Detailed Overview of Clinical Applications in Antepartum and Intrapartum Fetal Monitoring
Fetal monitoring systems are employed across two distinct phases of maternity care, each with specialized Clinical Applications. The antepartum (prenatal) application focuses on assessing fetal well-being before labor, typically via non-stress tests (NSTs) conducted for high-risk pregnancies involving conditions like gestational diabetes, hypertension, or suspected growth restriction. The goal is to detect signs of chronic compromise early, allowing for timely intervention or scheduling of delivery.
The intrapartum (during labor) application is more continuous and critical, aiming to identify acute fetal distress—often signaled by abnormal FHR patterns—caused by reduced oxygen supply during contractions. This is crucial for guiding clinical decisions, such as repositioning the mother, administering oxygen, or proceeding to an emergency C-section. New wireless and non-invasive monitoring devices are improving the experience in both settings by promoting mobility during labor and enabling more frequent, convenient monitoring during the weeks leading up to delivery, thereby enhancing both clinical insight and maternal comfort.
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