Analyse pratique du RCF by Susan Gauge; Christine Henderson

By Susan Gauge; Christine Henderson

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In: A guide to effective care in pregnancy and childbirth. Oxford University Press, Oxford, ch 30 Gibb D, Arulkamaran S (1997) Fetal monitoring in practice, 2nd edn. Butterworth Heinemann, Oxford MIDIRS (Midwives Information and Resource Service) and the NHS Centre for Reviews and Dissemination ● Fetal heart rate monitoring in labour. Informed choice for professionals leaflet ● Listening to your baby’s heartbeat during labour. Informed choice for mothers leaflet. MIDIRS, Bristol The Cochrane Library, Update Software, Oxford PARTIE 2 PARTIE 3 Aspects médicolégaux et gestion du risque Andrew Symon INTRODUCTION Ce chapitre replace le rythme cardiaque fœtal (RCF) dans son contexte médicolégal actuel au travers de la littérature et de cas cliniques destinés à illustrer certaines situations difficiles.

Changement de position maternelle ; 2. diminution ou arrêt d’une éventuelle perfusion d’ocytocine ; 3. en cas d’oligoamnios, une amnioinfusion transcervicale peut se discuter ; 4. en cas de décélérations variables typiques profondes et répétées pendant une durée importante, la vérification de l’état fœtal par un pH au scalp peut être justifiée. Au cours d’une contraction utérine, lorsque la pression intra-utérine dépasse la pression hydrostatique qui règne à l’intérieur de la chambre intervilleuse, le flux sanguin s’interrompt dans les villosités choriales et les échanges maternofœtaux sont réduits ou absents.

In: Vincent C (ed) Clinical risk management: enhancing patient safety 2nd edn. BMJ Publishing Group, London Gibb D, Arulkumaran S (1997) Fetal monitoring in practice. Butterworth Heinemann, Oxford Henderson-Smart D (1991) Throwing the baby out with the fetal monitoring? Medical Journal of Australia 154: 576-8 Hensleigh P, Fainstat T, Spencer R (1986) Perinatal events and cerebral palsy. American Journal of Obstetrics and Gynecology 154: 978-81 James C (1991) Risk Management in obstetrics and gynaecology.

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