OB help with fetal strips

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Specializes in OB.

Guys need help I see the decels but what is it variable or late I get confused cuz it's looks like it's right after a accels. Any help I'm in L and D 4 months in

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Specializes in NICU, PICU, Transport, L&D, Hospice.

Please ask for some additional instructions on the unit. 4 months is still in the newbie category and it's expected that you would not yet be expert. EFM is a valuable and widely used tool that can lead to unnecessary cesarean sections if not accurately or appropriately interpreted.  

Good luck. 

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Specializes in Nurse Leader specializing in Labor & Delivery.

First, what is the baseline?

How is a variable defined? How is a late decel defined? What EFM training have you had?

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Specializes in OB.

AWHONN TRAINING.  Baseline 130-140 

lte decel defined as a decrease in fetal HR after a contraction. 
variable decel abrupt decrease FHR last >15 sec and less than 2 min to return to baseline

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Specializes in Nurse Leader specializing in Labor & Delivery.
Cc7172 said:

 

lte decel defined as a decrease in fetal HR after a contraction. 
 

Not exactly. A late decel is defined as a GRADUAL decrease in fetal heart rate. Gradual is defined by NICHD as at least 30 seconds from onset of decel to its nadir. 

With that in mind, does that help you differentiate between a late and a variable? 

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Specializes in OB.

Oh yes! I understand!

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