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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]
Gestational age: 35 and 0 days until 39 weeks and 6 days old. Embryonic age: Weeks nr 34–38. 33–37 weeks old. The fetus is considered full-term at the end of the 39th week of gestational age. It may be 48 to 53 cm (19 to 21 in) in length. The lanugo is gone except on the upper arms and shoulders. Fingernails extend beyond fingertips.
Group A had 90 fetuses of 9–12 weeks of gestation and the weight varied between 1-14 grams. Group B had 337 fetuses, age 13–16 weeks of gestation with weight variation between 15 and 105 grams whereas the third group had 435 fetuses of 17–20 weeks of gestation with a weight range between 106 and 310 grams.
According to a study conducted by Whitcome, et al., lumbar lordosis can increase from an angle of 32 degrees at 0% fetal mass (i.e. non-pregnant women or very early in pregnancy) to 50 degrees at 100% fetal mass (very late in pregnancy). Postpartum, the angle of the lordosis declines and can reach the angle prior to pregnancy.
When the fetus is 34 to 37 weeks gestation, the risk of being born prematurely must be weighed against the risk of PROM. Previously it was recommended that delivery be carried out as if the baby was term. [11] [8] A 2017 Cochrane review however found waiting resulted in better outcomes when pregnancy is before 37 weeks. [5]
Late preterm infants are infants born at a gestational age between 34 + 0 ⁄ 7 weeks and 36 + 6 ⁄ 7 weeks. [1] They have higher morbidity and mortality rates than term infants (gestational age ≥37 weeks) due to their relative physiologic and metabolic immaturity, even though they are often the size and weight of some term infants.
Fetal intrauterine hiccups are of two types. The physiological type occurs before 28 weeks after conception and tend to last five to ten minutes. These hiccups are part of fetal development and are associated with the myelination of the phrenic nerve, which primarily controls the thoracic diaphragm. The phylogeny hypothesis explains how the ...
Intrauterine hypoxia can be attributed to maternal, placental, or fetal conditions. [12] Kingdom and Kaufmann classifies three categories for the origin of fetal hypoxia: 1) pre-placental (both mother and fetus are hypoxic), 2) utero-placental (mother is normal but placenta and fetus is hypoxic), 3) post-placental (only fetus is hypoxic).