Menghitung Denyut Jantung Janin-Kuliah Daring Keperawatan Maternitas UNPAD

Summary

This video provides a clear, step-by-step guide on how to measure a fetal heart rate (FHR) accurately. It explains how to determine the fetus's presentation—whether head-down or breech—and locate the fetal back, which guides the correct placement for listening. Using a Doppler or stethoscope, viewers learn a quick method of counting beats over short intervals or a full minute to calculate the FHR. The video emphasizes normal heart rate ranges (120–160 bpm) and practical tips for accurate measurement, making it a concise and accessible tutorial for healthcare students and expectant parents eager to monitor fetal well-being safely.

Takeaways

• 😀 Know the fetal presentation to locate the heartbeat accurately.
• 😀 For cephalic presentation (head-down), listen for the heartbeat on the left side of the abdomen.
• 😀 For a right-side fetal presentation, listen for the heartbeat on the right side of the abdomen.
• 😀 In breech (feet-first) presentation, the heartbeat is typically heard near the navel area.
• 😀 Use a Doppler device to listen to the fetal heartbeat at the correct position.
• 😀 When using a Doppler, count the heartbeat in intervals of 5 seconds, resting between each interval.
• 😀 Repeat the 5-second counting cycle 3 times, then multiply the total by 4 to get the heart rate per minute.
• 😀 If using a more advanced Doppler, measure the heartbeat for a full minute to get the precise rate.
• 😀 The normal fetal heart rate ranges from 120 to 160 beats per minute.
• 😀 Proper technique and equipment usage are essential for accurately measuring the fetal heart rate.
• 😀 This method provides an easy way to monitor fetal health through heartbeat monitoring.

Q & A

What is the first step in measuring the fetal heart rate?

The first step is to determine the presentation and position of the fetus, specifically identifying the location of the fetal back and head or buttocks.

Why is it important to know the fetal presentation before listening to the heartbeat?

Knowing the fetal presentation ensures that the Doppler or stethoscope is placed in the correct location for accurately detecting the heartbeat.

Where should the fetal heartbeat be listened to if the fetus is in a cephalic (head-down) position with the back on the mother's left side?

In this case, the fetal heartbeat should be listened to on the left side of the mother's abdomen near the center.

Where should the fetal heartbeat be listened to if the back is on the right side of the mother in a head-down position?

The heartbeat should be listened to on the right side of the mother's abdomen near the center.

How do you locate the heartbeat if the fetus is in a breech (buttocks-down) position?

For a breech presentation, the fetal heartbeat is best heard around the central area of the mother's abdomen.

What tools can be used to listen to the fetal heartbeat?

A Doppler device or stethoscope can be used, and applying a small amount of doctor’s oil or gel can help improve sound transmission.

How is the fetal heart rate calculated using the 5-second interval method?

Count the beats for 5 seconds, rest for 5 seconds, repeat this three times, sum the three counts, and then multiply by 4 to get beats per minute.

What is the alternative method to measure fetal heart rate for one minute?

Using a Doppler device, you can listen and count the heartbeat continuously for a full minute for a more precise measurement.

What is the normal range for fetal heart rate?

The normal fetal heart rate ranges from 120 to 160 beats per minute.

Why might it be helpful to use oil or gel when using a Doppler device?

Oil or gel improves contact between the device and the skin, which helps transmit sound more clearly and ensures accurate detection of the fetal heartbeat.