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    CAYABYAB Fetal-Distress

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    Trisha Cayabyab
    Fetal distress refers to a lack of oxygen or excess carbon dioxide in a fetus leading to hypoxia or acidosis. It is difficult to diagnose due to its ambiguous definition. Fetal distress can be identified through abnormal fetal heart rate patterns detected by doppler, fetoscope, or heart rate monitor. Conditions like maternal hypoxia, placental problems, post-term pregnancy, and strong cord coils can cause fetal distress. Management may include changing the mother's position, ensuring hydration and oxygen, amnioinfusion, tocolysis, or emergency c-section.

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    CAYABYAB Fetal-Distress

    Uploaded by

    Trisha Cayabyab
    106 views2 pages
    Fetal distress refers to a lack of oxygen or excess carbon dioxide in a fetus leading to hypoxia or acidosis. It is difficult to diagnose due to its ambiguous definition. Fetal distress can be identified through abnormal fetal heart rate patterns detected by doppler, fetoscope, or heart rate monitor. Conditions like maternal hypoxia, placental problems, post-term pregnancy, and strong cord coils can cause fetal distress. Management may include changing the mother's position, ensuring hydration and oxygen, amnioinfusion, tocolysis, or emergency c-section.

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    CAYABYAB_Fetal-Distress

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    Fetal distress refers to a lack of oxygen or excess carbon dioxide in a fetus leading to hypoxia or acidosis. It is difficult to diagnose due to its ambiguous definition. Fetal distress can be identified through abnormal fetal heart rate patterns detected by doppler, fetoscope, or heart rate monitor. Conditions like maternal hypoxia, placental problems, post-term pregnancy, and strong cord coils can cause fetal distress. Management may include changing the mother's position, ensuring hydration and oxygen, amnioinfusion, tocolysis, or emergency c-section.

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    106 views2 pages

    CAYABYAB Fetal-Distress

    Uploaded by

    Trisha Cayabyab
    Fetal distress refers to a lack of oxygen or excess carbon dioxide in a fetus leading to hypoxia or acidosis. It is difficult to diagnose due to its ambiguous definition. Fetal distress can be identified through abnormal fetal heart rate patterns detected by doppler, fetoscope, or heart rate monitor. Conditions like maternal hypoxia, placental problems, post-term pregnancy, and strong cord coils can cause fetal distress. Management may include changing the mother's position, ensuring hydration and oxygen, amnioinfusion, tocolysis, or emergency c-section.

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    CAYABYAB, TRISHA M.

    BSN G2C – NCM_109 RLE

    FETAL DISTRESS

    Though the term “fetal distress” is widely used, there is no clear definition to what it truly
    means. It is commonly referred to as the depletion of oxygen and accumulation of carbon
    dioxide, leading to a state of hypoxia or acidosis during the inter-uterine life of a baby. The
    ambiguity in the terms definition often makes it hard for medical practitioners to make an
    accurate diagnosis and to provide a proper treatment. Some doctors like to refer to it as “Non-
    reassuring fetal status.

    Hypoxia is a condition wherein the body is being deprived of adequate oxygen supply at
    the tissue level. It may result to permanent fetal brain damage or even death. Fetal acidosis, on
    the other hand, refers to high levels of toxicity in an unborn baby’s blood, which can cause
    problems with organ function or even lead to death.

    Usually, fetal distress is identified based on the abnormal heart rate pattern of the fetus.
    A doppler, fetoscope or an FHR monitor can be used to monitor fetal heart rate. If a fetus’ heart
    rate is less than 110 beats per minute or more than 200 beats per minute, then this is an
    indication of possible distress. Fetal heart rate monitoring can also monitor the mother’s
    contractions, as well as the fetus’ response to hypoxia.

    Some conditions that can be related to the cause of fetal distress are:
     Maternal Hypoxia due to anesthesia, anemia, eclamptic fits, sever pulmonary disease or
    heart failure.
     Problems with the placenta, such as placenta previa, abruptio placenta, uteroplacental
    insufficiency, etc...
     Post-term pregnancies
     Intrauterine Growth Restriction
     Oligohydramnios
     Dystocia
     Strong Cord coil
     and Rapid contractions
     Prolonged compression of the fetus’ head

    Management for fetal distress may include:


     Changing the mother’s position
     Ensuring the mother is well-hydrated
     Ensuring the mother has adequate oxygen
     Amnioinfusion (the insertion of fluid into the amniotic cavity to alleviate compression of
    the umbilical cord)
     Tocolysis (a therapy used to delay preterm labor by temporarily stopping contractions)
     Intravenous hypertonic dextrose
     There are also cases when an emergency cesarean section is necessary.

    References:
    https://americanpregnancy.org/labor-and-birth/fetal-distress/
    https://www.msdmanuals.com/home/women-s-health-issues/complications-of-labor-and-
    delivery/fetal-distress

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