Factors influencing CTG interpretation -...

37
Factors influencing CTG interpretation

Transcript of Factors influencing CTG interpretation -...

Page 1: Factors influencing CTG interpretation - iums.ac.irvct.iums.ac.ir/uploads/26_757_78_ctg_2016_salamatjanin.pdf · affect the fetus and therefore potentially, the CTG. ... The management

Factors influencing CTG interpretation

Page 2: Factors influencing CTG interpretation - iums.ac.irvct.iums.ac.ir/uploads/26_757_78_ctg_2016_salamatjanin.pdf · affect the fetus and therefore potentially, the CTG. ... The management
Page 3: Factors influencing CTG interpretation - iums.ac.irvct.iums.ac.ir/uploads/26_757_78_ctg_2016_salamatjanin.pdf · affect the fetus and therefore potentially, the CTG. ... The management

3cm/min

DR : G1-PROM – 40 wks – Admission testC: nonBra : 150/minV: modA: +D: -

Page 4: Factors influencing CTG interpretation - iums.ac.irvct.iums.ac.ir/uploads/26_757_78_ctg_2016_salamatjanin.pdf · affect the fetus and therefore potentially, the CTG. ... The management

3cm/min

Page 5: Factors influencing CTG interpretation - iums.ac.irvct.iums.ac.ir/uploads/26_757_78_ctg_2016_salamatjanin.pdf · affect the fetus and therefore potentially, the CTG. ... The management

3cm/min

The same Pt an hour after commencement of inductionC: 2-3/10minBra: 125/minV: minimalA : +D: -

Page 6: Factors influencing CTG interpretation - iums.ac.irvct.iums.ac.ir/uploads/26_757_78_ctg_2016_salamatjanin.pdf · affect the fetus and therefore potentially, the CTG. ... The management
Page 7: Factors influencing CTG interpretation - iums.ac.irvct.iums.ac.ir/uploads/26_757_78_ctg_2016_salamatjanin.pdf · affect the fetus and therefore potentially, the CTG. ... The management
Page 8: Factors influencing CTG interpretation - iums.ac.irvct.iums.ac.ir/uploads/26_757_78_ctg_2016_salamatjanin.pdf · affect the fetus and therefore potentially, the CTG. ... The management
Page 9: Factors influencing CTG interpretation - iums.ac.irvct.iums.ac.ir/uploads/26_757_78_ctg_2016_salamatjanin.pdf · affect the fetus and therefore potentially, the CTG. ... The management
Page 10: Factors influencing CTG interpretation - iums.ac.irvct.iums.ac.ir/uploads/26_757_78_ctg_2016_salamatjanin.pdf · affect the fetus and therefore potentially, the CTG. ... The management
Page 11: Factors influencing CTG interpretation - iums.ac.irvct.iums.ac.ir/uploads/26_757_78_ctg_2016_salamatjanin.pdf · affect the fetus and therefore potentially, the CTG. ... The management

3cm/min

Page 12: Factors influencing CTG interpretation - iums.ac.irvct.iums.ac.ir/uploads/26_757_78_ctg_2016_salamatjanin.pdf · affect the fetus and therefore potentially, the CTG. ... The management

3cm/min

DR: G2 – ROM- Augmentation – AF clear- Previous tracing :reassuringC: 4/10minB : 120/minV: absentA: -D: -O :

Page 13: Factors influencing CTG interpretation - iums.ac.irvct.iums.ac.ir/uploads/26_757_78_ctg_2016_salamatjanin.pdf · affect the fetus and therefore potentially, the CTG. ... The management

3cm/min

DR:G1- Active phase – receiving epidural top -up C: 4/10minB: 135/minV: modA: -D: prolongedO:

Page 14: Factors influencing CTG interpretation - iums.ac.irvct.iums.ac.ir/uploads/26_757_78_ctg_2016_salamatjanin.pdf · affect the fetus and therefore potentially, the CTG. ... The management

3cm/min

Dr : G3P2L2 -low risk –second stageC: 4/10minB: 140/minV: modA: +D: variable O:

Page 15: Factors influencing CTG interpretation - iums.ac.irvct.iums.ac.ir/uploads/26_757_78_ctg_2016_salamatjanin.pdf · affect the fetus and therefore potentially, the CTG. ... The management

3cm/min

DR:G1 – severe preeclampsia – suspected IUGR – active phase (6cm)C: 3-4/10minB:120/minV:A:D:O:

Page 16: Factors influencing CTG interpretation - iums.ac.irvct.iums.ac.ir/uploads/26_757_78_ctg_2016_salamatjanin.pdf · affect the fetus and therefore potentially, the CTG. ... The management

DRG1-m-PIH Induced:MISO

C 6/min

Br135-140/min

Vmod

A-ve

DProlongedlate

O

Prolonged Deceleration

Page 17: Factors influencing CTG interpretation - iums.ac.irvct.iums.ac.ir/uploads/26_757_78_ctg_2016_salamatjanin.pdf · affect the fetus and therefore potentially, the CTG. ... The management

