FetalHeartRate5

FetalHeartRate5-tier是一款医疗类型的app，为您提供最新FetalHeartRate5官方IOS版下载。

Thisappisintendedforobstetricians,midwives,andnurseswhouseelectronicfetalmonitoring(EFM)inlaboringpatients.Inadditiontointerpretingfetalheartrate(FHR)tracings,healthcareprofessionalsmustcommunicatewitheachotheraboutthetracingsinawaythatisunderstoodbyallparties,anddecidewhatactiontotake.

FHR5-tierisbasedonthefive-colorsystemdevelopedbyDrs.JulianParerandTomoakiIkeda.(AJOGJuly2007)Theintentoftheirsystemistostandardizemanagementofdifferentfetalheartratetracings.Thesystemdividesallfetalheartratetracingsintooneoffivecategories:Green(noacidemia,nointerventionrequired),Blue,Yellow,OrangeorRed(evidenceofactualorimpendingfetalasphyxia,rapiddeliveryrecommended).Eachcolorhasassignedtoita:a)riskofacidemia,b)riskofevolutiontoamoreseriouspatternandc)recommendedaction.

TheNICHDthree-tiersystemofclassifyingfetalheartrate(FHR)tracingshasbeencriticizedforhavingtoowidearangeoftracingsin“CategoryII”.Someresearchersandcliniciansbelievethatthefive-tiercolor-codedsystemmoreeffectivelyclassifiesEFMtracings.Thefive-tiersystemisbeingadoptedbyanincreasingnumberofhospitalsintheU.S.andinJapan.

FHR5-tiermakesiteasiertousethefive-colorsystem.

WithouttheFHR5-tierapp,onemustrefertoatablewith134possiblecombinationsofvariability,baseline,anddecelerations.Onemustalsoeithermemorizeorrefertothedefinitionsformild,moderateandseveredecelerations,whicharecomplexandsometimesconfusing.

WhenusingtheFHR5-tierappitisnotnecessarytorefertoanyothertableorchart.Variabilityandbaseline,andtheshape,nadir,anddurationofdecelerationsareenteredwithbuttonsontheconsecutivescreens.Theappcalculatestheseverityofthedecelerationandthecolorforeachtracing.Allaspectsofthetracingaresummarizedonthecoloredresultsscreen,sothattheusercanquicklycommunicatewithothers.

ManagementrecommendationsasoutlinedbyParerandIkedaaregiven.Theseincludewhetherornottheobstetricianneedstobeatthebedside;whatotherpersonnelshouldbeavailable;andwhetherthepatientshouldbemovedtotheoperatingroom.Inaddition,conservativemanagementtechniquesarelistedwhereappropriate.Thus,forBlue,Yellow,andOrangetracings,thefinalresultsscreenremindstheusertoconsideractionssuchasmaternalpositionchange,decreasingoxytocin,oramnioinfusion.

AsnotedbyParerandIkeda,theguidelinesformanagementmayneedtobemodifiedforinstitutionsotherthentheirs,andmayevenchangedependingontimeofday.

TheNICHDCategory(I,II,III)isalsogivenontheresultsscreen.

Thisapplicationisintendedasareferencetoolforuseonlybylicensedhealthcareprofessionals.Thisapplicationisnotasubstituteforeachlicensedhealthcareprofessional'sindependentclinicaljudgment.Nomedicaldecisionshouldbebasedsolelyoninformationobtainedbyuseofthistool.

Thisapplicationtriestofaithfullyaggregateinformationfrommajorauthorities(seereferences)anddoesnotintroduceorsubstitutethejudgmentofthemakersofthisapplicationforthoseauthorities.Ifyoufindanyerrorsinthisapplication,pleasereportthemtoourwebsite(http://obapps.org/contact.php)

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