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Combined fetal monitoring guideline (GL964) Approval Group Job Title, Chair of CommitteeMaternity & Children's Services Clinical Governance CommitteeChair, Maternity Clinical Governance Committeeman

How to fill out combined fetal monitoring

How to fill out combined fetal monitoring

1. Step 1: Start by gathering all the necessary equipment for combined fetal monitoring, such as a fetal monitor, ultrasound machine, and paper or electronic charting system.
2. Step 2: Ensure the patient is in a comfortable position, preferably lying on their left side, to optimize blood flow to the placenta.
3. Step 3: Apply the ultrasound transducer to the mother's abdomen to detect the fetal heart rate. Typically, this is placed over the baby's back or head.
4. Step 4: Attach the tocodynamometer to measure uterine contractions. This device is usually placed on the mother's abdomen, over the fundus of the uterus.
5. Step 5: Set up the fetal monitor to record both the fetal heart rate and uterine contractions. Adjust the settings according to the patient's gestational age and any specific instructions given by the healthcare provider.
6. Step 6: Begin monitoring and observe the recordings on the fetal monitor. Pay attention to any abnormalities or patterns that may require further assessment or intervention.
7. Step 7: Document the findings accurately in the charting system, including the baseline fetal heart rate, variability, presence of accelerations or decelerations, and the frequency and duration of contractions.
8. Step 8: Continuously monitor the fetal well-being throughout the desired time period, as indicated by the healthcare provider.
9. Step 9: Once the monitoring is complete, remove the transducers and other equipment from the patient and ensure they are properly cleaned and stored for future use.
10. Step 10: Communicate the findings and any concerns with the healthcare team and follow their guidance for further management or intervention.

Who needs combined fetal monitoring?

1. Combined fetal monitoring is typically indicated for pregnant women who have certain risk factors or complications, including but not limited to:
2. - Maternal conditions such as hypertension, diabetes, or preeclampsia
3. - Fetal growth restriction or suspected intrauterine growth restriction
4. - Decreased fetal movements or suspected fetal distress
5. - Multiple gestations (e.g., twins, triplets)
6. - Preterm labor or prior history of preterm birth
7. - Intrauterine infections or suspected fetal infection
8. - Maternal drug or alcohol use
9. - Suspected placental abnormalities or placental insufficiency
10. - Previous adverse obstetric outcomes
11. - Other medical or obstetric conditions that may require closer fetal surveillance or assessment.

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What is combined fetal monitoring?

Combined fetal monitoring is a method of monitoring both the fetal heart rate and the mother's uterine contractions during labor.

Who is required to file combined fetal monitoring?

Healthcare providers, specifically obstetricians and labor and delivery nurses, are required to file combined fetal monitoring.

How to fill out combined fetal monitoring?

Combined fetal monitoring is typically filled out by recording data on a special form that includes information on the fetal heart rate, uterine contractions, and any interventions.

What is the purpose of combined fetal monitoring?

The purpose of combined fetal monitoring is to assess the well-being of the fetus during labor and delivery, and to identify any potential issues that may require intervention.

What information must be reported on combined fetal monitoring?

The information reported on combined fetal monitoring includes the fetal heart rate, uterine contractions, any interventions such as medication or position changes, and the overall assessment of the fetal status.