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Basic Pattern Recognition – Electronic Fetal Monitoring

    http://www.ob-efm.com/efm-basics/basic-pattern-recognition/
    As the central nervous system matures, the baseline FHR gradually drops, and the normal ranges for a mid-trimester fetus are between 150-170 beats/min. Parasympathetic tone becomes more dominant with advancing gestational age, and a post-term fetus may have a FHR between 110-120 beats/min. Baseline Variability

Interpretation of the Electronic Fetal Heart Rate During …

    https://www.aafp.org/afp/1999/0501/p2487.html
    the american college of obstetricians and gynecologists (acog) states that with specific intervals, intermittent auscultation of the fhr is …

Intrapartum Fetal Heart Rate Monitoring - Perinatology.com

    http://www.perinatology.com/Fetal%20Monitoring/Intrapartum%20Monitoring.htm
    Minimal = < 5 BPM Moderate = 6 to 25 BPM Marked = > 25 BPM The tracing to the right shows an amplitude range of ~ 10 BPM (moderate variability ). A sinusoidal pattern has regular amplitude and frequency and is excluded in the definition of variability.

Sinusoidal heart rate pattern: Reappraisal of its definition …

    https://pubmed.ncbi.nlm.nih.gov/15210038/
    Background: In 1972, Manseau et al. and Kubli et al. described an undulating wave form alternating with a flat or smooth baseline fetal heart rate (FHR) in severely affected, Rh-sensitized and dying fetuses. This FHR pattern was called 'sinusoidal' because of its sine waveform.

Monitoring for Perinatal Safety: Electronic Fetal Monitoring

    https://www.ahrq.gov/hai/tools/perinatal-care/modules/strategies/safe-electronic-tool.html
    A complete description of an EFM tracing requires a qualitative and quantitative assessment of the following: uterine contractions, baseline FHR, baseline FHR variability, presence of FHR accelerations, periodic or nonperiodic FHR decelerations, and changes in trend over time. ... Also includes sinusoidal patterns (sine-wave-like pattern with ...

Sinusoidal fetal heart rate pattern associated with …

    https://pubmed.ncbi.nlm.nih.gov/3945449/
    Sinusoidal fetal heart rate pattern associated with butorphanol administration Abstract One hundred nineteen fetal heart rate monitor tracings from term-pregnant patients in labor were reviewed by two independent observers to test the hypothesis that Stadol administration to mothers does not result in sinusoidal fetal heart rate pattern.

EFM Tracing Game

    https://ncc-efm.org/game/efmgame.cfm
    • The NCC EFM Tracing Game uses NICHD terminology • External monitoring (unless noted differently), paper speed is 3cm/min • Collections are larger groups of tracings, 5 tracings are randomly selected each time a collection is played • Select a game collection and click [Start] • All collections can be played unlimited times

Fetal Heart Tone Sinusoidal Pattern - FPnotebook.com

    https://fpnotebook.com/ob/Fetus/FtlHrtTnSnsdlPtrn.htm
    Fetal Heart Tone Sinusoidal Pattern. Smooth undulating sine wave pattern. Amplitude: 10 to 15 bpm. Frequency: 3-5 cycles per minute. Duration: >2 minutes. III. Causes. Ominous sign. May represent terminal rhythm.

Management of Intrapartum Fetal Heart Rate Tracings

    https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2010/11/management-of-intrapartum-fetal-heart-rate-tracings
    ABSTRACT: Intrapartum electronic fetal monitoring (EFM) is used for most women who give birth in the United States. As such, clinicians are faced daily with the …

Intrapartum Fetal Monitoring - American Family Physician

    https://www.aafp.org/afp/2009/1215/p1388.html
    sinusoidal pattern is a smooth, undulating sine wave pattern defined by an amplitude of 10 bpm with three to five cycles per minute, lasting at least 20 minutes. 11 this uncommon pattern is...

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