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Fetal Monitoring: Abnormal Heart Tracings - Healthline
https://www.healthline.com/health/pregnancy/abnormal-fetal-heart-tracings
The fetal heart rate should be between 110 and 160 beats per minute during late pregnancy and labor, according to Johns Hopkins Medicine Health …
Late Decelerations - StatPearls - NCBI Bookshelf
https://www.ncbi.nlm.nih.gov/books/NBK539820/
Late decelerations are defined as a visually apparent, gradual decrease in the fetal heart rate typically following the uterine contraction. A late deceleration typically follows a uterine contraction meaning, the onset, nadir and the return of the deceleration will follow the onset, peak, and the return of a uterine contraction.
Late Decelerations: What They Mean and How to Manage Them - Flo
https://flo.health/pregnancy/giving-birth/labor-and-delivery/late-decelerations
Believed to be an abnormal FHR pattern, late decelerations indicate a reduction in heart rate, usually after a uterine contraction. Once deceleration starts, it takes about 20 to 30 seconds to reach its lowest point. When the timing of deceleration is delayed, it means that the lowest point is occurring past the peak of your uterine contraction.
Fetal Heart Tracing: All You’ll Ever Need to Know - Flo
https://flo.health/pregnancy/giving-birth/labor-and-delivery/fetal-heart-tracing
Any type of abnormality spotted in a fetal heart tracing could indicate an inadequate supply of oxygen or other medical issues. Your doctor evaluates the situation by reviewing fetal heart tracing patterns. The main goal is to identify fetuses who are prone to injuries stemming from hypoxia (or a lack of oxygen for fetal tissues).
Recurrent Late Decelerations | Birth Injury Lawyers
https://www.millerandzois.com/birth-injuries-fetal-heart-strips-level-iii-recurrent-late-decel.html
A Category 3 fetal heart tracing is predictive of an abnormal fetal acid-base status, meaning that the fetus is not getting enough oxygen. Category 3 fetal heart tracings require immediate action and prompt delivery via cesarean section. Category 3: Minimal Variability with …
Abnormal antepartum fetal heart rate tracings, failure to intervene ...
https://pubmed.ncbi.nlm.nih.gov/434007/
Abnormal antepartum fetal heart rate tracings, failure to intervene, and fetal death: review of five cases reveals potential pitfalls of antepartum monitoring programs Abstract The goal of antepartum fetal heart rate monitoring is to identify which infants among high-risk obstetric patients are at risk for intrauterine death and which are not.
Intrapartum Fetal Heart Rate Monitoring - Perinatology.com
http://www.perinatology.com/Fetal%20Monitoring/Intrapartum%20Monitoring.htm
If late decelerations persist for more than 30 minutes despite the above maneuvers, fetal scalp pH is indicated. Scalp pH > 7.25 is reassuring, pH 7.2-7.25 may be repeated in 30 minutes. Deliver for pH < 7.2 or minimal baseline variability with late or prolonged decelerations and inability to obtain fetal scalp pH [28,29]
[The clinical importance of abnormal heart rate tracings ... - PubMed
https://pubmed.ncbi.nlm.nih.gov/238901/
Variable decelerations without silent oscillation of loss of oscillation at the low of the deceleration led to a slight increase of fetal acidosis only after 10 decelerations. Late or combined decelerations were associated with fetal acidosis in 25% of the cases. The incidence of acidosis increase with the increase in the number of decelerations.
Interpretation of the Electronic Fetal Heart Rate During Labor
https://www.aafp.org/afp/1999/0501/p2487.html
A scalp pH of less than 7.20 is considered abnormal and generally is an indication for intervention, immediate delivery, or both. 12 A pH less than …
Fetal Heart Tracings M3 Clerkship Orientation
http://www.stritch.luc.edu/lumen/MedEd/obgyne/lectures/Fetal_Heart_Rate_Interpretation_2016.pdf
LATE DECELERATIONS ASSOCIATED WITH UTEROPLACENTAL INSUFFICENCY - Gradual decrease in fetal heart rate - Lasts 30 seconds to 2 minutes -The nadir happens after the peak of the contraction LATE DECELERATION Gradual onset (onset to nadir > 30 sec) The onset, nadir, and recovery occur after the beginning, peak, and end of the contraction, respectively
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