Fetal Scalp Stimulation Test
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Fetal Scalp Stimulation Test
Fetal scalp stimulation test is a diagnostic test used to detect fetal metabolic acidemia. It can be used as a non-invasive alternative to fetal scalp blood testing. Procedure A firm digital pressure on head or a gentle pinch of fetal head with atraumatic clamp is used for stimulation. An acceleration of the fetal heart rate of 15 bpm lasting at least 15 seconds is suggestive of normal fetal outcome. See also * Fetal scalp blood testing References Tests during pregnancy {{med-diagnostic-stub ...
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Fetus
A fetus or foetus (; plural fetuses, feti, foetuses, or foeti) is the unborn offspring that develops from an animal embryo. Following embryonic development the fetal stage of development takes place. In human prenatal development, fetal development begins from the ninth week after fertilization (or eleventh week gestational age) and continues until birth. Prenatal development is a continuum, with no clear defining feature distinguishing an embryo from a fetus. However, a fetus is characterized by the presence of all the major body organs, though they will not yet be fully developed and functional and some not yet situated in their final anatomical location. Etymology The word ''fetus'' (plural ''fetuses'' or '' feti'') is related to the Latin '' fētus'' ("offspring", "bringing forth", "hatching of young") and the Greek "φυτώ" to plant. The word "fetus" was used by Ovid in Metamorphoses, book 1, line 104. The predominant British, Irish, and Commonwealth spelling is '' ...
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Acidemia
Acidosis is a process causing increased acidity in the blood and other body tissues (i.e., an increase in hydrogen ion concentration). If not further qualified, it usually refers to acidity of the blood plasma. The term ''acidemia'' describes the state of low blood pH, while ''acidosis'' is used to describe the processes leading to these states. Nevertheless, the terms are sometimes used interchangeably. The distinction may be relevant where a patient has factors causing both acidosis and alkalosis, wherein the relative severity of both determines whether the result is a high, low, or normal pH. Acidemia is said to occur when arterial pH falls below 7.35 (except in the fetus – see below), while its counterpart ( alkalemia) occurs at a pH over 7.45. Arterial blood gas analysis and other tests are required to separate the main causes. The rate of cellular metabolic activity affects and, at the same time, is affected by the pH of the body fluids. In mammals, the normal pH of ar ...
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Fetal Scalp Blood Testing
Fetal scalp blood testing is a technique used in obstetrics during labor to confirm whether fetal oxygenation is sufficient. The procedure can be performed by creating a shallow cut by a transvaginally inserted blood lancet, followed by applying a thin pipe to the site that samples blood by capillary action. Two constituents that are commonly tested by this method are pH and lactate, both being indicators of acid base homeostasis. A low pH and high level of lactate indicate that there is acidosis, which in turn is associated with hypoxia. Scalp pH and lactate appear to have the same sensitivity in predicting umbilical artery acidemia. Analysis of pH requires a relatively large amount of blood (30–50 μl), and sampling failure rates of 11–20% have been reported. Analysis of lactate only requires 5 μl of blood. See also * Fetal scalp stimulation test Fetal scalp stimulation test is a diagnostic test used to detect fetal metabolic acidemia. It can be used as a non-in ...
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Fetal Head
The fetal head, from an obstetrical viewpoint, and in particular its size, is important because an essential feature of labor is the adaptation between the fetal head and the maternal bony pelvis. Only a comparatively small part of the head at term is represented by the face. The rest of the head is composed of the firm skull, which is made up of two frontal, two parietal, and two temporal bones, along with the upper portion of the occipital bone and the wings of the sphenoid. These bones are separated by membranous spaces, or sutures. The most important sutures are the frontal, between the two frontal bones; the sagittal, between the two parietal bones; the two coronal, between the frontal and parietal bones; and the two lambdoid, between the posterior margins of the parietal bones and upper margin of the occipital bone. Where several sutures meet, an irregular space forms, which is enclosed by a membrane and designated as a fontanel. The greater, or anterior fontanel, is a lozen ...
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Fetal Heart Rate
A fetus or foetus (; plural fetuses, feti, foetuses, or foeti) is the unborn offspring that develops from an animal embryo. Following embryonic development the fetal stage of development takes place. In human prenatal development, fetal development begins from the ninth week after fertilization (or eleventh week gestational age) and continues until birth. Prenatal development is a continuum, with no clear defining feature distinguishing an embryo from a fetus. However, a fetus is characterized by the presence of all the major body organs, though they will not yet be fully developed and functional and some not yet situated in their final anatomical location. Etymology The word '' fetus'' (plural '' fetuses'' or '' feti'') is related to the Latin '' fētus'' ("offspring", "bringing forth", "hatching of young") and the Greek "φυτώ" to plant. The word "fetus" was used by Ovid in Metamorphoses, book 1, line 104. The predominant British, Irish, and Commonwealth spelling ...
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Fetal Scalp Blood Testing
Fetal scalp blood testing is a technique used in obstetrics during labor to confirm whether fetal oxygenation is sufficient. The procedure can be performed by creating a shallow cut by a transvaginally inserted blood lancet, followed by applying a thin pipe to the site that samples blood by capillary action. Two constituents that are commonly tested by this method are pH and lactate, both being indicators of acid base homeostasis. A low pH and high level of lactate indicate that there is acidosis, which in turn is associated with hypoxia. Scalp pH and lactate appear to have the same sensitivity in predicting umbilical artery acidemia. Analysis of pH requires a relatively large amount of blood (30–50 μl), and sampling failure rates of 11–20% have been reported. Analysis of lactate only requires 5 μl of blood. See also * Fetal scalp stimulation test Fetal scalp stimulation test is a diagnostic test used to detect fetal metabolic acidemia. It can be used as a non-in ...
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