Intra Partum Cardiotocography - dr vivek patkar

Intra Partum Cardiotocography Dr. Vivek D. Patkar Ex. Hon. Prof. LTMGH & LTMMC, Sion V.D.P.

Definition ,[object Object],[object Object],V.D.P.

Importance of Cardiotocography ,[object Object],[object Object],[object Object],V.D.P.

Pioneers ,[object Object],[object Object],[object Object],[object Object],[object Object],V.D.P.

Specifications of an Intrapartum Monitor ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],V.D.P.

Control of the Fetal Heart Rate ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],V.D.P.

Terminology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],V.D.P.

Terminology ( contd.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],V.D.P.

Late deceleration ,[object Object],[object Object],V.D.P.

Interpretation – FIGO Normal Pattern ,[object Object],[object Object],[object Object],V.D.P.

Interpretation – FIGO Suspicious Pattern ,[object Object],[object Object],[object Object],[object Object],V.D.P.

Interpretation – FIGO Pathological Pattern ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],V.D.P.

Cardiotocography ,[object Object],[object Object],[object Object],V.D.P.

Proper Assessment ,[object Object],V.D.P.

Admission test ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],V.D.P.

Indications for intrapartum monitoring ,[object Object],[object Object],[object Object],[object Object],V.D.P.

SECOND STAGE OF LABOUR ,[object Object],Delivery Within 15 Minutes V.D.P.

[object Object],[object Object],V.D.P.

Obstructed Labour Lost baby, multi-para with macrosomic baby sudden hypoxia V.D.P.

PREVIOUS SCAR Scar dehiscence recognized on CTG, immediate section, baby salvaged, AS-8 V.D.P.

[object Object],V.D.P. Patient on alhpamethyldopa normal delivery

[object Object],V.D.P. Patient on Magsulf and occ nefidenpene 1.8 KGs Baby, Baby depressed, but made good recovery

EPIDURAL ANESTHESIA EPIDURAL ANESTHESIA : short tachycardia, deep deceleration, loss of beat to beat variability t/t: Ringer’s, oxygen, change of position Immediately after epidural contd. V.D.P.

[object Object],[object Object],[object Object],V.D.P.

[object Object],[object Object],[object Object],[object Object],V.D.P.

OXYTOCIN DRIP Drip reduced to 20 drops and then stopped all together contd. V.D.P.

OXYTOCIN DRIP Normal delivery after 8 hours V.D.P.

SINUSOIDAL PATTERN RH –ve, IUGR COOMBS +ve,1:64, 34 weeks LSCS , died after 5 days V.D.P.

[object Object],[object Object],[object Object],[object Object],[object Object],V.D.P.

PROLONGED BRADYCARDIA Immediate LSCS, AS-8 on birth V.D.P.

TERMINAL BRADYCARDIA Severe IUGR , viral encephalitis at 8 months, baby could not be salvaged V.D.P.

Tracing character sequence and degree of hypoxia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],V.D.P.

Abnormal tracing- acidosis interval ,[object Object],[object Object],[object Object],[object Object],V.D.P.

Interpretation of IPCTG ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],V.D.P.

Alternative Methods of Intrapartum Surveillance ,[object Object],[object Object],[object Object],[object Object],[object Object],V.D.P.

Computers and Cardiotocography ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],V.D.P.

Medicolegal issues ,[object Object],[object Object],[object Object],[object Object],[object Object],V.D.P.

Cardiotocography is useful if : ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],V.D.P.

Intra Partum Cardiotocography - dr vivek patkar

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