Electronic fetal monitoring was introduced in the early 1970s as a tool to assess fetal well-being in the antepartum and intrapartum period
with the focus on prevention of perinatal morbidity and mortality.
Overall, 4% of deliveries during the antenatal period and 0.1% of deliveries during the intrapartum period
were not screened for GBS (P less than .001).
"Our data suggest caution in universal implementation of the triple I criteria to guide clinical management of febrile women in the intrapartum period
," according to lead author Samsiya Ona, MD, of Brigham and Women s Hospital in Boston, and her coauthors.
Actual hazard of meconium aspiration syndrome (MAS) secondary to academia inducing lung damage is much less and it was not checked up in intrapartum period
due to limitation of unavailability of scalp pH.
During intrapartum period
, one should avoid all factors leading to congestive heart failure, cyanosis and arrhythmias (10, 11).
About half of all stillbirths occur in the intrapartum period
, representing the greatest time of risk .
Insult to fetal brain may occur antenatally or in intrapartum period
. No antenatal visits, multiple births, malpresentation, oxytocin use during labour, sever eclampsia and pre eclampsia, maternal anemia, meconium stained amniotic fluid and prolonged rupture of membrane are considered to be risk factors for birth asphyxia8.
found that the risk for mother-to-child transmission increased when the acute infection was documented during the intrapartum period
This stresses on the fact that despite vigilant antenatal monitoring some of unforeseen obstetrical complications do persists in intrapartum period
, which suggest that skilled and trained health workers and team are needed in a maternity unit along with proper equipment to combat neonatal and maternal morbidity and mortality.
(7) Such involvement from partners may be particularly important given that, despite midwife support for CAM, (27) current policies and guidelines from midwifery professional bodies regarding the practice of CAM are not clear (30) and as such midwives may be hesitant to offer CAM treatments during the intrapartum period
. Likewise, if women are not provided with continuous intrapartum care by the same maternity health professional, the task of using CAM may fall on the birth partner in an attempt to provide relief to birthing women through periods of time when a maternity health professional is not in attendance.
One hundred eighty-eight (81%) women received antenatal care, 120 (52%) received antiretroviral prophylaxis during the antepartum period, and 168 (72%) received intravenous zidovudine (ZDV) during the intrapartum period
. Two hundred twenty-three (96%) infants received postexposure ZDV prophylaxis.
More than one million stillbirths occur in the intrapartum period
( the period from the onset of labour to the end of the third stage of labour), which can largely be prevented.