Is it difficult to pass fetal heart rate monitoring, and what should I do if I don t pass fetal hear

As we all know, the fetal heart rate is the heart of the fetus, which is directly related to the health of the fetusWhat to do if fetal heart rate monitoring is not passed？Next, let's learn together.

What to do if the fetal heart rate monitoring is not qualified Since the fetal heart rate monitoring is not qualified, it is necessary to consider the abnormality of the fetus in the uterus, and special attention should be paid to the reexamination, or further examination should be carried out to find the exact cause, and actively treat the symptoms.

Fetal heart rate monitoring is the abbreviation of fetal heart rate fetal motomy, which is a primary means of detection to correctly assess the condition of the fetus in utero. Fetal heart rate monitoring is monitored by an electronic fetal heart rate monitor, which can record the instantaneous change of fetal heart rate, and through the signal curve of instantaneous changes in fetal heart rate, doctors can timely understand the reaction of fetal heart rate during fetal movement and contractions, so as to infer whether the fetus is hypoxic in utero. Fetal heartbeat refers to the fetal heartbeat, which can be heard in the abdomen of the expectant mother at 12 weeks of gestation.

Methods of monitoring fetal heartbeat at home at home:

At present, there are three types: stethoscope, fetal heart rate monitor, and fetal language instrument.

1) Stethoscopes are very common and cheap, but they are used to find the location of the fetal heartbeat, which has high technical requirements and a small sound, which is not easy for ordinary people to hear.

2) Fetal heart rate monitor and fetal language instrument are both using Doppler auscultation technology, fetal heart rate can be used to listen to the fetal heartbeat, and some can display the fetal heart rate through LED or LCD screen.

3) The fetal language instrument is a smart device, which can basically meet the standard of monitoring the fetal heart rate at home, and is used to listen to and record the fetal sound, count the heart rate and fetal movement, draw the monitoring curve, and let the doctor remotely listen to the fetal heartbeat. It needs to be connected to the mobile app, which is suitable for pregnant women with Apple and Android phones.

When to do fetal heart rate monitoring 1. When to do fetal heart rate monitoring.

In the case of normal pregnancy, fetal heart rate monitoring will be added to each prenatal examination from 32 weeks of pregnancy, and fetal heart rate monitoring will be done once a week from 37 weeks of pregnancy; If the pregnancy is at high risk or has comorbidities or complications, such as pregnancy-induced hypertension, post-term pregnancy, diabetes mellitus and pregnancy, this test may be performed from 28 weeks of pregnancy. Pregnant women can also monitor the fetal heart rate at home, first by the doctor to determine the location of the fetal heartbeat, and then when the pregnant woman is at home, the husband can directly listen to the pregnant woman's abdominal wall with his ear, once or several times a day.

2. Fetal heart rate monitoring time each time.

The time of each fetal heart rate monitoring during the prenatal examination is about 20 minutes, and the fetal heart rate monitor is used continuously and uninterruptedly. For high-risk pregnant women, after 35 weeks' gestation, they need to be hospitalized for fetal heart rate monitoring, and if necessary, each monitoring will take longer than 1 hour.

If the fetal heart rate monitoring is not satisfied, the doctor will ask you to do it again every once in a while, if it returns to normal, it is not a big deal, if it is still abnormal, you may be required to be hospitalized for observation and **.

Fetal heart rate monitoring continues to decrease, and the doctor will take further steps to improve and, if necessary, terminate the pregnancy.

What to do?

Usually, the doctor will ask you to adjust your position, or stand up and walk around, eat something sweet, and if that doesn't work, you can breathe some oxygen, and if the fetal heart rate monitoring returns to normal, you can rest assured that you can continue the pregnancy. If there is still an abnormality after treatment, additional measures may be taken and, if necessary, an early termination of the pregnancy may be required.

1. Fetal heart rate monitoring needs to observe fetal movement is the change of fetal heart, so try to do fetal heart rate monitoring in the time period when fetal movement is more frequent.

2. Eating some sweets, such as juice, chocolate, etc., before doing fetal heart rate monitoring, will make the fetus excited and do fetal monitoring more smoothly.

3. Find the most comfortable posture for yourself, which is more conducive to fetal heart rate monitoring.

4. Generally, normal fetal heart rate monitoring means that the fetus has no symptoms of intrauterine hypoxia temporarily, but if there is abnormal fetal movement, it is necessary to go to the hospital for examination as soon as possible.

