scholarly journals Posisi Ibu Hamil Memengaruhi Akurasi Pengukuran Kesejahteraan Janin

2020 ◽  
Vol 2 (3) ◽  
pp. 170-176
Author(s):  
Minarti Minarti ◽  
Risnawati Risnawati

During pregnancy, the fetal heart rate is a picture of the well-being of the fetus in the womb. The mother's position affects the results of the assessment when taking measurements of the fetal heart rate. The purpose of this study is to determine the accuracy of the measurement of fetal well-being based on the position of pregnant women. This type of research is analytic observational in Wajo Health Center, Katobengke Health Center, and Sulaa Health Center, from April - August 2019. The population in this study were all pregnant women registered in the KIA book. The research sample consisted of 60 respondents using inclusion criteria. The data analysis uses univariate analysis. The results showed there were differences in the value of the fetal heart rate measurements for each position. The average value (min-max) of DJJ measurement with the lying position (supine) 128-158 times per-minute, mean value 138.81 times per-minute; sitting position 124-158 times per-minute, mean value 143.41 times per-minute; standing position 126-159 times per-minute, mean value 145.58 times per minute. In a sitting and lying position, the resulting heart rate is in the normal range of 120-140 times per-minute; in a standing position, the heart rate obtained 150-160 times per-minute has the potential for tachycardia. The conclusion of this study is that the position of pregnant women affects the results of fetal heart rate measurement and the good position of the FHR measurement when lying on her back

2021 ◽  
Vol 6 (11) ◽  
pp. 1-5
Author(s):  
Arzu YURCİ

Introduction: Preterm labor occurs between 20th and 37th gestational week which is regardless of the birth weight. The incidence of preterm birth is increasing and continues to be the leading cause of neonatal mortality and morbidity. Antenatal corticosteroids are used for pregnant women at risk of preterm labor to reduce fetal mortality and morbidity by increasing fetal lung maturation and preventing the fetus from respiratory distress syndrome. In this study, we aimed to evaluate the effects of antenatal dexamethasone and betamethasone on fetal heart rate variability and fetal body movements. Material and method: The pregnant women applied to clinic due to the risk of preterm labor between November 2003 and May 2004 hospitalised due to the risk of preterm labor and tocolytic treatment. The glucocorticoids to be initiated and to provide lung maturation were included in the study. Included in the study pregnant women were randomly divided into two groups. 24 hours for 20 pregnant women in the first group, 12 mg betamethasone was administered intramuscularly. 20 in the second group 6 mg dexamethasone was administered intramuscularly every 12 hours. NSTs for later evaluation of fetal well-being and baby movements were compared. Results: Pregnant women in betamethasone and dexamethasone groups compared in terms of age, gravida, parity and gestational week, there was no significant difference between the two groups (p> 0.05). At the time of first glucocorticoid application (onset) and 24 hours after the last dose of betamethasone/dexamethasone therapy, fetal heart rate, acceleration, deceleration and fetal movement counts were calculated for 3 days in the morning and evening. A significant increase was observed at heart rate in the betamethasone group after treatment, but there was no change in basal heart rate in the dexamethasone group. In the number of acceleration; significant increase was observed in betamethasone group while there was no statistically significant change was observed in the dexamethasone group. Fetal body movements were changed significantly in both groups compared with the basal movements. Conclusion: Antenatal glucocorticoid application (especially betamethasone) caused a temporary suppression in the NST and fetal movements that were used to determine fetal well-being. It should be kept in mind that these temporary changes may be misdiagnosed as fetal distress. Both dexamethasone and betamethasone can be applied in preterm delivery as a safe manner.


PLoS ONE ◽  
2015 ◽  
Vol 10 (1) ◽  
pp. e0117043 ◽  
Author(s):  
Adeline A. Boatin ◽  
Blair Wylie ◽  
Ilona Goldfarb ◽  
Robin Azevedo ◽  
Elena Pittel ◽  
...  

Author(s):  
Shunsuke Tamaru ◽  
Seung Chik Jwa ◽  
Yoshihisa Ono ◽  
Hiroyuki Seki ◽  
Haruka Matsui ◽  
...  

