Abordaje del monitoreo electrónico fetal intraparto alterado

Abstract

Electronic Fetal Intrapartum Monitoring was included within the obstetric care protocols, with the aim of evaluating the health of the fetus during labor, by evaluating the fetal heart rate, uterine contraction, acquisition, accelerations and decelerations of contractions uteri; allowing the professional to establish the most appropriate management to avoid fetal distress. Currently, the International Federation of Gynecology and Obstetrics, categorized the cardiotocographic registry as common, doubtful and pathogenic. Objective: To establish the altered intrapartum fetal monitoring approach to prevent fetal morbidity and mortality. Methodology: A bibliographical research of guides and articles was carried out based on data such as PubMed, Scielo, Web of Science and Scopus, with a publication time of less than 5 years. Conclusion: The pathological intrapartum fetal monitoring approach is performed through uterine resuscitation, starting with the lateralization of the pregnant woman, continuing with the administration of oxygen, correction of hypotension, and the suspension of the use of oxytocin or administration of emergency tocolysis. In the event that the cardiotocographic record does not stabilize, after implementing the aforementioned strategies, the pregnancy must be terminated either by vaginal delivery or cesarean section, in order to prevent neurological sequelae or fetal death.