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A Doppler device detects a heart tone further away from the location of origin. A Pinard horn must be pressed to a location very close to the fetal heart in order to detect it, providing a more accurate indication of fetal position. A doctor, nurse, or midwife can also use palpation and auscultation to determine fetal position. [4]
Cardiotocography sound Schematic explanation of cardiotocography: heart rate (A) is calculated from fetal heart motion determined by ultrasound, and uterine contractions are measured by a tocodynamometer (B). These numbers are represented on a time scale with the help of a running piece of paper, producing a graphical representation.
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. "Reactive" is defined as the presence of two or more fetal heart rate accelerations within a 20-minute period. Each ...
US: Fetal breathing movements At least one episode of > 30s or >20s [3] in 30 minutes None or less than 30s or 20s [3] US: Fetal activity / gross body movements At least three discrete body/limb movement in 30 minutes (episodes of active continuous movement considered a single movement. Less than three or two [3] movements US: Fetal muscle tone
A fetal stethoscope or fetoscope is an acoustic stethoscope shaped like a listening trumpet. It is placed against the abdomen of a pregnant woman to listen to the heart sounds of the fetus. [27] The fetal stethoscope is also known as a Pinard horn after French obstetrician Adolphe Pinard (1844–1934).
Funic souffle (also known as funicular or fetal souffle), is a blowing sound heard in synch with fetal heart sounds, and may originate from the umbilical cord. It has also been described as a sharp, whistling sound that is synchronous with the pulse of the foetus, usually heard during the second trimester of pregnancy (13–28 weeks). [ 3 ]
A negative result is highly predictive of fetal wellbeing and tolerance of labor. The test has a poor positive predictive value with false-positive results in as many as 30% of cases. [4] [5] A positive CST indicates high risk of fetal death due to hypoxia [3] and is a contraindication to labor. Patient's obstetricians usually consider ...
It also provides other useful information, for example, tracking the blood flow, or the speed of contractions and expansions. [7] With 3D echocardiography, physicians can detect artery diseases with relative ease, and can finely examine various cardiac defects. 3D echocardiography can achieve real-time imaging of the cardiac structure. [8]
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