From then on, unless there is a problem, listening for 30 seconds and multiplying the value by two is sufficient. Assess FHR for 60 seconds before and immediately following a uterine contraction.Assessing FHR every 5 minutes in the second stage.Assessing FHR every 30 minutes interval initially followed by 15 minutes intervals in the first stage.Observe for any change in maternal condition, such as ruptured membranes or the onset of bleeding.Nursing interventions during labor include: To ensure that, palpate the mother’s radial pulse simultaneously while the FHR is being auscultated through the abdomen. Both the methods will be discussed in detail.Īnother important thing to consider while assessing fetal heart rate is not to confuse FHR with the maternal heart rate. The fetal heart rate can be monitored either (1) intermittently or (2) continuously with an electronic device. Head compression affects the function of the vital brain centers.Uterine contraction affects intrauterine pressure.Uterine contraction reduces uteroplacental circulation.It gives an indirect indication of the oxygen status of the fetus.įHR monitoring is crucial during labor because of the frequent changes in intrauterine pressure with the contractions.Īdditionally, even in normal deliveries fetus experience distress due to: What is fetal heart rate monitoring?įetal heart rate (FHR) monitoring can be defined as the close observation of fetal behavior during the delivery.įetal heart rate assessment is the key tool for monitoring the status of the fetus during labor. Here, in this article, we’ll discuss fetal heart rate monitoring, mnemonic “VEAL CHOP MINE” and its nursing interventions. Therefore, as nurses, we must know what to look for and when to take action. Severe hypoxia in labor along with metabolic acidosis can cause fetal organ damage or fetal death. ![]() to implement interventions as soon as possible to ensure the safe delivery of the baby.to identify signs of fetal compromises, such as fetal hypoxia.to identify the well-being of the fetus.The goal of fetal heart rate monitoring during labor is: ![]() “VEAL” is the acronym for fetal heart rate pattern, “CHOP” stands for the causes of it, and the “MINE” represents the nursing interventions. VEAL CHOP MINE is a mnemonic used during intrapartum (labor) fetal heart rate monitoring.
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