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Presence of late decelerations with fewer than 50% of contractions or significant variable decelerations. Requires repeat testing on following day. [1] Equivocal—Tachysystole: Presence of contractions that occur more frequently than every 2 minutes or last longer than 90 seconds in the presence of late decelerations.
A 'gradual' deceleration has a time from onset to nadir of 30 seconds or more. Early decelerations begin and end at approximately the same time as contractions, and the low point of the fetal heart rate occurs at the peak of the contraction. [7] Late decelerations: a result of placental insufficiency, which can result in fetal distress ...
In the United Kingdom the GP contract leaves the cost of point-of-care testing, which may be substantial, with the individual GP practice, which the cost of medication is met by the clinical commissioning group, which, as the House of Commons Health and Social Care Committee noted in October 2018, creates perverse incentives. [44]
Umbilical cord prolapse should always be considered a possibility when there is a sudden decrease in fetal heart rate or variable decelerations, particularly after the rupture of membranes. With overt prolapses, the diagnosis can be confirmed if the cord can be felt on vaginal examination.
Nuchal cord, when the umbilical cord is (tightly) around the neck of the fetus [2]; Entanglement of the cord [2]; Knot in the cord [2]; Cord prolapse, where the umbilical cord exits the birth canal before the baby, which can cause cord compression.
A nonstress test can be classified as normal, atypical, or abnormal. A normal nonstress test will show a baseline fetal heart rate between 110 and 160 beats per minute with moderate variability (5- to 25-interbeat variability) and 2 qualifying accelerations in 20 minutes with no decelerations.
Point of care (POC) documentation is the ability for clinicians to document clinical information while interacting with and delivering care to patients. [10] The increased adoption of electronic health records (EHR) in healthcare institutions and practices creates the need for electronic POC documentation through the use of various medical devices. [11]
Epi Info is public domain statistical software for epidemiology developed by Centers for Disease Control and Prevention. [1]Spatiotemporal Epidemiological Modeler is a tool, originally developed at IBM Research, for modelings and visualizing the spread of infectious diseases.