FETAL HEALTH SURVEILLANCE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW!!
Level-I Evidence Ans✓✓✓At Least one proper randomized controlled
trial
Level-II1 Ans✓✓✓Well-designed controlled trials without
randomization
Level-II2 Ans✓✓✓Well-designed cohort or case-control analytic studies
Level-II3 Ans✓✓✓Comparisons between times or places with or
without the intervention
Level-III Ans✓✓✓Opinions of respected authorities, clinical
experience, descriptive studies or expert committees
Levels, A, B, C, D, E, I Ans✓✓✓A: Good evidence to recommend; B:
Fair evidence to recommend; C: Evidence is conflicting and does not
allow a recommendation; D: Fair evidence to recommend against; E:
Good evidence to recommend against; I: Insufficient evidence to make
recommendations
Supportive Care Recommendation Ans✓✓✓SOGC FHS Consensus
Guideline states (Recommendation 7), "Women in active labour should
, receive continuous close support from an appropriately trained person"
(I-A)
What does labour support decrease? Ans✓✓✓Use of pain medication,
use of regional analgesia/anesthesia, use of operative vaginal birth,
cesarean births, episiotomy rates, dissatisfaction with the birth
experience and length of labour
Why do we monitor the fetus during labour? Ans✓✓✓We monitor the
fetus because fetal oxygenation is affected by maternal oxygenation,
utero-placental blood flow, and blood flow from the placenta through the
cord, and the distribution of oxygen in fetal tissues. During contractions,
the uteroplacental blood flow is reduced, and therefore oxygen exchange
to the fetus is reduced.
What is the goal of fetal surveillance? Ans✓✓✓To detect potential fetal
decompensation and allow time for interventions to prevent perinatal or
neonatal morbidity or mortality.
Is Cerebral Palsy caused by Intrapartum Events? Ans✓✓✓No evidence
to indicate that EFM reduces CP, but there are some situations where
intrapartum hypoxia may be associated with CP. Short term hypoxia will
not usually result in CP.
The likelihood of a hypoxic event resulting in long-term sequelae is
dependent upon the nature and duration of the insult and the
vulnerability of the fetus.
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW!!
Level-I Evidence Ans✓✓✓At Least one proper randomized controlled
trial
Level-II1 Ans✓✓✓Well-designed controlled trials without
randomization
Level-II2 Ans✓✓✓Well-designed cohort or case-control analytic studies
Level-II3 Ans✓✓✓Comparisons between times or places with or
without the intervention
Level-III Ans✓✓✓Opinions of respected authorities, clinical
experience, descriptive studies or expert committees
Levels, A, B, C, D, E, I Ans✓✓✓A: Good evidence to recommend; B:
Fair evidence to recommend; C: Evidence is conflicting and does not
allow a recommendation; D: Fair evidence to recommend against; E:
Good evidence to recommend against; I: Insufficient evidence to make
recommendations
Supportive Care Recommendation Ans✓✓✓SOGC FHS Consensus
Guideline states (Recommendation 7), "Women in active labour should
, receive continuous close support from an appropriately trained person"
(I-A)
What does labour support decrease? Ans✓✓✓Use of pain medication,
use of regional analgesia/anesthesia, use of operative vaginal birth,
cesarean births, episiotomy rates, dissatisfaction with the birth
experience and length of labour
Why do we monitor the fetus during labour? Ans✓✓✓We monitor the
fetus because fetal oxygenation is affected by maternal oxygenation,
utero-placental blood flow, and blood flow from the placenta through the
cord, and the distribution of oxygen in fetal tissues. During contractions,
the uteroplacental blood flow is reduced, and therefore oxygen exchange
to the fetus is reduced.
What is the goal of fetal surveillance? Ans✓✓✓To detect potential fetal
decompensation and allow time for interventions to prevent perinatal or
neonatal morbidity or mortality.
Is Cerebral Palsy caused by Intrapartum Events? Ans✓✓✓No evidence
to indicate that EFM reduces CP, but there are some situations where
intrapartum hypoxia may be associated with CP. Short term hypoxia will
not usually result in CP.
The likelihood of a hypoxic event resulting in long-term sequelae is
dependent upon the nature and duration of the insult and the
vulnerability of the fetus.
