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An external fetoscope resembles a stethoscope , but with a headpiece. It is used externally on the mother's abdomen to auscultate (listen to) the fetal heart tones after about 18 weeks gestation.
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What are the types of fetoscopy?
There are two different types of fetoscopy: external and endoscopic.
What complications exist with external fetoscopy?
The only potential complication with external fetoscopy is the possibility of missing an abnormal heart rate or rhythm.
What are the morbidity or mortality rates associated with fetoscopy?
There is no morbidity or mortality associated with external fetoscopy. In the case of endoscopic fetoscopy, the risk of fetal loss is estimated to be between 3% and 5%.
What type of aftercare is required with external fetoscopy?
External fetoscopy does not require aftercare. The care following fetal endoscopic use will depend on the extent of the procedure and the type of anesthesia used.
Who can perform external fetoscopy?
Health-care profesionals who may use the external fetoscope include a nurse practitioner, nurse midwife, and obstetrician.
What is the external fetoscope used for?
used to listen to fetal heart tones for rate and rhythm. The earpieces and the headpiece allow auscultation (listening) via both air and bone conduction. External fetoscopy is inexpensive, noninvasive, and does not require electricity
Who can perform endoscopic fetoscopy?
Endoscopic fetoscopy requires a high level of skill and experience by fetal surgeons and is performed in a hospital setting.
How has fetoscopy improved?
As laparoscopic and microsurgical techniques have become more common and the instrumentation has become more advanced technologically, fetoscopy has improved for fetal diagnostic and therapeutic purposes.
What complications can arise from endoscopic fetoscopy?
Endoscopic fetoscopy has the potential for causing infection in the fetus and/or mother; premature rupture of the amniotic membranes; premature labor; and fetal death.
What does preparation for endoscopic fetoscopy depend on?
Preparation for endoscopic fetoscopy will depend on the extent of the procedure, and whether it is performed transcervically or transabdominally. Obtaining a small fetal tissue sample is a smaller procedure by comparison to fetal surgery.
What is one of many fetal abnormalities that may be treated by endoscopic fetoscopy?
Congenital diaphragmatic hernia (CDH).
What is the medical term meaning direct observation of the fetus and the surrounding tissue?
Fetoscopy is direct observation of the fetus and surrounding tissue.
