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胎心监护异常怎么办？
怀孕期间要定期做检查，这样才能确保胎儿在妈妈肚子里发育良好。胎心监护是怀孕九个月左右就开始做的了，它是利用超声波的原理对胎儿在宫内的情况进行监测，对胎儿是安全的，可以在孕晚期帮助准父母了解胎儿的具体情况，做好生产准备。
胎心监护是胎心胎动宫缩图的简称，是应用胎心率电子监护仪将胎心率曲线和宫缩压力波形记下来供临床分析的图形，是正确评估胎儿宫内的状况的主要 检测手段。采用微波技术，胎心监护上主要是两条线，上面一条是胎心率，正常情况下波动在120-160之间，一般表现为基础心率线表现为一条波形直线，出 现胎动时心率会上升，出现一个向上突起的曲线，胎动结束后会慢慢下降，胎动计数>30次/12小时为正常，<10次每12小时提示胎儿缺氧。 下面一条表示宫内压力，只要在子缩时会增高，随后会保持20mmHg左右。
影响胎心监护的因素
胎心监护如果不正常不必太过担心，可能是因为自身的情绪影响了胎心。准妈妈在检测时的整体状态就会直接反映到胎心监护上，因此，在做胎心监护期间要注意是存在影响胎心监护的因素。下面了解一下是什么因素导致胎心监护不正常。
影响胎心监护的因素之一：孕妇饮食
孕妇喝浓茶咖啡、饮食合理、清淡，少喝浓茶咖啡、少吃辣椒咖喱等刺激食物。
影响胎心监护的因素之二：孕妇情绪
精神亢奋、生气、失眠也会影响胎心监护，因此，孕妈妈都保持良好睡眠，拥有一个良好的心态和轻松的心情，避免大喜大悲、情绪波动。
影响胎心监护的因素之三：发烧
发烧时觉得心跳快是正常现象，是机体的一种代谢，体温和胎心率成正比，孕妇发烧越高，胎心跳的就越快。
影响胎心监护的因素之四：甲亢
孕妇患有甲状腺功能亢进，本身心率快，也是胎心胎心监护的原因。
影响胎心监护的因素之五：药物影响
孕妇服用舒喘宁、阿托平类药物，也可能引起胎心异常，会引起胎儿心率加快。
胎心监护异常怎么办？
如果在胎心监护的20分钟内，宝宝的胎心有一个比较稳定的速度基线，在120～160
2 次/分钟，并且你的宝宝至少有两次在活动时胎心率加快，比 休息时的胎心率每分钟至少快15下，每次持续至少15秒，那么胎心监护结果就是正常的，或者叫“胎心监护反应型”。结果正常意味着你的宝宝目前多半状况良 好。在宝宝出生前，医生可能会让你每周都做一次胎心监护。
如果宝宝活动时胎心率没有加快，或者40分钟内一次也没有动，那么结果就是“无反应型”。胎心监护无反应型不表示情况就一定不正常，只意味着此 次监测没有提供足够的信息，你可能需要在1小时后再做一次，或者做别的检查，比如胎儿生物物理评估或宫缩应激试验。但是，胎心监护无反应型可能表示胎儿宫 内缺氧，或者胎盘有问题。如果医生认为你的宝宝在子宫里状况不太好，可能会建议你引产或剖腹产。
胎心监护不好不代表一定会难产或者早产，孕妈妈不用过于紧张，只要保持良好舒适的心态，给胎儿一个稳定的环境，这样有利于婴儿的顺利诞生。
Do check regularly during pregnancy, so as to ensure the fetus in the mother's stomach well developed. Cardiac care is about nine months pregnant, began to do, it is the use of the principle of ultrasound in fetal intrauterine condition monitoring, the fetus is safe, can be in late pregnancy help prospective parents understand the specific situation of the fetus, and is ready for production.
Cardiac care is referred to as the contractions heart quickened figure, is an electronic
monitor heart rate will note down the heart rate curve and contractions pressure waveform for clinical analysis of graphics, is a correct evaluation of the main detection methods on the condition of the fetal. Using microwave technology, cardiac monitoring is mainly on two lines, one is above the heart rate, under normal circumstances fluctuations between 120-160, the general performance based on heart rate line for a wave, straight out of the heart rate will rise is quickened, a ject upward curve, after the movement will slowly drop, quickening count > 30 times / 12 hours as normal, < 10 times every 12 hours prompt fetal hypoxia. Intrauterine pressure below a said, as long as in the child will be increased, then keep about 20 MMHG.
The influencing factors of cardiac care
Cardiac care if not normal don't worry too much, perhaps because their emotions affect the heart. Expectant mothers in detecting the overall state of the can directly reflect the cardiac monitoring, therefore, doing during cardiac monitoring there are factors that affect cardiac care to pay attention to. Look at the below what factors lead to abnormal cardiac monitoring.
One of the influencing factors of cardiac care: diet during pregnancy
Pregnant women to drink strong tea, coffee, reasonable diet, light, little drink strong tea, coffee, eat less stimulation such as pepper curry food.
