OBGYN: Intrapartum Fetal Heart Rate Monitoring (Usmle)
Mnemonic to remember : VEAL CHOP
Variable Cord compression
Early Head compression
Acceleration OK
Late Placental Insufficiency
Early Deceleration: Head compression. Fetus deceleration is symmetrical to mother's contraction. Tx = No treatment
Late Deceleration : Placental insufficiency : Fetal deceleration is after the mother's contraction Tx= test fetal blood from scalp sample to diagnose hypoxia or acidosis.
Variable Deceleration : Cord compression. Fetal deceleration can be symmetric or after mother's contraction (Onset of fetal deceleration to the nadir should be < 30 sec.)
Tx = 1. Change the mother's position
2. Amnioinfusion
Mnemonic to remember : VEAL CHOP
Variable Cord compression
Early Head compression
Acceleration OK
Late Placental Insufficiency
Early Deceleration: Head compression. Fetus deceleration is symmetrical to mother's contraction. Tx = No treatment
Late Deceleration : Placental insufficiency : Fetal deceleration is after the mother's contraction Tx= test fetal blood from scalp sample to diagnose hypoxia or acidosis.
Variable Deceleration : Cord compression. Fetal deceleration can be symmetric or after mother's contraction (Onset of fetal deceleration to the nadir should be < 30 sec.)
Tx = 1. Change the mother's position
2. Amnioinfusion
