf tea.
- Eating spicy curries.
- Having sex.
- Nipple stimulation.
- Eating pineapple.