Sökning: "Fetal distress"
Visar resultat 1 - 5 av 26 avhandlingar innehållade orden Fetal distress.
1. Fetal ECG waveform analysis for intrapartum monitoring
Sammanfattning : Waveform analysis of the fetal electrocardiogram has been studied since the early seventies from both physiological, signal processing and clinical aspects. It has been found to contain more useful information than the mere detection of RR-intervals (fetal heart rate), e.g. LÄS MER
2. Birth asphyxia : Fetal scalp blood sampling and risk factors for hypoxic ischemic encephalopathy
Sammanfattning : Preventing birth asphyxia is a major challenge in delivery care. The aims of this thesis were to evaluate fetal scalp blood sampling (FBS) and explore risk factors for moderate to severe neonatal hypoxic ischemic encephalopathy (HIE). LÄS MER
3. Improving the quality of caesarean section in a low-resource setting : An intervention by criteria-based audit at a tertiary hospital, Dar es Salaam, Tanzania
Sammanfattning : A sharp increase in caesarean section (CS) rates at the Muhimbili National Referral Hospital (MNH) – a tertiary referral hospital in Tanzania – by 50% in 2000–2011, was associated with concomitant increase in maternal complications and deaths and inconsistent improvement in newborn outcomes. The aims of this thesis were to explore care providers’ in-depth perspective of the reasons for these high rates of CS, and to evaluate and improve standards of care for the most common indica-tions of CS, obstructed labour and fetal distress, which are also major causes of adverse maternal and neonatal outcomes. LÄS MER
4. Role of cerebral Blood Flow in Fetal Surveillance
Sammanfattning : ABSTRACT In high-risk pregnancies the chronic hypoxemic fetus redistributes its circulation to maintain the blood supply to the vital organs: brain, heart and adrenals. The aims of the studies included in this thesis were: 1) to establish reference curves for fetal cerebral venous blood velocity in normal pregnancies; 2) to determine in high-risk pregnancies the frequency of abnormal Doppler in the cerebral veins and uterine, umbilical and middle cerebral arteries and the umbilical vein and ductus venosus with correlation with adverse perinatal outcome; 3) to analyze the correlation between brain sparing and redistribution of circulation and placental vascular impedance; 4) to evaluate the correlation between brain sparing and fetal umbilical cord blood gases at birth. LÄS MER
5. Different aspects of electronic fetal monitoring during labor
Sammanfattning : Background: Cardiotocography (CTG) is a tool to assess fetal well-being during labor and to detect early signs of fetal distress and thereby enable timely interventions to reduce neonatal morbidity and mortality. CTG is associated with shortcomings; poor reliability in interpretation, low specificity with a high proportion of false positive tracings indicating fetal distress when not accurate, no proven effect on rare severe outcomes such as mortality and cerebral palsy, but rather contributing to an increased risk of operative delivery. LÄS MER