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Late decelerations: a result of placental insufficiency, which can result in fetal distress. Monitoring usually shows symmetrical gradual decrease and return to baseline of the fetal heart rate in association with a uterine contraction. A 'gradual' deceleration has an onset to nadir of 30 seconds or more.
Fetal distress, also known as non-reassuring fetal status, is a condition during pregnancy or labor in which the fetus shows signs of inadequate oxygenation. [1] Due to its imprecision, the term "fetal distress" has fallen out of use in American obstetrics. [2] [1] [3] The term "non-reassuring fetal status" has largely replaced it. [4]
Histopathology of placenta with increased syncytial knotting of chorionic villi, with two knots pointed out. The following characteristics of placentas have been said to be associated with placental insufficiency, however all of them occur in normal healthy placentas and full term healthy births, so none of them can be used to accurately diagnose placental insufficiency: [citation needed]
Intrauterine hypoxia (also known as fetal hypoxia) occurs when the fetus is deprived of an adequate supply of oxygen. It may be due to a variety of reasons such as prolapse or occlusion of the umbilical cord , placental infarction , maternal diabetes (prepregnancy or gestational diabetes ) [ 1 ] and maternal smoking .
Fetal heart rate is continuously monitored for slow or abnormal heart rate patterns which may indicate fetal distress during labor. [7] If the exposed blood vessels are near the cervix or are at risk of rupturing, the newborn may be delivered via caesarean section as early as 35 weeks gestation.
When fetal distress and hypoxia results from uterine tachysystole, tocolytic medications may be used to attempt to improve the baby’s oxygen levels. There is not sufficient research that gives a clear indication as to which tocolytic drug is safer for the patient. [ 3 ]
Although men had the highest mortality rates overall, women saw the "largest proportional rise," according to the study findings, with deaths going from 4.8 per 100,000 in 1999 to 12 in 2020.
[18] [19] Risk factors for complication development include multiparity, increased BMI, physically strenuous work, smoking, distress, history of back and pelvic trauma, and previous history of pelvic and lower back pain. This syndrome results from a growing uterus during pregnancy that causes increased stress on the lumbar and pelvic regions of ...