Understanding Fetal Monitoring
Electronic fetal monitoring (EFM) continuously tracks the baby's heart rate and mother's contractions during labor. It can identify fetal distress, allowing providers to intervene before brain damage occurs. Proper interpretation is critical.
Signs of Fetal Distress
Warning signs on fetal monitoring that require attention include:
- ✓Late decelerations (heart rate drops after contractions)
- ✓Variable decelerations (sudden heart rate drops)
- ✓Bradycardia (sustained low heart rate)
- ✓Tachycardia (sustained high heart rate)
- ✓Decreased heart rate variability
- ✓Absence of accelerations
Types of Monitoring Errors
Common negligent errors include:
- ✓Failing to apply continuous monitoring when indicated
- ✓Misreading or misinterpreting monitor strips
- ✓Ignoring warning signs of distress
- ✓Delayed response to abnormal patterns
- ✓Inadequate documentation of monitoring
- ✓Failing to notify physician of concerning findings
Consequences of Monitoring Failures
When fetal distress goes undetected or unaddressed, babies can suffer prolonged oxygen deprivation leading to HIE, cerebral palsy, brain damage, and other permanent disabilities. Timely recognition and intervention could have prevented the injury.
Role of Nurses in Monitoring
Labor and delivery nurses are typically responsible for continuous monitoring and must notify physicians of concerning patterns. Nurses who fail to properly assess strips or communicate findings can be held liable, as can hospitals for inadequate training or staffing.