Current location - Quotes Website - Signature design - What should I do if the fetal monitoring fails every time in the third trimester?
What should I do if the fetal monitoring fails every time in the third trimester?
Generally, after 36 weeks in the third trimester, doctors will ask pregnant women to do fetal heart monitoring every week. It is a technical job to do fetal heart monitoring. Some pregnant women pass at one time, and some pregnant women fail three times and four times. Of course, most of them are fine, but what about some situations? Be sure to listen to the doctor, maybe it was the distress signal of the baby. Share the knowledge about fetal heart monitoring!

the role of fetal heart monitoring

fetal heart monitoring is a common means to monitor whether the fetus is normal or not, which can find the abnormality of fetal heart as soon as possible, so as to reduce the fetal mortality. In the process of fetal heart monitoring, if the fetal heart is abnormal, the pregnant woman's fever, hypoxia, hypoglycemia, hyperthyroidism and taking certain drugs should be ruled out first, which may be due to fetal hypoxia, congenital heart disease and other reasons. Therefore, it may be very necessary to monitor fetal heart rate, and it is not expensive. Generally, it is once every 2 days in 3 yuan, so the monitoring plan is reassuring!

In the early years, it seems that fetal heart rate monitoring should be scored. I don't know how it is in other places. We don't score at present. Whether it is normal or not depends on the doctor's judgment. So, what is a normal fetal heart rate monitoring curve?

fetal heart rate monitoring is divided into two parts, the upper part represents the trend of fetal heart rate, the lower part represents the pressure of uterine cavity, which generally indicates the intensity of uterine contraction, and some black spots will be marked in the middle, which represents the baby's fetal movement. Generally, a fetal heart monitoring takes about 2 minutes. If there are three or four peaks and the fluctuation above is in the blue area (12 beats/min ~ 16 beats/min), it means that the fetal heart monitoring is normal.

Abnormal fetal heart rate monitoring

I believe many pregnant women have this experience. Sometimes the fetus just doesn't want to move, and it can't pass after several times. Some pregnant women are far away from the hospital, and now there are many people in the hospital. It is really troublesome and inconvenient to toss back and forth. If you fail several times, the responsible doctor may let you take oxygen, but it has not improved or will let you stay in the hospital for observation. Of course, the hospital is also doing this for the sake of caution. So which situations must be highly valued?

First, the fetal heart rate fluctuates greatly between 12-16

This may be the fetal hypoxia, the umbilical cord may be caught when the fetus is moving, or there may be a problem with the placenta. If the child's heart is not good in the early stage, this will also happen. In short, the fetus must be uncomfortable. In this case, doctors generally recommend doing it more times. Pregnant women can go out to have a rest, eat something, breathe fresh air, clear their heads for a while, and then do it.

Laimi's mother @: Tell me a true story, the wife of my husband's colleague. At 37 weeks, the fetal heart rate failed to be monitored, so she was given oxygen and checked again. The doctor said that the situation was very bad, and she was dissected on the same day. This parturient didn't want to cut it, but wanted to start it naturally. As a result, the amniotic fluid has turned green! If there is no fetal monitoring, think about how serious the consequences will be!

Night Cat at Half Moon @: My mother is from the Department of Obstetrics and Gynecology of 3A Hospital. Last year, my best friend was pregnant and went to the fetal monitor, saying that she was a little short of oxygen. My mother reminded her to take oxygen once every two days. Later, my best friend became red one week in advance, and her hip position was around her neck for two weeks. After the incision, her mother and daughter were safe. My best friend always thanked my mother especially because the amniotic fluid was gray-green after the baby came out.

the second type, the fetal heart rate is lower than 12

this is obvious hypoxia, and it is more serious, indicating that the fetus has hypoxia in the uterus with acidosis, which endangers the health and life of the fetus. This may be the main reason why many mothers turn to cesarean section, mainly in the process of labor, called acute distress; It can also occur in the third trimester of pregnancy, which is called chronic distress. As for the reasons, it may be placental abruption, uterine inertia, umbilical cord around the neck, or the child's heart or blood vessels are not good.

Taozhi @: My fetal heart rate monitoring at 36+ weeks is unqualified, so I need to take oxygen again. If it is still unqualified, continue to take oxygen! Continue to do it the next day, and take oxygen if it is unqualified! On the third night, the water broke, the placenta peeled off early, and my son was born by cesarean section! It's really not without reason that the fetal heart is bad!

Liu Aiting @: The last time I had a prenatal check-up, I heard from the nurse in the prenatal care room that the patient's prenatal care failed four times in 38 weeks. The doctor thought that it was necessary to have a caesarean section in the hospital and was worried about fetal distress. The patient refused to listen, but insisted on going home. After 4 weeks, the baby didn't start, and then went to the hospital for examination, and the fetus was no longer breathing.

Third, the intrauterine pressure keeps in a straight line

The line below the fetal heart rate monitoring chart indicates the intrauterine pressure, which usually fluctuates around 2. If the line below suddenly rises above 2, it will continue to cross the line for a while and then jump up again. Most of them are false contractions or are really going to have a baby.

When I gave birth to Dabao, I gave birth naturally for 2 days, and the uterine opening was not fully opened. Later, I found that my contractions slowed down, and I felt that something was wrong. I asked the doctor to monitor my fetal heart rate quickly. When the doctor saw it, the fetal heart rate became lower, so he decided to have a cesarean section. After breaking the water, I found that there was Baba in the amniotic fluid. It was really close!

After all, most of the fetal heart rate monitoring is qualified, and a few are unqualified. Sometimes, during the fetal heart rate monitoring period, the child does not move, which is called unresponsive. Doctors should be cautious and redo or be hospitalized just in case. Anyway, it's the third trimester. Mothers-to-be keep good spirits, eat something, exercise to do fetal heart monitoring, and generally pass!