Medical Interactive Community

EFM Case Study #03: Standard Terms and Guidelines

Utilization of standardized electronic fetal monitoring (EFM) nomenclature nationwide remains inconsistent from hospital to hospital and practitioner to practitioner. This activity outlines how to apply standardized EFM nomenclature, 3-Tier FHR Interpretation System and the ACOG intrapartum management algorithms into clinical practice in a case study format. EFM risk management concerns are defined.

EFM Case Study #04: Neonatal Encephalopathy

New guidelines outlined in the ACOG & AAP Task Force Report on Neonatal Encephalopathy (NE) include scientific updates on specific fetal heart rate patterns, sentinel events, and newborn assessment indicators that may indicate an acute intrapartum hypoxic-ischemic injury that leads to NE or cerebral palsy. This activity reviews the new guidelines in a case study format to improve application.

EFM Case Study #05 & #06 (FL)

Case study #5 presents an overview of oxygen delivery, definitions of critical values, and analysis of EFM strips for pH interpretation in a case study format. Case Study #6 addresses the impact both hyper- and hypoxemia can have on a fetus and neonate. Current scientific evidence and clinical guidelines to support low dose and short duration maternal oxygen therapy during intrapartum are included.

EFM Case Study #05: pH Implications

Umbilical cord blood sampling is used to determine if the cause of neonatal encephalopathy or cerebral palsy is linked to a peripartum or intrapartum event. Critical values are defined by ACOG & AAP. This activity presents an overview of oxygen delivery, definitions of critical values, and analysis of EFM strips for pH interpretation in a case study format.

EFM Case Study #06: Oxygen Therapy Update

Both hyper- and hypoxemia can have a negative impact on a fetus and neonate. Current scientific evidence and clinical guidelines support low dose and short duration maternal oxygen therapy during intrapartum.

EFM Case Study #07: Levels of Care & Transport

Inappropriate, unsafe, or lack of transport when clinically indicated increases medical-legal risk to obstetricians and hospitals. This monograph applies the ACOG & SMFM maternal levels of care and their implications on maternal and/or fetal transport into an electronic fetal monitoring (EFM) case study format.

EFM Case Study #08: Modules 1 & 2 (FL)

The prevention and treatment of preterm labor (PTL) has shifted focus away from the pregnant patient and has become a means of improving newborn outcomes. The first of this two-part series applies ACOG and SMFM recommendations into an electronic fetal monitoring case study to improve critical thinking regarding early identification of EFM data significant for PTL.

EFM Case Study #08: Preterm Labor, Part 1

The prevention and treatment of preterm labor (PTL) has shifted focus away from the pregnant patient and has become a means of improving newborn outcomes. The first of this two-part series applies ACOG and SMFM recommendations into an electronic fetal monitoring case study to improve critical thinking regarding early identification of EFM data significant for PTL.

EFM Case Study #08: Preterm Labor, Part 2

The prevention and treatment of preterm labor (PTL) has shifted focus away from the pregnant patient and has become a means of improving newborn outcomes. The second of this two-part series applies ACOG and SMFM recommendations into an electronic fetal monitoring case study to improve critical thinking regarding early identification of EFM data significant for PTL.

EFM Case Study #09: Modules 1 & 2 (FL)

Miscommunication is a primary root cause of perinatal injury and death, as well as, malpractice claims. This activity outlines various verbal communication errors using EFM case studies to improve EFM communication.

EFM Case Study #09: Verbal Communication, Part 1

Miscommunication is a primary root cause of perinatal injury and death, as well as, malpractice claims. This activity is part one of a two-part series that outlines various verbal communication errors using EFM case studies to improve EFM communication.

EFM Case Study #09: Verbal Communication, Part 2

Miscommunication is a primary root cause of perinatal injury and death, as well as, malpractice claims. This activity is part two of a two-part series that outlines various verbal communication errors using EFM case studies to improve EFM communication.

EFM Case Study #10: FHR Category II, Part 1: The Science

Category II is the largest category with over 128 various FHR patterns and is the most challenging to manage. This activity is part 1 of a three-part series that compares the current ACOG guidelines to the scientific research regarding new approaches to Category II FHR patterns.

EFM Case Study #10: FHR Category II, Part 2: Critical Thinking

Category II is the largest category with over 128 various FHR patterns and is the most challenging to manage. This activity is part 2 of a three-part series that compares the current ACOG guidelines to the scientific research regarding new approaches to Category II FHR patterns.

EFM Case Study #10: FHR Category II, Part 3: Management

Category II is the largest category with over 128 various FHR patterns and is the most challenging to manage. This activity is part 3 of a three-part series that compares the current ACOG guidelines to the scientific research regarding new approaches to Category II FHR patterns.

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