5. If the doctor determines that the fetal heart rate monitoring is abnormal, further measures need to be taken, please actively cooperate with the doctor to avoid irreparable damage caused by fetal hypoxia.

6. Compared with fetal heart rate monitoring, fetal movements respond more rapidly to the abnormal conditions of the fetus, so don't ignore fetal movements because fetal heart rate monitoring is normal.

Generally, you will be allowed to try the fetal heart rate monitoring after a while, if it is still abnormal, you need to be hospitalized for oxygen inhalation**, fetal heart rate monitoring is to check whether the fetus is in a state of hypoxia, and many times it is not enough to indicate that the child is hypoxic, which must be hospitalized for oxygen inhalation**.

Fetal heart rate monitoring fetal heart rate is regulated by sympathetic and parasympathetic nerves, and the curve of the monitoring graph formed by the signal tracing moment of the fetal heart rate can understand the response of the fetal heart rate during fetal movement and contractions, so as to predict whether the fetus has hypoxia in the uterus.

Clinical presentation. 1.Normal fetal heartbeat.

There are mainly two lines on the fetal heart rate monitoring, the upper one is the fetal heart rate, which fluctuates between 110 and 160 under normal circumstances, and is generally manifested as a waveform straight line on the basic heart rate line, and the heart rate will rise when the fetal movement occurs, and there will be an upward protruding curve, and the fetal movement will slowly decline after the end, and the rhythm is neat, the strength is moderate, like the "ticking" sound of the clock. The fetal heart rate can increase by 10 to 20 beats when the fetus moves. The next one indicates the intrauterine pressure, which increases during contraction and then remains at about 20 mmHg.

For normal pregnancies, fetal heart rate monitoring should be done once a week from the 34th week of pregnancy, and if there are comorbidities or complications, it can be done from the 28th and 30th weeks of pregnancy. Attention should be paid to whether the rhythm of the fetal heart sound is fast and slow, etc., normal fetal heart sound 110 160 minutes, if the fetal heart sound is more than 160 minutes or lasts 100 minutes, it means that the fetus is hypoxic in uterus, and it should be timely**.

2.Abnormal fetal heartbeat.

If the fetal heart rate lasts for more than 10 minutes or 160 beats, it indicates that the fetal heart rate is abnormal. During fetal heart care, it is found that there is an abnormality in the pattern of fetal heartbeat, which is often used to indicate abnormal fetal heartbeat. Fetal heart rate abnormalities in most cases represent fetal hypoxia in utero, and the more severe the fetal heart rate abnormality, the more severe the fetal hypoxia, but not all fetal heart rate abnormalities are caused by hypoxia.

Fetal heart rate monitoring has not passed three times, then you should follow the doctor's advice, continue to inhale oxygen, and then continue to do fetal heart rate monitoring, if you can not pass the test, it proves that the fetus has been hypoxic, you need to be hospitalized for observation according to the doctor's advice, you are now 38 weeks pregnant, the fetus has been full-term, if necessary, the doctor will recommend caesarean section to terminate the pregnancy, so as not to cause harm to the fetus because of lack of oxygen. Don't pay attention to it because of repeated oxygen inhalation, fetal heart rate monitoring, and feel troublesome.

Reactive fetal heart rate monitoring is continuous monitoring of fetal heart rate for 20 minutes, at least 3 or more fetal movements with fetal heart rate acceleration greater than 15 minutes and a duration of more than 15 seconds; If the fetus is asleep, it may be necessary to extend the monitoring period or wake the fetus. Specifically, it is to do fetal heart rate monitoring during the time period when the fetal movement is active, so that the effect is better.

Guidance: Therefore, if you feel that the fetus is moving well, and the ultrasound also shows that everything is normal, then the fetus should be fine; The doctor gives oxygen inhalation symptomatic treatment, oxygen is supplemented by you to the child's oxygen supply, which is also good for the child, but you need to recheck the fetal heart rate monitoring again, everyone is relieved!

The doctor asked: Please remember that the fetal movement is too fast or too slow, and if it is not abnormal, it is best to choose if the fetal movement is active or to do fetal heart rate monitoring.

Generally, you will be allowed to try the fetal heart rate monitoring after a while, if it is still abnormal, you need to be hospitalized for oxygen inhalation**, fetal heart rate monitoring is to check whether the fetus is in a state of hypoxia, and many times it is not enough to indicate that the child is hypoxic, which must be hospitalized for oxygen inhalation**.