Thoroughly updated for its Second Edition, Fetal Monitoring Interpretation describes and illustrates the full range of patterns revealed by fetal monitoring and explains their clinical significance. The book uses case studies and high-quality tracings accompanied by detailed teaching diagrams usually found only in anatomical and surgical atlases.

This edition includes twenty new case illustrations with teaching diagrams and five added tracings that present rare and unique patterns. The text incorporates the changes in terminology recommended by the 2008 workshop jointly sponsored by the National Institute of Child Health and Human Development, the American College of Obstetricians and Gynecologists, and the Society for Maternal-Fetal Medicine. Five new sections have been added:

Pattern Transitions: Emphasizing the dynamic process of bedside assessment of the fetus, this section focuses on changes occurring over time, influenced by factors such as maternal health, pre-existing fetal health, gestation, and medications/anesthesia.
Antepartum Monitoring: The first edition focused on intrapartum monitoring. The second edition presents a new section on the unique interpretation in the antepartum setting.
Patterns Associated with Disease States and Other Conditions: For the first time, a section is included that begins with a maternal or fetal condition or the fetal environment and addresses potential fetal heart rate patterns that might be associated.
Technology Behind Fetal Monitoring and Adjuncts to Fetal Assessment: This new section reviews adjunctive methods of fetal assessment that might improve on the monitor heart rate data in inconclusive situations.
Medico-Legal Considerations: This section examines the role of the monitor in predicting or retrospectively assisting with the analysis of adverse neonatal outcomes and the future of the monitor in obstetrics.

Foreword
Preface
Acknowledgments

1.Introduction to the Fetal Monitor

Role of the Electronic Fetal Monitor
Classification/Terminology
Clinical Application
Limitations

2.Basic Pattern Components

Baseline
Variability
Periodic and Nonperiodic Changes

3. Baseline Variants

Sinusoidal and Other Undulating Patterns
Baseline Shifts and Other Rate Aberrations

4. Pattern Transitions

Fetal Stress Dynamic Changes
Other Pattern Dynamics

5. Uterine/Maternal-Fetal Activity

Uterine Activity
Maternal/Fetal Activity

6. Antepartum Monitoring

Role of the Fetal Monitor in Fetal Welfare Assessment
Other Methods of Fetal Welfare Assessment
Unique Interpretation in the Outpatient Setting

7. Patterns Associated with Disease States and Other Conditions

Maternal Conditions
Fetal Conditions
Support Structures
Second Stage and Delivery

8. Dysrhythmias

Sinus Node Variants
Dysrhythmias

9. Technology Behind Fetal Monitoring and Adjuncts to Fetal Assessment

External Fetal Monitor Signal Processing 434 Artifacts
Maternal-Fetal Dual Monitoring
Advanced EFM Technology in Clinical Use
Adjuncts to EFM in Patient Care

10. Medicolegal Considerations

Fetal Monitoring and Litigation
Patterns Retrospectively Associated with Cerebral Palsy
Fetal Monitoring in the Rural/Primary-Center Hospital
Using the Monitor Effectively

INDEX