EFM Case Study #5: pH Implications is organized by Medical Interactive Community.
Release Date: September 01, 2015
Last Review Date: July 25, 2018
Expiration Date: July 25, 2021
Obstetricians, family practice physicians, and pediatricians. Midwives, obstetric nurse practitioners, residents and other interested healthcare practitioners skilled in EFM or EFM stakeholders are also welcome to participate.
Fetal pH values often remain a mystery until the time of birth. Determination of pH, blood gases, and base deficit in umbilical cord blood is commonly performed immediately after birth to assess the metabolic status of the newborn. Umbilical cord blood sampling is also used to determine if the cause of neonatal encephalopathy or cerebral palsy is linked to a peripartum or intrapartum event. Critical values are defined by ACOG & AAP in the second edition of Neonatal Encephalopathy & Neurologic Outcomes (2014). This monograph presents an overview of oxygen delivery, definitions of critical values, and analysis of EFM strips for pH interpretation in a case study format.
Upon completion, participants should be able to:
• Summarize the process of oxygen transport between mother and fetus and impact on pH.
• Recognize normal and abnormal acid-base parameters and values of respiratory, metabolic, or mixed acidosis in the fetus.
• Examine EFM strips and umbilical cord blood samples to determine pH values.
Additional details will be posted as soon as they are available.
Medical Education, Maternal Fetal Medicine