Professional Documents
Culture Documents
International
Objectives
• Definition of fetal distress
• Fetal monitoring in labour
–Auscultation
–Guidelines
• Intrauterine resuscitation
Fetal Well-Being
International
FETAL DISTRESS
is
PERSISTENT FETAL BRADYCARDIA
that if not corrected
will result in
DECOMPENSATION OF PHYSIOLOGIC RESPONSES
and cause
PERMANENT CNS AND OTHER DAMAGE AND DEATH
Fetal Well-Being
International
The Fetal
Circulation
Fetal Well-Being
International
Fetal Well-Being
International
Fetal Well-Being
International
‘FETAL DISTRESS’
is not
a ‘bad’ fetal monitor strip*
or
meconium stained liquor
FETAL DISTRESS
is
PROGRESSIVE FETAL ASPHYXIA
that if not corrected or circumvented
will result in
DECOMPENSATION OF PHYSIOLOGIC RESPONSES
and cause
PERMANENT CNS AND OTHER DAMAGE AND DEATH
Fetal Well-Being
International
Fetal Well-Being
International
Fetal Well-Being
International
Fetal Well-Being
International
Fetal Well-Being
International
Fetal Well-Being
International
Fetal Well being in Labour
Fetal Well-Being
International
Fetal Well-Being
International
MECONIUM
• Is present in 10% of all deliveries
• In most cases the fetus is not hypoxic
• Premature babies < 34 weeks may not pass
meconium if hypoxic
Fetal Well-Being
International
MECONIUM
• Fresh, thick, green Meconium may be indicative of
fetal hypoxia until proved otherwise
• The passage of Meconium during labor should be
taken as an indicator for careful fetal heart rate
monitoring
Fetal Well-Being
International
Conclusions
1) Every woman should have a caring companion with her in
labor