Recording the maternal pulse continuously on the same screen as the FHR enables ongoing differentiation of the mother and fetus in difficult cases, particularly if internal fetal monitoring is not an option (because of maternal infectious disease, low suspicion for an abnormal FHR pattern, or strong maternal preference against internal monitoring, for example).
Alternatively, this is an indication for internal fetal monitoring with an FSE.
Avoid internal fetal monitoring and prolonged rupture of membranes (SOR: B, single retrospective cohort study).
Avoid internal fetal monitoring to minimize HCV transmission, based on a single retrospective cohort of 244 infants born to HCV-positive mothers (relative risk [RR]= 7.7; 95% confidence interval [CI], 1.9-31.6; number needed to harm [NNH]=6).
In patients who decline delivery by cesarean section, HIV transmission can be reduced by avoiding the use of artificial rupture of membranes and internal fetal monitoring
The investigators concluded that avoiding internal fetal monitoring
and/or performing a cesarean section before or soon after membrane rupture could decrease the risk of vertical hepatitis C transmission.
But internal fetal monitoring appears to raise the risk of transmission sevenfold, and prolonged duration of membrane rupture increases the risk nearly 10-fold, according to recent studies.
If a woman is found to have a history of infection, it should be possible to lower the risk to her infant by avoiding internal fetal monitoring and prolonged rupture of membranes, Dr.
Internal fetal monitoring
was also associated with a highly significant 6.7-fold increased risk.
And my heart sank when they said I had to have internal fetal monitoring
," she says.
This association persisted even after adjustment for potential confounders, such as age, ethnicity, presence of premature rupture of membranes (PROM), and internal fetal monitoring
Other risk factors for chorioamnionitis include the duration of the rupture of the membranes, labor, and internal fetal monitoring
. In addition, a higher number of vaginal examinations and increased group B streptococci colonization are implicated in chorioamnionitis.