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On intrapartum fetal monitoring

Article Abstract:

Continuous electronic fetal monitoring needs to be subjected to more rigorous analysis to validate its worth in preventing poor infant outcomes. Several research studies have concluded that intermittent fetal heart rate monitoring is just as adequate at detecting fetal distress as continuous electronic monitoring. This conclusion may not reveal the failure of continuous electronic monitoring but rather the failure to understand the technology and to use it correctly. Doctors may need to spend significant periods of time in labor units studying tracings of electronic fetal monitoring to be able to evaluate what constitutes fetal distress in contrast to normal bodily changes. More specific terms should be used to describe changes in fetal monitor tracings.

Author: Cibils, Luis A.
Publisher: Elsevier B.V.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1996
Evaluation, Fetal monitoring

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Increased bleeding time after magnesium sulfate infusion

Article Abstract:

Preeclamptic pregnant women who receive infusions of magnesium sulfate to prevent seizures may experience more loss of blood during delivery. Preeclampsia is a serious complication of pregnancy involving high blood pressure and can lead to seizures. Researchers compared the amount of blood loss at delivery in 12 pregnant women with preeclampsia by infusing nine women with magnesium sulfate and withholding it from three others. Eight women treated with magnesium sulfate had a 164% longer bleeding time 12 to 24 hours after delivery.

Author: Cibils, Luis A., Kynczl-Leisure, Marketa
Publisher: Elsevier B.V.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1996
Care and treatment, Causes of, Physiological aspects, Preeclampsia, Magnesium sulfate, Bleeding

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