DRCBrVADO

Page 18: Factors influencing CTG interpretation - iums.ac.irvct.iums.ac.ir/uploads/26_757_78_ctg_2016_salamatjanin.pdf · affect the fetus and therefore potentially, the CTG. ... The management

DRCBrVADO

Page 19: Factors influencing CTG interpretation - iums.ac.irvct.iums.ac.ir/uploads/26_757_78_ctg_2016_salamatjanin.pdf · affect the fetus and therefore potentially, the CTG. ... The management

DRCBrVADO

Page 20: Factors influencing CTG interpretation - iums.ac.irvct.iums.ac.ir/uploads/26_757_78_ctg_2016_salamatjanin.pdf · affect the fetus and therefore potentially, the CTG. ... The management

DRCBrVADO

Page 21: Factors influencing CTG interpretation - iums.ac.irvct.iums.ac.ir/uploads/26_757_78_ctg_2016_salamatjanin.pdf · affect the fetus and therefore potentially, the CTG. ... The management

DRCBrVADO

Page 22: Factors influencing CTG interpretation - iums.ac.irvct.iums.ac.ir/uploads/26_757_78_ctg_2016_salamatjanin.pdf · affect the fetus and therefore potentially, the CTG. ... The management

DRCBrVADO

Page 23: Factors influencing CTG interpretation - iums.ac.irvct.iums.ac.ir/uploads/26_757_78_ctg_2016_salamatjanin.pdf · affect the fetus and therefore potentially, the CTG. ... The management

DRCBrVADO

Page 24: Factors influencing CTG interpretation - iums.ac.irvct.iums.ac.ir/uploads/26_757_78_ctg_2016_salamatjanin.pdf · affect the fetus and therefore potentially, the CTG. ... The management

DRCBrVADO

Page 25: Factors influencing CTG interpretation - iums.ac.irvct.iums.ac.ir/uploads/26_757_78_ctg_2016_salamatjanin.pdf · affect the fetus and therefore potentially, the CTG. ... The management

DRCBrVADO

Page 26: Factors influencing CTG interpretation - iums.ac.irvct.iums.ac.ir/uploads/26_757_78_ctg_2016_salamatjanin.pdf · affect the fetus and therefore potentially, the CTG. ... The management

DRCBrVADO

Page 27: Factors influencing CTG interpretation - iums.ac.irvct.iums.ac.ir/uploads/26_757_78_ctg_2016_salamatjanin.pdf · affect the fetus and therefore potentially, the CTG. ... The management

DRCBrVADO

Page 28: Factors influencing CTG interpretation - iums.ac.irvct.iums.ac.ir/uploads/26_757_78_ctg_2016_salamatjanin.pdf · affect the fetus and therefore potentially, the CTG. ... The management

DRCBrVADO

Page 29: Factors influencing CTG interpretation - iums.ac.irvct.iums.ac.ir/uploads/26_757_78_ctg_2016_salamatjanin.pdf · affect the fetus and therefore potentially, the CTG. ... The management

DRCBrVADO

Page 30: Factors influencing CTG interpretation - iums.ac.irvct.iums.ac.ir/uploads/26_757_78_ctg_2016_salamatjanin.pdf · affect the fetus and therefore potentially, the CTG. ... The management
Page 31: Factors influencing CTG interpretation - iums.ac.irvct.iums.ac.ir/uploads/26_757_78_ctg_2016_salamatjanin.pdf · affect the fetus and therefore potentially, the CTG. ... The management
Page 32: Factors influencing CTG interpretation - iums.ac.irvct.iums.ac.ir/uploads/26_757_78_ctg_2016_salamatjanin.pdf · affect the fetus and therefore potentially, the CTG. ... The management

DRCBrVADO

Page 33: Factors influencing CTG interpretation - iums.ac.irvct.iums.ac.ir/uploads/26_757_78_ctg_2016_salamatjanin.pdf · affect the fetus and therefore potentially, the CTG. ... The management

DRCBrVADO

Page 34: Factors influencing CTG interpretation - iums.ac.irvct.iums.ac.ir/uploads/26_757_78_ctg_2016_salamatjanin.pdf · affect the fetus and therefore potentially, the CTG. ... The management
Page 35: Factors influencing CTG interpretation - iums.ac.irvct.iums.ac.ir/uploads/26_757_78_ctg_2016_salamatjanin.pdf · affect the fetus and therefore potentially, the CTG. ... The management
Page 36: Factors influencing CTG interpretation - iums.ac.irvct.iums.ac.ir/uploads/26_757_78_ctg_2016_salamatjanin.pdf · affect the fetus and therefore potentially, the CTG. ... The management

DRCBrVADO

Page 37: Factors influencing CTG interpretation - iums.ac.irvct.iums.ac.ir/uploads/26_757_78_ctg_2016_salamatjanin.pdf · affect the fetus and therefore potentially, the CTG. ... The management

DRCBrVADO