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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]
A contraction stress test (CST) is performed near the end of pregnancy (34 weeks' gestation) to determine how well the fetus will cope with the contractions of childbirth. The aim is to induce contractions and monitor the fetus to check for heart rate abnormalities using a cardiotocograph. A CST is one type of antenatal fetal surveillance ...
The volume of amniotic fluid typically increases until 36 weeks and starts decreasing after 40 weeks in post-term gestations. [4] For this reason, discrepancies between fundal height measurements and gestational age can be a clinical indication of amniotic fluid abnormality and should be evaluated by ultrasound.
655 Known or suspected fetal abnormality affecting management of mother. 655.73 Fetal movements, decreased, antepartum; 656 Other fetal and placental problems affecting management of mother. 656.0 Fetal-maternal hemorrhage affecting management of mother 656.11 Rh incompatibility, delivered; 656.31 Fetal distress, delivered; 656.53 Small-for ...
At least three discrete body/limb movement in 30 minutes (episodes of active continuous movement considered a single movement. Less than three or two [3] movements US: Fetal muscle tone At least one [3] episode of active extension with return to flexion of fetal limb(s) or trunk, opening and closing of hand considered to be normal tone.
Gross body movements and tone decrease further. [ 41 ] [ 42 ] Fetal heart rate decreases due to spontaneous deceleration due to direct depression of cardiac contractility. This leads to intrauterine fetal death.
In addition to sideward bendings of the head, complex and generalized movements occur at the beginning of the fetal stage, with movements and startles that involve the whole body. [11] Movement of hands, hips and knees have been observed at nine weeks, [12] stretches and yawns at ten weeks, [13] and isolated limb movements beginning shortly ...
Clinical presentation: Fetal behavioral changes like decreased movements or a loss in fetal sensation may indicate stillbirth, but the presentation can vary greatly. Risk factors: Maternal weight, age, and smoking, as well as pre-existing maternal diabetes or hypertension [47]
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