16

Assessing Foetal Well-being

Continuous foetal monitoring during the total course of pregnancy is known as assessment of foetal well-being.

OBJECTIVES
  1. Assess foetal health status.
  2. Count FHR.
  3. Identify foetal anomalies.
  4. Assess foetal maturity and growth.
METHODS OF FOETAL ASSESSMENT
  1. Auscultation of FHR
  2. Recording biophysical profile (BPP) of the foetus
  3. Biochemical assessment of foetus
  4. Electronic foetal monitoring (EFM)
1. AUSCULTATION OF FHR

FHR is checked on routine visits. It can be heard at 12 weeks using a Doppler device and 18–20 weeks onwards using a fetoscope.

Equipment:

  1. Fetoscope/Doppler device/Pinard’s fetoscope/stethoscope
  2. Draping sheet

Procedure:

1.

Prepare the woman.

2.

Explain the procedure and the information ...

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