The influencing factors of cardiac care # 2: pregnant women
Excitement, anger, insomnia may also affect cardiac monitoring, therefore, pregnant mother keep good sleep, have a good mentality and relaxed mood, avoid like earlier, mood swings.
3 The influencing factors of cardiac care # 3: fever
Fever think fast heartbeat is normal phenomenon, is a kind of metabolism, the body's temperature and heart rate is proportional to the, the higher the pregnant women have a fever, the faster the heart jump.
The influencing factors of cardiac care four: hyperthyroidism
Pregnant women suffering from thyroid function hyperfunction, itself heart rate, and cardiac cardiac monitoring.
The influencing factors of cardiac care of five: drug effect
Pregnant women who take shu ning and atorvastatin drugs, may also cause cardiac abnormalities, can cause fetal heart rate.
Abnormal cardiac care?
If in cardiac care within 20 minutes, the baby's heart has a relatively stable speed baseline, in 120 ~ 160 times/min, and your baby have at least two heart rate speed up, when the activity is faster than resting heart rate per minute for at least 15, for at least 15 seconds at a time, then the cardiac monitoring result is normal, or called \"heart guardianship reaction type\". Results the normal means that your baby is mostly benign and good condition. Before the baby is born, the doctor may give you every week for a cardiac monitoring. If there is no to speed up the heart rate when baby activity, or 40 minutes a also did not move, then the result is \"no response\". Cardiac care not reactive said it must be normal, just means the time monitoring does not provide sufficient information, you may need to do it again after 1 hour, or to do other inspections, such as fetal biophysical assessment or contraction stress test. Cardiac care, however, no reaction type may be said of oxygen in the fetus palace, or there is something wrong with the placenta. If the doctor think you baby in the womb position is not very good, may suggest you induced labor or cesarean section.
Cardiac care does not mean that will be bad during childbirth or premature birth, pregnant mother need not too nervous, as long as keep a good and comfortable state of mind, to a stable environment, it helps the baby was born.
第二篇：胎监异常汇报
胎心监护异常汇报流程
一、助产士、见习医师
处理范围：
CSTⅠ类、NST反应型、OCT（-）。
处理时限：
发现非NST反应型、CSTⅠ类立即汇报一线医师或一线以上医师,并做相应记录。
二、一线医师
处理范围：
1.CSTⅠ类、NST反应型、OCT（-）。
2.NST不满意，CSTII类
处理时限：
1.做初步检查及评估：高危因素，羊水、产程进展、是否药物原因等。
2. 持续胎心监测观察20分钟：予相应的处理，如吸氧、改变体位、停用药物及抑制宫缩（有宫缩过强）、宫内复苏等。
3. CSTIII类立即上报住院总及以上医师。
4.每次发现异常上报必须做相应痕迹管理。
三、总住院医师：
处理范围：
1.CSTⅠ类、NST反应型、OCT（-）。
2.NST不满意，CSTII类
3. CSTIII类
处理时限：
1. NST不满意，CSTII类，做初步检查及评估，持续胎心监测20分钟如无改善，报告二线医师。
2. CSTIII类立即上报二线以上医师。
（注：每一次检查评估时一旦发生紧急异常情况或者CSTIII类胎监时需立即给予处理及向上级医师汇报，必要时可以越级汇报，并紧急处理。）
3.每次发现异常上报必须做相应痕迹管理。
四、二线医师
二线医师接到报告后必须在5分钟内到场进行检查及评估，作出相应的处理，一旦确定为CSTIII类胎监，必须在30分钟内终止妊娠。
CSTII类胎监：
1、胎心率过速大于10分钟
2、不伴随有胎心变异消失的胎心过缓
3、胎心基线变异减少
4、胎心基线变异增多
5、刺激胎儿后缺乏有效的胎心加速
6、周期性变异减速伴随有中等或者减少的基线变异
7、延长减少：胎心基线下降≥15bpm，2分钟≤持续时间≤10分钟
8、偶发性的晚期减速伴有中等的基线变异
9、变异减速后出现一些特定的图形，如单（双）肩征、减速后加速、FHR恢复缓慢等。
10、复发性的早期减速。
CSTIII类胎监：
1、胎心率基线无变异且存在下面之一情况：
复发性晚期减速
复发性变异减速
胎心过缓：胎心率基线＜110次╱分
2、正弦波型
可疑型NST胎监：
1、胎心基线100—110次╱分；＞160次╱分小于30分钟；基线上升
2、变异≤5次╱分（无变异及最小变异）
3、减速：变异减速持续30—60秒
4、加速：20分钟内＜2次加速超过15次╱分，持续15
无反应型NST胎监：
1、胎心基线：胎心过缓＜100次╱分；胎心过速＞160次╱分超过30分钟；基
线不确定
2、变异≤5次╱分或者≥25次╱分超过10分钟；正眩型
3、减速：变异减速持续时间超过60秒，晚期减速
4、加速：20分钟内＜1次加速超过15次╱分，持续15秒