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Fetal Heart Rate Auscultation, 4th Edition.
Nursing for Women'S Health
|February 16, 2024
Summary
Intermittent auscultation (IA) is an evidence-based method for monitoring low-risk laboring individuals. Its use can help reduce cesarean birth rates and promote vaginal birth.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Evidence-Based Practice in Healthcare
Background:
- Intermittent auscultation (IA) is a recommended practice for fetal surveillance in low-risk pregnancies during labor.
- IA is crucial for reducing primary cesarean rates and supporting vaginal birth.
- The adoption of IA has declined with the rise of electronic fetal monitoring (EFM), which correlates with increased cesarean births.
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Heart sounds are generated by the turbulence in blood flow due to the closing of heart valves. These sounds are best perceived slightly away from the valves, where the blood flow disseminates the sound.
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