Story Board:
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Title Page |
Introduction to FHS | |||
| Land Acknowledgment
Acknowledge that we live, learn, work and play on the Tkemlúps te Secw ̓épemc territory, situated within the unceded ancestral lands of the Secwépemc Nation.
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Image: Hunleigh, 2023 |
What is Fetal Health Surveillance
FHS for short Focuses on reading and understanding fetal (or baby) heart rate during labour. Determines the baby’s well-being during labour. Based on guidelines from the SOGC (Dore & Ehman, 2020). Not everyone gets a FHR (or fetal heart rate) tracing during labour.
Low-risk birthing people need the baby’s heart rate listened to periodically with a Doppler.
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Image: Eliran, N.D. |
What is Fetal Health Surveillance
Birthing people with risk factors needs a FHR tracing while in labour.
Cardiotocography – Wikipedia · Machine that records the Fetal heart rate (FHR) and prints out a tracing · Focus on the orange number This is the FHR
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Image: Dore & Ehman, 2020 |
Parts of a Tracing
Example of FHR tracing · Focus on the top black line This is the FHR · Focus on the bottom black line This is the tracing of the uterus · Focus on the dark vertical line to the next vertical line This is a minute. |
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Image: Dore & Ehman, 2020 |
Fetal Heart Rate
What is normal? 110-160 Has a baseline heart rate Focus on the baseline heart rate · Similar to adults ‘resting heart rate’
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Image: Dore & Ehman, 2020 |
Accelerations
· Focus on a spike in heart rate above the baseline A spike in Fetal Heart Rate above the baseline is an Acceleration. This usually corresponds to the baby’s movement.
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Image: Dore & Ehman, 2020 |
Decelerations
· Focus on the dips in the heart rate below the baseline A drop in the fetal heart rate below the baseline is a deceleration. There are multiple types of decelerations, some of which are normal and others not. The types of decelerations are: Early, Late, Variables, and Prolonged. We will not go into detail about the types of decelerations at this time. |
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| Quiz
What is Fetal Health Surveillance? a. Ultrasounds during pregnancy b. Monitoring of Fetal Heart Rate during labour c. Baby Spy ring.
Which is the Doppler? Which is the Cardiotocograph?
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| Birthing people that are risk have their fetal heart rate listened to by a doppler.
Who needs an FHR tracing in labour? a. Everyone b. Only low-risk birthing people c. High-risk birthing people |
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Image: Illustrated Verdict Inc, 2024. |
Label:
A. Acceleration B. Baseline FHR C. Deceleration
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