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fetal blood testing
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what the risks are fetal blood testing, fetal scalp blood, scalp ph testing, fetal blood testing, transvaginal, vagina, procedure performed, active labor, scalp, the fetus is cleansed, pierced, a small blood sample is taken, evaluation,
procedure typically takes, 5 minutes, mother, in the lithotomy position, on her back, knees, legs pulled toward the chest, cervix is dilated at least 3 to 4 centimeters, a plastic cone, in the vagina, fit snuggly against the scalp, the fetus, scalp is cleansed, dried, long cotton swabs, a small amount, petroleum jelly is applied, blood droplets, form beads, easier collection, a small puncture is made, in the scalp, blood droplets, collected, thin tube, tube is either sent, hospital laboratory, analyzed by a machine, in the labor, delivery department, in either case, available in just a few minutes, woman is unable to be still, very difficult to perform this test, cervix is not dilated enough, impossible to perform this test,
health care provider, explain the procedure, its risks, isn't always a separate consent form, many hospitals consider it part, the general consent form signed at admission, preparation required, remain calm, mother is upset it might be difficult to perform the test,
procedure should feel, a long pelvic exam, at this stage of labor, already have an epidural in place, not feel the procedure at, this test is performed, obtain information, fetal acid-base balance, blood ph, fetal heart monitoring doesn't provide enough information, the well-of a baby, in these cases, testing the scalp ph, the doctor decide whether the fetus is getting enough oxygen, labor, helps determine whether the baby is healthy enough to continue labor, a forceps delivery, cesarean section might be the best route of delivery, the test is not uncommon, most deliveries, not involve fetal scalp ph testing, normal ph, 7.25, 7.35, borderline ph, 7.20, 7.25, low ph, less than 7.20,
in general, low ph suggests that the baby is not tolerating labor very well, results of a fetal scalp ph sample need to be interpreted, in the context of each individual delivery, doctor should explain the test results, find the results reassuring, labor, feel that the results indicate that the baby needs to be delivered quickly, either by forceps, by cesarean section, not really point in either direction, repeated in 20-30 minutes, repeated a few times, a complicated labor, low ph values in cord blood taken, umbilical cord artery, suggest that the fetus is not getting enough oxygen, labor, scalp ph testing is only one of many tests by which the baby evaluated, labor, results must be interpreted in context, explained, mother,
risks, continued bleeding, puncture site, likely fetus has a ph imbalance, infection, bruising, the baby's scalp,
this test, not be advised, hiv-positive mothers, mothers who carry the hepatitis c virus, in these cases, increase the risk of transmitting infection from mother to baby.
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