Beruflich Dokumente
Kultur Dokumente
Deviana S. Riu
INTRODUCTION
Perinatal mortality rate in Indonesia
Purpose:
Is a fetus can continue living safely
uterin intra? Or
Is the fetus needs treatment and
resuscitation intra uterin? Or
Fetal life is threatened and needs
to be born
profiles
Clinical :
Maternal weight gain
Measurement fundal height
Maternal abdominal circumference
Estimated fetal weight
Palpation fetal position & location
Fetal heart examination
State of maternal health
Biochemistry
Alpha-fetoprotein levels
NTD
14 to 22 weeks
Depending on gestational age, multiple pregnancy,
fetal death
-hCG
Pregnancy-associated plasma protein A (Papp-A)
Down Syndrome
Trimester I
Estriol: decrease : a sign of severe fetus
The ratio of lecithin-sfingomielin: assessing lung
maturity
Genetic
Allegation of fetal anomalies
Indications:
Maternal age> 35 yrs
Have a family history of congenital
Invasive
Amniocentesis
Trimester I: 11 - 14 weeks
Big risk
Abortion
Abnormalities in the fetus: fetal
clubfoot (talipes)
Failed
Trimester II: 15 to 20 weeks
Examined are :
Fetal breathing movements, fetal
Fetal movement
State & fetal health can be judged
USG
Fetus as a pasien :
Diagnostic tool.
Monitoring the course of the
disease & the results of
therapy.
Curative action.
Cardiotocography (CTG)
a useful tool in assessing the fetal heart
activity
monitoring the pattern of externally FHR
(Indirect), noninvasive nature, using 2
transducers: 1 transducer to monitor the
FHR & 1 other transducer to monitor the
uterine contractions.
Fetoscopy
This tool can be seen directly
THANK YOU