2017 ◽  
Vol 45 (4) ◽  
Author(s):  
Kyriaki Spyridou ◽  
Ioanna Chouvarda ◽  
Leontios Hadjileontiadis ◽  
Nikolaos Maglaveras

AbstractObjective:The objective of this study is to investigate the alterations caused by smoking on the features of fetal heart rate (FHR) tracings as well as to make a comparison between pregnant smokers and pregnant women with intrauterine growth restriction (IUGR).Study design:A number of established features derived from linear and nonlinear fields were employed to study the possible influence of maternal smoking on FHR tracings. Moreover, correlation and measures of complexity of the FHR were explored, in order to get closer to the core of information that the signal of FHR tracings conveys. Data included FHR tracings from 61 uncomplicated singleton pregnancies, 16 pregnant smoker cases, and 15 pregnancies of women with IUGR.Results:The analysis of FHR indicated that some parameters, such as mutual information (P=0.0025), multiscale entropy (P=0.01), and algorithmic complexity (P=0.024) appeared decreased in the group of pregnant smokers, while kurtosis (P=0.0011) increased. The comparison between pregnant smokers and pregnant women with IUGR indicated a reduction in Hjorth complexity (P=0.039) for the former.Conclusion:Smoking during pregnancy seems to induce differences in several linear and nonlinear indices in recordings of FHR tracings. This may be the consequence of an altered neurodevelopmental maturation possibly resulting from chronic fetal hypoxemia in cigarette-exposed fetuses.


1958 ◽  
Vol 76 (5) ◽  
pp. 998-1012 ◽  
Author(s):  
Louis M. Hellman ◽  
Morton A. Schiffer ◽  
Schuyler G. Kohl ◽  
Walter E. Tolles

2020 ◽  
Vol 4 (7) ◽  
pp. 222-225
Author(s):  
Rahayu ` Sumaningsih ◽  
Teta Puji Rahayu ◽  
Budi Joko Santosa

Music affects to human psychology, provides a sense of security, comfort and fun. Classical, natural and murottal music has a tone, rhythm, speed, gentle meter capable of stimulating alpha waves, calmness, and relaxation, beneficial to the well-being of the fetus. The purpose of this study is to describe classical, natural and murotal music on fetal well-being. This Quasi-Experiment Research with pretest-posttest design. A sample of 40 individuals was divided into 4 groups of mothers. The independent variable is classical music, natural, murotal and without music. The dependent variable is fetal well-being. The mean values before and after the intervention naturally were calculated. The results of fetal well-being based on the fetal heart rate of the classical music group before treatment there were 10% of fetuses experiencing mild aspysia after treatment of the fetus experiencing 0% aspysia. Natural and Murottal Music Group before and after treatment 100% normal fetal heart rate, group without music, before and after treatment 50% of fetuses experience Mild Aspysia. Fetal wellbeing results are based on Apgar Score, the Classical Music group after listening to classical music 10% experienced mild Aspysia. Natural Music Group and Murottal after listening to natural music and murottal 100% of babies under normal circumstances. The group without music after birth 50% of babies experience mild Aspysia. Conclusion, classical music overcomes mild asphyxia based on fetal heart rate, natural and murrotal music effectively maintains fetal well-being until birth. Keywords: classical music; natural music; murottal; fetal well-being


2012 ◽  
Vol 61 (4) ◽  
pp. 55-60
Author(s):  
Zhanar Kuanishbaykizi Kurmangali ◽  
Gauri Billahanovna Bapaeyva ◽  
Talshyn Muhadesovna Ukibassova ◽  
Gulzhanat Nuratdinovna Aimagambetova

Application in obstetric practice of automated antenatal cardiotography method allows to eliminate subjectivity and to raise reliability of fetus condition estimation in group of pregnant woman of high obstetric and perinatal risk. It is established that in group of pregnant women with high risk of fetus condition infringement at cardiotocography dynamic supervision reveal already in II trimester. Herewith the earliest and authentic indicators of fetus condition infringement are: decrease variability basal rhythm fetal heart rate, absence of high variability or prevalence episodes of low variability over high, value of STV-short variability indicators less than 4.0. The obtained data allows to recommend application automated antenatal cardiotocography method in group of pregnant women with high perinatal risk for early diagnostics of fetus functional condition infringement. Possibility to estimate severity level of fetus metabolic acidosis will allow to solve in time issues of optimal obstetric tactics in pregnancy conducting, term and a method of delivery at this category of pregnant women


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