{"product_id":"fetal-compromise-in-labor-paperback-softback-9781009466301","title":"Fetal Compromise in Labor (Paperback \/ softback) 9781009466301","description":"\u003cfont face=\"Georgia\"\u003e\r\n\u003cp\u003e\u003cfont size=\"6\"\u003eFetal Compromise in Labor\u003c\/font\u003e\u003cbr\u003e\r\n\r\n\r\n\u003c\/p\u003e\n\u003cp\u003e\u003cem\u003eWe have re-engineered management of labor\/delivery\/ and the newborn to significantly reduce neonatal compromise and medicolegal exposures.\u003c\/em\u003e\u003c\/p\u003e\r\n\r\n\r\n\u003cp\u003e\u003cfont size=\"4\"\u003eMark I. Evans (Author), Lawrence D. Devoe (Author), Philip J. Steer (Author)\u003c\/font\u003e\u003c\/p\u003e\r\n\r\n\u003cp\u003e\u003cfont size=\"3\"\u003e9781009466301, Cambridge University Press\u003c\/font\u003e\u003c\/p\u003e\r\n\r\n\u003cp\u003e\u003cfont size=\"3\"\u003ePaperback \/ softback, published 13 February 2025\u003c\/font\u003e\u003c\/p\u003e\r\n\r\n\u003cp\u003e\u003cfont size=\"3\"\u003e76 pages\u003cbr\u003e22.9 x 15.2 x 0.4 cm, 0.137 kg\u003c\/font\u003e\u003c\/p\u003e\r\n\r\n\r\n\r\n\r\n\r\n\u003cp align=\"justify\"\u003e\u003cstrong\u003e\u003cfont size=\"3\"\u003eSixty years ago, the purpose of introducing electronic fetal heart rate monitoring (EFM) was to reduce the incidence of intrapartum stillbirth. However, by the early 1980s, with falling stillbirth rates, fetal blood sampling had been widely abandoned, as many considered that EFM was sufficient on its own. Unfortunately, while the sensitivity of EFM for the detection of potential fetal compromise is high, specificity is low, and there is a high false positive rate which has been associated with a rising cesarean section rate. The authors suggest that EFM is considered and analyzed as a classic screening test and not a diagnostic test. Furthermore, it requires contextualization with other risk factors to achieve improved performance. A new proposed metric, the Fetal Reserve Index, takes into account additional risk factors and has demonstrated significantly improved performance metrics. It is going through the phases of further development, evaluation, and wider clinical implementation.\u003c\/font\u003e\u003c\/strong\u003e\u003c\/p\u003e\r\n\r\n\u003cp\u003e\u003cfont size=\"3\"\u003eIntroduction\u003cbr\u003e The Physiology and Pathophysiology of Heart Rate Patterns\u003cbr\u003e Traditional Diagnostics\u003cbr\u003e Alternative Approaches\u003cbr\u003e Contextualization of CTG\u003cbr\u003e Meconium Staining of the Amniotic Fluid\u003cbr\u003e Pyrexia in Labor as a Risk Factor for Adverse Neonatal Outcome\u003cbr\u003e Prolapse of the Umbilical Cord\u003cbr\u003e Medicolegal Aspects of Fetal Monitoring\u003cbr\u003e Behavioral Aspects of Fetal Monitoring.\u003c\/font\u003e\u003c\/p\u003e\r\n\r\n\u003cp\u003e\u003cfont size=\"3\"\u003eSubject Areas: Gynaecology \u0026amp; obstetrics [\u003ca title=\"See our other books on Gynaecology \u0026amp; obstetrics\" href=\"https:\/\/freshlyprintedbooks.co.uk\/search?q=%22Gynaecology%20\u0026amp;%20obstetrics%20%5BMJT%5D%22\"\u003eMJT\u003c\/a\u003e]\u003c\/font\u003e\u003c\/p\u003e\r\n\r\n\r\n\u003c\/font\u003e","brand":"Cambridge University Press","offers":[{"title":"Brand New","offer_id":52414072750360,"sku":"9781009466301","price":16.99,"currency_code":"GBP","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0730\/2037\/5320\/files\/9781009466301i.jpg?v=1784336533","url":"https:\/\/freshlyprintedbooks.co.uk\/products\/fetal-compromise-in-labor-paperback-softback-9781009466301","provider":"Freshly Printed Books","version":"1.0","type":"link"}