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Presence of late decelerations with at least 50% of the contractions [9] Negative: No late or significant variable decelerations, [9] with at least 3 uterine contractions (lasting 40 seconds) in 10 minute period. [10] Equivocal—Suspicious: Presence of late decelerations with fewer than 50% of contractions or significant variable decelerations.
A 'gradual' deceleration has a time from onset to nadir of 30 seconds or more. Early decelerations begin and end at approximately the same time as contractions, and the low point of the fetal heart rate occurs at the peak of the contraction. [7] Late decelerations: a result of placental insufficiency, which can result in fetal distress ...
Amnioinfusion is a method in which isotonic fluid is instilled into the uterine cavity.. It was introduced in the 1960s as a means of terminating pregnancy and inducing labor in intrauterine death, but is currently used as a treatment in order to correct fetal heart rate changes caused by umbilical cord compression, indicated by variable decelerations seen on fetal heart rate monitoring.
On fetal heart tracing (a linear recording of the fetal heart rate) this would usually look like moderate to severe variable decelerations. [6] In overt cord prolapse, the cord can be seen or felt on the vulva or vagina. [1] The main issue with cord prolapse is that, once the cord is prolapsed, it is prone to compression by the foetus and the womb.
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A nonstress test can be classified as normal, atypical, or abnormal. A normal nonstress test will show a baseline fetal heart rate between 110 and 160 beats per minute with moderate variability (5- to 25-interbeat variability) and 2 qualifying accelerations in 20 minutes with no decelerations.