{"title":"胎儿心率听诊，第 4 版。","authors":"Kirsten Wisner PhD, RNC-OB, CNS, C-EFM, NE-BC, Carrie Holschuh PHD, CNM, WHNP, RN","doi":"10.1016/j.nwh.2023.11.001","DOIUrl":null,"url":null,"abstract":"<div><p>Intermittent auscultation (IA) is an evidence-based method of fetal surveillance during labor for birthing people with low-risk pregnancies. It is a central component of efforts to reduce the primary cesarean rate and promote vaginal birth (<span>American College of Obstetricians and Gynecologists, 2019</span>; <span>Association of Women’s Health, Obstetric and Neonatal Nurses, 2022a</span>). The use of intermittent IA decreased with the introduction of electronic fetal monitoring, while the increased use of electronic fetal monitoring has been associated with an increase of cesarean births. This practice monograph includes information on IA techniques; interpretation and documentation; clinical decision-making and interventions; communication; education, staffing, legal issues; and strategies to implement IA.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 2","pages":"Pages e1-e39"},"PeriodicalIF":0.0000,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Fetal Heart Rate Auscultation, 4th Edition\",\"authors\":\"Kirsten Wisner PhD, RNC-OB, CNS, C-EFM, NE-BC, Carrie Holschuh PHD, CNM, WHNP, RN\",\"doi\":\"10.1016/j.nwh.2023.11.001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>Intermittent auscultation (IA) is an evidence-based method of fetal surveillance during labor for birthing people with low-risk pregnancies. It is a central component of efforts to reduce the primary cesarean rate and promote vaginal birth (<span>American College of Obstetricians and Gynecologists, 2019</span>; <span>Association of Women’s Health, Obstetric and Neonatal Nurses, 2022a</span>). The use of intermittent IA decreased with the introduction of electronic fetal monitoring, while the increased use of electronic fetal monitoring has been associated with an increase of cesarean births. This practice monograph includes information on IA techniques; interpretation and documentation; clinical decision-making and interventions; communication; education, staffing, legal issues; and strategies to implement IA.</p></div>\",\"PeriodicalId\":39985,\"journal\":{\"name\":\"Nursing for Women''s Health\",\"volume\":\"28 2\",\"pages\":\"Pages e1-e39\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Nursing for Women''s Health\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1751485123002106\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nursing for Women''s Health","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1751485123002106","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
间歇性听诊（IA）是一种以证据为基础的分娩期胎儿监护方法，适用于低风险妊娠的分娩者。它是降低初次剖宫产率和促进阴道分娩的核心组成部分（美国妇产科医师学会，2019 年；妇女健康、产科和新生儿护士协会，2022a）。随着电子胎儿监护的引入，间歇性 IA 的使用有所减少，而电子胎儿监护的使用增加与剖宫产的增加有关。本实践专著包括有关 IA 技术、解释和记录、临床决策和干预、沟通、教育、人员配备、法律问题以及实施 IA 的策略等方面的信息。
Intermittent auscultation (IA) is an evidence-based method of fetal surveillance during labor for birthing people with low-risk pregnancies. It is a central component of efforts to reduce the primary cesarean rate and promote vaginal birth (American College of Obstetricians and Gynecologists, 2019; Association of Women’s Health, Obstetric and Neonatal Nurses, 2022a). The use of intermittent IA decreased with the introduction of electronic fetal monitoring, while the increased use of electronic fetal monitoring has been associated with an increase of cesarean births. This practice monograph includes information on IA techniques; interpretation and documentation; clinical decision-making and interventions; communication; education, staffing, legal issues; and strategies to implement IA.
期刊介绍：
Nursing for Women"s Health publishes the most recent and compelling health care information on women"s health, newborn care and professional nursing issues. As a refereed, clinical practice journal, it provides professionals involved in providing optimum nursing care for women and their newborns with health care trends and everyday issues in a concise, practical, and easy-to-read format.
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